Literature DB >> 23884981

Translating guidelines to practice: findings from a multidisciplinary preventive cardiology programme in the west of Ireland.

Irene Gibson1, Gerard Flaherty, Sarah Cormican, Jennifer Jones, Claire Kerins, Anne Marie Walsh, Caroline Costello, Jane Windle, Susan Connolly, James Crowley.   

Abstract

AIMS: The aim of this observational, descriptive study is to evaluate the impact of an intensive, evidence-based preventive cardiology programme on medical and lifestyle risk factors in patients at high risk of developing cardiovascular disease (CVD).
METHODS: Increased CVD risk patients and their family members/partners were invited to attend a 16-week programme consisting of a professional multidisciplinary lifestyle intervention, with appropriate risk factor and therapeutic management in a community setting. Smoking, dietary habits, physical activity levels, waist circumference and body mass index, and medical risk factors were measured at initial assessment, at end of programme, and at 1-year follow up.
RESULTS: Adherence to the programme was high, with 375 (87.2%) participants and 181 (84.6%) partners having completed the programme, with 1-year data being obtained from 235 (93.6%) patients and 107 (90.7%) partners. There were statistically significant improvements in both lifestyle (body mass index, waist circumference, physical activity, Mediterranean diet score, fish, fruit, and vegetable consumption, smoking cessation rates), psychosocial (anxiety and depression scales and quality of life indices), and medical risk factors (blood pressure, lipid and glycaemic targets) between baseline and end of programme, with these improvements being sustained at 1-year follow up.
CONCLUSIONS: These findings demonstrate how a holistic model of CVD prevention can improve cardiovascular risk factors by achieving healthier lifestyles and optimal medical management.

Entities:  

Keywords:  Cardiovascular disease prevention; guidelines; lifestyle modification; medical risk factor management; multidisciplinary team

Mesh:

Year:  2013        PMID: 23884981     DOI: 10.1177/2047487313498831

Source DB:  PubMed          Journal:  Eur J Prev Cardiol        ISSN: 2047-4873            Impact factor:   7.804


  17 in total

1.  Experiences and Attitudes of International Travelers with Cardiovascular Disease: A Qualitative Analysis.

Authors:  Chee Hwui Liew; Gerard Thomas Flaherty
Journal:  Am J Trop Med Hyg       Date:  2020-03       Impact factor: 2.345

2.  Lifestyle risk factors for cardiovascular disease and diabetic risk in a sedentary occupational group: the Galway taxi driver study.

Authors:  W P Martin; F Sharif; G Flaherty
Journal:  Ir J Med Sci       Date:  2016-03-16       Impact factor: 1.568

3.  Outcomes from a community-based hypertension educational programme: the West of Ireland Hypertension study.

Authors:  M Darrat; A Houlihan; I Gibson; M Rabbitt; G Flaherty; F Sharif
Journal:  Ir J Med Sci       Date:  2017-11-06       Impact factor: 1.568

4.  Outcomes of an integrated community-based nurse-led cardiovascular disease prevention programme.

Authors:  S B Connolly; K Kotseva; C Jennings; A Atrey; J Jones; A Brown; P Bassett; D A Wood
Journal:  Heart       Date:  2017-03-02       Impact factor: 5.994

5.  ASPIRE-3-PREVENT: a cross-sectional survey of preventive care after a coronary event across the UK.

Authors:  Catriona S Jennings; Kornelia Kotseva; Paul Bassett; Agnieszka Adamska; David Wood
Journal:  Open Heart       Date:  2020-04

6.  Can the Onset of Type 2 Diabetes Be Delayed by a Group-Based Lifestyle Intervention in Women with Prediabetes following Gestational Diabetes Mellitus (GDM)? Findings from a Randomized Control Mixed Methods Trial.

Authors:  Angela O'Dea; Marie Tierney; Brian E McGuire; John Newell; Liam G Glynn; Irene Gibson; Eoin Noctor; Andrii Danyliv; Susan B Connolly; Fidelma P Dunne
Journal:  J Diabetes Res       Date:  2015-08-18       Impact factor: 4.011

7.  Effects of an eight-week supervised, structured lifestyle modification programme on anthropometric, metabolic and cardiovascular risk factors in severely obese adults.

Authors:  Catherine Crowe; Irene Gibson; Katie Cunningham; Claire Kerins; Caroline Costello; Jane Windle; Paula M O Shea; Mary Hynes; Brian McGuire; Katriona Kilkelly; Helena Griffin; Tim O Brien; Jenni Jones; Francis M Finucane
Journal:  BMC Endocr Disord       Date:  2015-08-01       Impact factor: 2.763

8.  Reasons for participation and non-participation in a diabetes prevention trial among women with prior gestational diabetes mellitus (GDM).

Authors:  Jennifer J Infanti; Angela O'Dea; Irene Gibson; Brian E McGuire; John Newell; Liam G Glynn; Ciaran O'Neill; Susan B Connolly; Fidelma P Dunne
Journal:  BMC Med Res Methodol       Date:  2014-01-24       Impact factor: 4.615

9.  Long-term effects on cardiovascular risk of a structured multidisciplinary lifestyle program in clinical practice.

Authors:  Matthias Lidin; Mai-Lis Hellénius; Monica Rydell-Karlsson; Elin Ekblom-Bak
Journal:  BMC Cardiovasc Disord       Date:  2018-04-02       Impact factor: 2.298

Review 10.  Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: a rapid realist review.

Authors:  Nadia Minian; Tricia Corrin; Mathangee Lingam; Wayne K deRuiter; Terri Rodak; Valerie H Taylor; Heather Manson; Rosa Dragonetti; Laurie Zawertailo; Osnat C Melamed; Margaret Hahn; Peter Selby
Journal:  BMC Public Health       Date:  2020-06-12       Impact factor: 3.295

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