Background
People with stroke or transient ischaemic attack (TIA) are at increased risk of future stroke and other cardiovascular events. Evidencebased
strategies for secondary stroke prevention have been established. However, the implementation of prevention strategies could be
improved.
Objectives
To assess the effects of stroke service interventions for implementing secondary stroke prevention strategies on modifiable risk factor
control, including patient adherence to prescribed medications, and the occurrence of secondary cardiovascular events.
Search methods
We searched the Cochrane Stroke Group Trials Register (April 2013), the Cochrane Effective Practice and Organisation of Care Group
Trials Register (April 2013), CENTRAL (The Cochrane Library 2013, issue 3), MEDLINE (1950 to April 2013), EMBASE (1981 to
April 2013) and 10 additional databases. We located further studies by searching reference lists of articles and contacting authors of
included studies.
Selection criteria
We included randomised controlled trials (RCTs) that evaluated the effects of organisational or educational and behavioural interventions
(compared with usual care) on modifiable risk factor control for secondary stroke prevention.
Data collection and analysis
Two review authors selected studies for inclusion and independently extracted data. One review author assessed the risk of bias for the
included studies. We sought missing data from trialists.
Interventions for improving modifiable risk factor control in the