Improving referral compliance after public cholesterol screening.

Maiman, Lois A.; Hildreth, Nancy G.; Cox, Christopher E.; Greenland, P.

doi:10.2105/ajph.82.6.804

Cited by 15 publications

(9 citation statements)

References 32 publications

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“…This result is similar to that found among hepatitis B surface antigen‐positive US blood donors [10] yet lower than the 50% rate of non‐compliance reported in a previous study [2]. According to various studies, approximately 50–60% of otherwise ‘healthy’ individuals identified as having high cholesterol levels in mass screening complied with the recommendation to visit their physician [11,12]. This phenomenon may be explained by the fact that both groups share common characteristics, such as being generally asymptomatic and requiring long‐term treatment.…”

Section: Discussionsupporting

confidence: 83%

Predictors for non‐compliance of notified hepatitis C virus‐positive blood donors with recommendation to seek medical counselling

Kerzman

Green

Shinar³

2008

Vox Sanguinis

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The study provides essential data regarding the extent and risk factors for non-compliance of HCV-positive blood donors with recommendation to seek medical advice. Our results can assist in identifying blood donors who would not seek counselling, based on demographic factors and past exposure to risk factors for HCV. Improvements in the notification process and additional training of general practitoners regarding the management of HCV disease are needed.

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Section: Discussionsupporting

confidence: 83%

Predictors for non‐compliance of notified hepatitis C virus‐positive blood donors with recommendation to seek medical counselling

Kerzman

Green

Shinar³

2008

Vox Sanguinis

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“…Although no studies were found relating CHD risk screening and referral compliance among rural volunteer firefighters and EMS personnel, reports have indicated mixed compliance with recommended health care provider referral. Studies of community screening programs, with and without health education efforts, have reported somewhat discouraging compliance with referral, with rates ranging from 22% to 59% (Gordon, Klag, & Whelton, 1990;Lefebvre, Banspach, Gans, Carleton, & Lasater, 1991;Maiman, Hildreth, Cox, & Greenland, 1992;Rastam, Luepker, & Pirie, 1998;Strychar, Potvin, Pineault, Pineau, & Prevost, 1994). The threat of downgraded classification may provide many volunteers with substantial incentive to address identified risk factors.…”

Section: Discussionmentioning

confidence: 99%

Health Surveillance for Rural Volunteer Firefighters and Emergency Medical Services Personnel

Gaetano¹,

Ackerman²,

Clark³

et al. 2007

AAOHN Journal

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The purpose of this study was to assess the effectiveness of coronary heart disease risk screening as a primary prevention tool. Screening included a lipid screening and American College of Cardiology Framingham cardiac risk profile for volunteers 45 years and older desiring A (interior) or B (exterior) classifications. Health surveillance records from 1998 to 2003 were reviewed for all firefighters and emergency medical services personnel in a rural New York county. Of the 1,458 volunteers evaluated, 1,166 were men and 292 were women. Three hundred fifteen individuals were screened for coronary heart disease risk; 52 had scores indicative of substantially increased risk. Subsequently, a health care provider or cardiologist saw 39 of these individuals, 26 (67%) of whom received pharmacologic, surgical, or other health care intervention. Coronary heart disease risk screening is an effective intervention in this population, and provides volunteers and their primary care providers with added motivation to actively reduce the risk of coronary heart disease via early intervention.

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14]20 The finding of little benefit for the special education program at 6 months but of more substantial benefit at 12 months was unexpected. We note, however, that in the recent study of wood production workers, the intervention group that was most similar to ours (a 45-minute education intervention with no incentives) showed no reduction in cholesterol after 6 The power of this study is reduced because only 74% of workers assigned to the special nutrition education program reported coming to any of the classes.…”

Section: Discussionmentioning

confidence: 99%

The costs and effects of a nutritional education program following work-site cholesterol screening.

Byers

Mullis²,

Anderson³

et al. 1995

Am J Public Health

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OBJECTIVES. The purpose of this study was to assess the costs and impact of a nutrition education program following a cholesterol screening. METHODS. Forty work-sites were randomly assigned to one of two educational interventions: a "usual" intervention of 5 minutes of counseling, or a "special" intervention of 2 hours of behaviorally based education on dietary changes to lower serum cholesterol. Costs were monitored, and cholesterol levels were retested 6 and 12 months later. RESULTS. The total per-person cost for screening and the educational intervention was about $50. Cholesterol levels differed little between the two intervention groups 6 months after screening, but after 12 months those in the special intervention worksites showed a 6.5% drop in cholesterol, whereas those at the usual intervention worksites showed a drop of only 3.0%. Hence a 3.5% cholesterol reduction was attributable to the special intervention. CONCLUSIONS. A behaviorally based nutrition education program following cholesterol screening can have a meaningful impact on long-term cholesterol levels at a low cost. Nutrition education in work-sites may therefore be a useful way to lower the risk of heart disease in communities.

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Improving referral compliance after public cholesterol screening.

Abstract: Program (NCEP) recommends blood cho-lesterol testing for all adults and has attempted to inform the public about the significance of high blood cholesterol levels in heart disease.

Cited by 15 publications

References 32 publications

Predictors for non‐compliance of notified hepatitis C virus‐positive blood donors with recommendation to seek medical counselling

Predictors for non‐compliance of notified hepatitis C virus‐positive blood donors with recommendation to seek medical counselling

Health Surveillance for Rural Volunteer Firefighters and Emergency Medical Services Personnel

The costs and effects of a nutritional education program following work-site cholesterol screening.

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