Conclusions Interventions using physician reminders , using dedicated personnel to deliver screening , and provision of financial incentives were found to be effective in increasing CVD risk factors screening uptake
Background Cardiovascular disease ( CVD ) is the leading cause of death globally .
However , many individuals are unaware of their CVD risk factors .
The objective of this systematic review is to determine the effectiveness of existing intervention strategies to increase uptake of  CVD risk factors screening .
Using nurses for preventive activities with computer assisted follow up: a randomised controlled trial.
OBJECTIVE --To assess whether an organised programme of prevention including the use of a health promotion nurse noticeably improved recording and follow up of cardiovascular risk factors and cervical smears in a general practice that had access to computerised cell and recall . DESIGN --R and omised controlled trial . SETTING --General practice in inner London . PATIENTS --All 3206 men and women aged 30 - 64 registered with the practice . INTERVENTION -- The intervention group had their risk factors ascertained and followed up by the health promotion nurse and the general practitioner , whereas those in the control group were managed by the general practitioner alone . END POINT -- Recording and follow up of blood pressure and cervical smears after three years . Recording of smoking , family history of ischaemic heart disease , and serum cholesterol concentrations were also examined . MEASUREMENTS and MAIN RESULTS --When the trial was stopped after two years the measurements of blood pressure in the preceding five years were 93 % ( 1511/1620 ) v 73 % ( 1160/1586 ) ( 95 % confidence interval for difference 17.5 to 22.7 % ) for intervention and control groups respectively . For patients with hypertension the figures were 97 % ( 104/107 ) v 69 % ( 80/116 ) ( 18.2 to 38.2 % ) . For women the proportion who had had a cervical smear in the preceding three years were 76 % ( 606/799 ) v 49 % ( 392/806 ) ( 22.5 to 31.9 % ) . Recording of smoking , family history of ischaemic heart disease , and serum cholesterol concentrations was also higher in the intervention group compared with the control group . CONCLUSION --An organised programme , which includes a nurse with specific responsibility for adult prevention , is likely to make an important contribution to recording of risk factors and follow up of those patients with known risks
Conclusions Interventions using physician reminders , using dedicated personnel to deliver screening , and provision of financial incentives were found to be effective in increasing CVD risk factors screening uptake
Background Cardiovascular disease ( CVD ) is the leading cause of death globally .
However , many individuals are unaware of their CVD risk factors .
The objective of this systematic review is to determine the effectiveness of existing intervention strategies to increase uptake of  CVD risk factors screening .