Domain | First author (reference) | Runcie [100] | Barnes [101] | Taveira [81] | Lizer [102] | DelMonte [88] | McCleeary-Monthei [103] | Ramanuj [104] | Watkins [78] | Kjledsen [92] | Cohen [82] | Schneiderhan [84]s | Bozymski [83] | Barnes [98] | Fischler [99] | Lee [79] | Koffarnus [97] | Sud [86] | Sasson [94] | Pena [95] | Health found [80] | % Using strategy | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Professional | 1 | Educational materials | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 1 | 1 | 45 |
 | 2 | Educational meetings | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 25 |
 | 3 | Local consensus process | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 10 |
 | 4 | Educational outreach visits | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 |
 | 5 | Local opinion leaders | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 10 |
 | 6 | Patient mediated interventions | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 25 |
 | 7 | Audit and feedback | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 25 |
 | 8 | Reminders | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 1 | 0 | 30 |
 | 9 | Questionnaireb | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 |
Financial | 10 | Provider incentive | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 5 |
 | 11 | Patient | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 5 |
Patient | 12 | Educational materials | 0 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 20 |
 | 13 | Reminder cardb | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 |
 | 14 | Questionnaireb | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10 |
 | 15 | Behaviour change | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 10 |
 | 16 | Education—face to face | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 25 |
 | 17 | Medication change b | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ?1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5(?10) |
 | 18 | Facilitate adherence to medicinesb | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 |
 | 19 | Identification of family supportb | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 5 |
Organisational | 20 | Revision of professional role | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 15 |
 | 21 | Clinical MDT team | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 15 |
 | 22 | Continuity of care | 0 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 20 |
 | 23 | Medical systems records change | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 0 | 0 | 1 | 15 |
 | 24 | Changes in equipment | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 5 |
Total number of implementation strategies used | 2 | 7 | 7 | 5 | 2 | 1 | 3 | 3 | 3 | 0 | 2(?3) | 1 | 7 | 2 | 1 | 3 | 10 | 1 | 5 | 6 | Â | ||
Process outcomes | Screening | ↑ | ↑ |  |  | ↑ | = | ↑ | ? |  |  | = | ↑ | ↑ | ↑c | = | ↑ | ↑ | ↑ | ↑/↓ | ↑c |  | |
Rate of diagnosis of MetS |  |  |  |  |  |  |  |  | ↑ |  | = |  |  |  |  |  |  |  |  |  |  | ||
Mean number of abnormal metabolic parameters as part of MetS | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | = | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||
Advice about smoking, diet/healthy eating, exercise, |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | ↑c |  | ||
Clinical outcomes | Physical health domain of WHOQOL-BREF |  |  |  | ↑ |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | |
Improvement in blood results e.g. reduced lipids |  |  |  | ↑ |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | ||
Time to achieve same outcome in CVDr as general population |  |  | ↑ |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | ||
Maintenance of HbA1c and BP after discharge from CVDr clinic | Â | Â | Â | Â | Â | Â | Â | Â | Â | = | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | ||
Improved PAM score |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | ↑c |  |