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 .
The role of self-efficacy in vascular risk factor management: a randomized controlled trial.
OBJECTIVE Given the large number of patients at high risk of vascular events , new strategies are needed to reduce vascular risk . We investigated whether self-efficacy promotion could change self-efficacy levels in patients with vascular diseases and whether baseline self-efficacy and changes in self-efficacy were related to changes in vascular risk factors . METHODS One hundred fifty-three recently referred patients with symptomatic vascular diseases ( cerebrovascular , abdominal , or peripheral arterial ) participated in a r and omized trial investigating the effect of nursing care , as compared with usual care , on vascular risk factors . Nursing care consisted of self-efficacy promotion and medical treatment of vascular risk factors .  Self-efficacy and vascular risk factors ( smoking , BMI , waist , blood pressure , lipid , and glucose levels ) were measured at baseline and after 1 year . RESULTS While total self-efficacy did not change over the 1-year intervention period in either treatment group , self-efficacy in choosing healthy food ( mean + 0.4+/-1.4 , p-value 0.01 ) and in doing extra exercise ( mean + 0.3+/-1.3 , p-value 0.03 ) increased in the intervention group . No relation was seen between baseline total self-efficacy or change in composite self-efficacy and change in vascular risk factors . CONCLUSION The nursing intervention did not influence total self-efficacy but did improve self-efficacy in choosing healthy food and doing extra exercise . Change in composite self-efficacy was not related to change in vascular risk factors in patients at high risk of developing ( new ) cardiovascular diseases . PRACTICE IMPLICATION S Influencing self-efficacy in choosing healthy food and doing extra exercise could be incorporated in vascular risk reduction programs in addition to medical treatment of vascular risk factors
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 .