Trial reportBMC health services research2020
Task shifting of cardiovascular risk assessment and communication by nurses for primary and secondary prevention of cardiovascular diseases in a tertiary health care setting of Northern India.
Trial report in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 40 citations in OpenAlex.
- Task shifting of cardiovascular risk assessment and communication by nurses for primary and secondary prevention of cardiovascular diseases in a tertiary health care setting of Northern India.BMC health services research · 2020Trial
- Medication adherence interventions for South Asian populations with cardiovascular disease: A systematic review and narrative synthesis.PLOS global public health · 2026Article
- Cardiovascular disease risk and associated factors among people with hypertension in the West Bank, Palestine.Frontiers in cardiovascular medicine · 2026Article
- Task Sharing for Diagnosis and Management of Dermatophytosis and Scabies in Periurban Community of Chandigarh.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2025Article
- Work-Related Stress, Professional Respect, and Psychological Counseling Among Nurses: A Cross-Sectional Study.Journal of nursing management · 2025Article
- Article
- The Role of Visualization in Estimating Cardiovascular Disease Risk: Scoping Review.JMIR public health and surveillance · 2024Article
- Decentralization and Integration of Advanced Cardiac Care for the World's Poorest Billion Through the PEN-Plus Strategy for Severe Chronic Non-Communicable Disease.Global heart · 2024Review
- Task-shifting in asthma and chronic obstructive pulmonary disease management: A review of the obstructive lung disease program.Pakistan journal of medical sciences · 2024Article
- Intensive nurse-led follow-up in primary care to improve self-management and compliance behaviour after myocardial infarction.Nursing open · 2023Article
- A comprehensive review of the components of nurse-coordinated care which are most effective in preventing coronary heart diseases.African health sciences · 2023Review
- Article
- Task shifting of cardiovascular disease risk assessment to Anganwadi Worker in Northern India.Journal of family medicine and primary care · 2022Article
- Using clinical prediction models to personalise lifestyle interventions for cardiovascular disease prevention: A systematic literature review.Preventive medicine reports · 2022Review
- Strategic Recommendations to Bridge the Gaps in Awareness, Diagnosis and Prevention of Heart Failure in the Middle East Region and Africa.Journal of the Saudi Heart Association · 2022Article
- Leveraging role of non-physician health workers in prevention and control of non-communicable diseases in India: Enablers and challenges.Journal of family medicine and primary care · 2021Review
- Article
- Medication Adherence Interventions for Cardiovascular Disease in Low- and Middle-Income Countries: A Systematic Review.Patient preference and adherence · 2021Review
- Cardiovascular risk using WHO-ISH chart among Diabetes and Hypertensive patients in a remote rural area of South India.Journal of family medicine and primary care · 2020Article
- Task shifting in dermatology: Nurses' role.Indian journal of dermatology, venereology and leprologyArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCardiovascular diseases (CVDs) are the leading cause of morbidity and mortality in India. CVDs are to a large extent preventable with the availability of wide range of interventions focusing on primary and secondary prevention. However human resource deficit is the biggest challenge for implementing these prevention programs. Task shifting of the cardiovascular risk assessment and communication to nurses can be one of the most viable and sustainable option to run prevention programs.
methodsThe study was quasi experimental in nature with 1 year follow up to determine the effect of CVD risk assessment and communication by nurses with the help of risk communication package on primary and secondary prevention of CVDs. The study was done in the outpatient departments of a tertiary health care center of Northern India. All the nurses (n = 16) working in selected OPDs were trained in CVD risk assessment and communication of risk to the patients. A total of 402 patients aged 40 years and above with hypertension (HTN) were recruited for primary prevention of CVDs from medicine and allied OPDs, whereas 500 patients who had undergone CABG/PTCA were recruited from cardiology OPDs for secondary prevention of CVDs and were randomized to intervention (n = 250) and comparison group (n = 250) by using block randomization. CVD risk modification and medication adherence were the outcomes of interest for primary and secondary prevention of CVDs respectively.
resultsThe results revealed high level of agreement (k = 0.84) between the risk scores generated by nurses with that of investigator. In the primary prevention group, there were significantly higher proportion of participants in the low risk category (70%) as compared to baseline assessment (60.6%) at 1 year follow up. Whereas in secondary prevention group the mean medication adherence score among intervention group participants (7.60) was significantly higher than that of the comparison group (5.96) with a large effect size of 1.1.(p < 0.01).
conclusionNurse led intervention was effective in risk modification and improving medication adherence among subjects for primary and secondary prevention of CVDs respectively.
trial registrationTrial registration no CTRI/2018/01/011372 [Registered on: 16/01/2018] Trial Registered Retrospectively.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.