Effectiveness of an Intervention Aimed at Improving Information for Patients with High Cardiovascular Risk: INFORISK Clinical Trial

Carlos Brotons, Irene Moral, Diana Fernández, Mireia Puig, M. Teresa Vilella, Teresa Puig, LLuís Cuixart, Gemma Férriz, Anna M. Pedro, Roger Codinachs, Mónica Rodríguez, Rubén Fuentes and on behalf of INFORISK Study Investigators
Additional contact information
Carlos Brotons: EAP Sardenya-IIB Sant Pau, 08025 Barcelona, Spain
Irene Moral: EAP Sardenya-IIB Sant Pau, 08025 Barcelona, Spain
Diana Fernández: EAP Sardenya-IIB Sant Pau, 08025 Barcelona, Spain
Mireia Puig: EAP Sardenya-IIB Sant Pau, 08025 Barcelona, Spain
M. Teresa Vilella: EAP Sardenya-IIB Sant Pau, 08025 Barcelona, Spain
Teresa Puig: Epidemiology Department, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, CIBER Cardiovascular, IIB Sant Pau, 08041 Barcelona, Spain
LLuís Cuixart: EAP Dreta de l’Eixample, 08013 Barcelona, Spain
Gemma Férriz: ABS Sagrada Familia, 08017 Barcelona, Spain
Anna M. Pedro: ABS Gaudí, 08017 Barcelona, Spain
Roger Codinachs: EAP Vic Sud, 08500 Vic, Spain
Mónica Rodríguez: CAP Pare Claret, 08037 Barcelona, Spain
Rubén Fuentes: EAP Sardenya-IIB Sant Pau, 08025 Barcelona, Spain
on behalf of INFORISK Study Investigators: INFORISK Study Investigators are listed in acknowledgments.

IJERPH, 2021, vol. 18, issue 7, 1-10

Abstract: Background: The concept of global cardiovascular risk is not usually well understood by patients in consultation. Methods: This was a multicenter, prospective, randomized, open clinical trial of one-year duration to evaluate the effectiveness in reducing global cardiovascular risk with an intervention aimed at high-risk patients to improve information on the cardiovascular risk compared to the usual care. The intervention was focused on providing information about cardiovascular risk in a more understandable way, explaining the best practices to reduce cardiovascular risk, and tailoring information to the individual. Results: Four-hundred and sixty-four subjects participated in the study; 59.3% were men, and the mean age was 61.0 (SD 8.0) years. Significant reductions in systolic blood pressure (SBP) (?3.12 mmHg), body mass index (BMI) (?0.34 kg/m 2 ), abdominal circumference (?1.24 cm), and REGICOR cardiovascular risk (?0.63) were observed in the intervention group. Overall, no differences in cardiovascular risk score were observed between groups at the end of follow-up. Conclusions: Providing an easy-to-understand assessment of the cardiovascular risk motivated high-risk patients to adopt a healthier lifestyle and improved cardiovascular risk after one year in the intervention group. Clinicians should assess a patient’s baseline understanding of their CV risk using tools other than absolute risk before making treatment recommendations.

Keywords: primary care; early intervention; educational; heart disease risk factors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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