One of the greatest challenges of delivering care
to cardiac patients is to integrate comprehensive
risk-factor modification strategies into clinical practice. Although various strategies for risk-factor modification have been demonstrated to be effective in
clinical trials,
29,48
these may not prove equally effective in clinical practice for a paucity of resources,
particularly personnel. The HeLM intervention is a
short, practical, postal-delivered intervention combined with telephone support by a trained health
professional. This intervention can be easily delivered by nurses, general practitioners,