Effectiveness of structured brief interventions on risk factor modification for patients with coronary heart disease - A systematic review - Protocol

Abstract

Question/Objectives This systematic review will be undertaken to answer the following question. For patients with CHD what is the effect of brief structured interventions for the modification of the following risk factors: smoking; physical inactivity, lipid profile, high blood pressure, high fat diet and diabetes? The objective of this review is to determine the effect of brief intervention on risk factor modification in patients with CHD. The following comparisons will be made: 1) Brief intervention versus usual care for single risk factor modification 2) Brief intervention versus extensive interventions for single risk factor modification. 3) Brief intervention versus usual care for multiple risk factor modification 4) Brief intervention versus extended intervention for multiple risk factor modification. Criteria for considering studies for this review Types of participants Adults (age >18years) with CHD and known risk factors will be included. Trials undertaken in children to promote healthy lifestyle will be excluded. Types of interventions The following comparisons will be made: 1) Brief intervention versus usual care for single risk factor modification 2) Brief intervention versus extensive interventions for single risk factor modification. 3) Brief intervention versus usual care for multiple risk factor modification 4) Brief intervention versus extensive interventions for multiple risk factor modification Trials that include the following methods for delivery of the brief intervention will be included: face to face interview; telephone; electronic and postal. Trials that included brief intervention as part of an extended program will be excluded. In addition trials that compare types of diets or exercises will be excluded. Population based trials and those undertaken for health promotion will also be excluded. Types of outcome measures The primary outcomes of interest will include a) Changes in self-monitoring or other-reports of smoking b) Changes in self- monitoring or other-reports of cholesterol level c) Changes in self- monitoring or other-reports of physical activity d) Changes in self- monitoring or other-reports of dietary habits including fat and fish intake e) Changes in self- monitoring or other-reports of blood sugar levels f) Changes in self- monitoring or other-reports of blood pressure levels g) Changes in BMI TRUNCATED AT 350 WORDS