Health minister Lord Darzi endorsed MyAction as an example of a community-based scheme that is ideally designed to tackle the governments public health targets of heart disease and stroke when he launched the Westminster programme in January.
He said: Heart disease and stroke is the main factor in the health inequalities that exist between rich and poor, not only in Westminster with its diverse population, but across the UK.
What’s the evidence?Euroaction study aim: to investigate whether a nurse coordinated multidisciplinary, family-based preventive cardiology programme could improve standards in routine clinical practice The study took place in hospitals and primary care centres in France, Italy, Poland, Spain, the Netherlands, Denmark, Sweden and the UK, where 3,088 patients with coronary disease and 2,318 at high risk were randomly assigned intervention or usual care. The primary endpoints, measured at one year, included family-based lifestyle change and management of blood pressure, lipids and blood glucose to target concentrations.The researchers concluded: ‘The Euroaction preventive cardiology programme reduced the risk of cardiovascular disease compared with usual care mainly through lifestyle changes by families, who together made healthier lifestyle choices and became more physically active than before.’
FURTHER INFOWood et al, ‘Nurse-coordinated multidisciplinary, family-based cardiovascular disease prevention programme (EUROACTION) for patients with coronary heart disease and asymptomatic individuals at high risk of cardiovascular disease: a paired, cluster-randomised controlled trial’, Lancet (2008), 371:1999 www.escardio.org/euroaction
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