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 .
Patients' evaluation of informed consent to postponed information: cohort study
Fundamental bias can be introduced in r and omised trials if patients can not be masked for the allocated strategy and assess subjective outcomes . In such a trial , on the effectiveness of outreach stroke care in addition to st and ard care , we masked patients by modifying the informed consent procedure . Before discharge home we informed patients that we were study ing their needs six months after discharge ; we could not inform about an additional research question because that would affect the results ; this question entailed no risk and would be clarified after follow up ; and the ethics committee approved this study .1 After we got consent we r and omised patients . We informed patients in the intervention group about the outreach care programme and asked them to participate , but we kept them ignorant that we were study ing the programme for effectiveness . Controls received no further information . After follow up , we sent all participants a
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 .