There were no significant effects of organisational  interventions on lipid profile , HbA1c , medication adherence or recurrent cardiovascular events .
Pooled results indicated that educational interventions were not associated with clear differences in any of the review outcomes .
The estimated effects of organisational interventions were compatible with improvements and no differences in several modifiable risk factors .
BACKGROUND People with stroke or transient ischaemic attack ( TIA ) are at increased risk of future stroke and other cardiovascular events .
Evidence -based strategies for secondary stroke prevention have been established .
However , the implementation of prevention strategies could be improved .
OBJECTIVES To assess the effects of stroke service interventions for implementing secondary stroke prevention strategies on modifiable risk factor control , including patient adherence to prescribed medications , and the occurrence of secondary cardiovascular events .
Baseline feature of a randomized trial assessing the effects of disease management programs for the prevention of recurrent ischemic stroke.
BACKGROUND Comprehensive and long-term patient education programs design ed to improve self-management can help patients better manage their medical condition . Using disease management programs ( DMPs ) that were created for each of the risk factor according to clinical practice guidelines , we evaluate their influence on the prevention of stroke recurrence . METHODS This is a r and omized study conducted with ischemic stroke patients within 1 year from their onset . Subjects in the intervention group received a 6-month DMPs that included self-management education provided by a nurse along with support in collaboration with the primary care physician . Those in the usual care group received ordinary outpatient care . The primary end point is a difference of the Framingham risk score-general cardiovascular disease 10-year risk [ corrected ] . Patients were enrolled for 2 years with plans for a 2-year follow-up after the 6-month education period ( total of 30 months ) . RESULTS A total of 321 eligible subjects ( average age , 67.3 years ; females , 96 [ 29.9 % ] ) , including 21 subjects ( 6.5 % ) with transient ischemic attack , were enrolled in this study . Regarding risk factors for stroke , 260 subjects ( 81.0 % ) had hypertension , 249 subjects ( 77.6 % ) had dyslipidemia , 102 subjects ( 31.8 % ) had diabetes mellitus , 47 subjects ( 14.6 % ) had atrial fibrillation , and 98 subjects ( 30.5 % ) had chronic kidney disease .  There were no significant differences between the 2 groups with respect to subject characteristics . CONCLUSIONS This article describes the rationale , design , and baseline features of a r and omized controlled trial that aim ed to assess the effects of DMPs for the secondary prevention of stroke . Subject follow-up is in progress and will end in 2015
There were no significant effects of organisational  interventions on lipid profile , HbA1c , medication adherence or recurrent cardiovascular events .
Pooled results indicated that educational interventions were not associated with clear differences in any of the review outcomes .
The estimated effects of organisational interventions were compatible with improvements and no differences in several modifiable risk factors .
BACKGROUND People with stroke or transient ischaemic attack ( TIA ) are at increased risk of future stroke and other cardiovascular events .
Evidence -based strategies for secondary stroke prevention have been established .
However , the implementation of prevention strategies could be improved .
OBJECTIVES To assess the effects of stroke service interventions for implementing secondary stroke prevention strategies on modifiable risk factor control , including patient adherence to prescribed medications , and the occurrence of secondary cardiovascular events .