main CVDs risk factors in addition to usual care, the 7. (NCM) coordinated significantly increased, salt established, the NRP-e medication adherence and hypertensive patients”. intervention group also follow-up visits, recorded consumption did not was simple and healthy lifestyle behaviors. (p834) received weekly email baseline and follow-up data significantly change. The inexpensive, requiring alerts and phone calls from using structured forms, and percentage of subjects with low an average of <20 min 14. The provision of the Nurse Care Manager carried out the educational physical activity, uncontrolled per day in addition to information alone may not (NCM). programme. hypertension or glycemia, high normal practice. be sufficient for behavior LDL and total cholesterol and Coordinating follow-up change, and more tailored 3, Recommendations were triglycerides decreased in both visits, recording data and targeted interventions taken from current groups (all p < 0.01). The mean and carrying out brief are needed. Further studies guidelines on healthy number of alcohol units and educational with longer follow-up and lifestyle. cigarettes decreased, however programmes can be older and more general the prevalence of drinkers and part of ordinary duties, samples are required to smokers did not vary. and the only additional confirm the present actions specifically findings. 9. At 6 months the intervention requested by the group showed a statistically intervention were significant greater sending email alerts improvement in BMI, alcohol (once a week) and consumption, cigarette phone calls to smoking, fruit consumption, non-responding physical activity, systolic and subjects. diastolic blood pressure, LDL and total cholesterol (all p < 11. Use of read receipts 0.05). The prevalence of useful to determine obesity, low fruit consumption, who required a follow low physical activity, up phone call. uncontrolled hypertension, high LDL and total cholesterol 12. Older subjects may decreased much more in the be less competent in intervention group (all p < email management, 0.01). Fasting blood glucose reading, and and triglycerides reductions, comprehension. There compliance with therapy hours, may be socio-economic did not show a statistically barriers to the use of significant difference between such interventions groups. The intervention did (computer access, not affect salt consumption. language, health literacy).
main CVDs risk factors in hypertensive patients”. (p834) addition to usual care, the intervention group also received weekly email alerts and phone calls from the Nurse Care Manager (NCM). 3, Recommendations were taken from current guidelines on healthy lifestyle. 7. (NCM) coordinated follow-up visits, recorded baseline and follow-up data using structured forms, and carried out the educational programme. significantly increased, salt consumption did not significantly change. The percentage of subjects with low physical activity, uncontrolled hypertension or glycemia, high LDL and total cholesterol and triglycerides decreased in both groups (all p < 0.01). The mean number of alcohol units and cigarettes decreased, however the prevalence of drinkers and smokers did not vary. 9. At 6 months the intervention group showed a statistically significant greater improvement in BMI, alcohol consumption, cigarette smoking, fruit consumption, physical activity, systolic and diastolic blood pressure, LDL and total cholesterol (all p < 0.05). The prevalence of obesity, low fruit consumption, low physical activity, uncontrolled hypertension, high LDL and total cholesterol decreased much more in the intervention group (all p < 0.01). Fasting blood glucose and triglycerides reductions, compliance with therapy hours, did not show a statistically significant difference between groups. The intervention did not affect salt consumption. established, the NRP-e was simple and inexpensive, requiring an average of <20 min per day in addition to normal practice. Coordinating follow-up visits, recording data and carrying out brief educational programmes can be part of ordinary duties, and the only additional actions specifically requested by the intervention were sending email alerts (once a week) and phone calls to non-responding subjects. 11. Use of read receipts useful to determine who required a follow up phone call. 12. Older subjects may be less competent in email management, reading, and comprehension. There may be socio-economic barriers to the use of such interventions (computer access, language, health literacy). medication adherence and healthy lifestyle behaviors. 14. The provision of information alone may not be sufficient for behavior change, and more tailored and targeted interventions are needed. Further studies with longer follow-up and older and more general samples are required to confirm the present findings.
12912_2017_225_MOESM1_ESM.docx