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 CareFile Project: a feasibility study to examine the effects of an individualised information booklet on patients after stroke.
INTRODUCTION patients have reported a lack of knowledge and underst and ing of stroke and its risk factors . Uncertainty remains about the most appropriate and effective method of educating patients after stroke . OBJECTIVE to assess the impact of the CareFile , an individualized information booklet , on patients ' knowledge and satisfaction level after stroke . DESIGN r and omised pilot study for a controlled trial . SETTING a large teaching hospital in Liverpool , UK . METHODS consecutive stroke patients admitted over a 9-month period , who met the inclusion criteria and consented to participate , were r and omised into this study . All patients received the usual stroke information leaflets provided by the stroke unit . In addition , the intervention group received the ; CareFile ' , a booklet containing general information and patient-specific information on stroke . Patients in both groups completed a stroke knowledge question naire at baseline , and at three and six months post-stroke . RESULTS of the 259 admissions , 100 were eligible to participate , and 50 were r and omised to each group . There was no significant difference in patient knowledge between the groups at baseline ( P>0.05 ) . However , at three ( P<0.05 ) and six ( P<0.005 ) months post-stroke , the intervention group had significantly better knowledge of stroke . There were no differences between the groups regarding satisfaction with the information received . CONCLUSIONS a simple education package , in the form of an individualized information booklet , result ed in a significant improvement in knowledge and recognition of risk factors for stroke . The CareFile should make a valuable contribution in meeting the requirements of the National Sentinel Audit and National Service Framework regarding provision of information to patients after stroke
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 .