Effect of non-attenders on the potential of a primary care programme to reduce cardiovascular risk in the population. Family Heart Study Group.
OBJECTIVE
To determine the feasibility of enrolling non-attenders of a population based cardiovascular risk reduction programme (the British family heart study) into a further, similar programme and to assess the effect of non-attendance on the effectiveness of the programme.


METHODS
Follow up of non-attenders by practice nurses, including home visits if necessary, to administer questionnaires and obtain physiological measurements.


METHODS
Eight general practices across England, Scotland, and Wales.


METHODS
Non-attenders in a cardiovascular risk factor screening and intervention programme compared with attenders.


METHODS
Number of non-attenders enrolled; sociodemographic characteristics; personal and family history of coronary heart disease; cardiovascular risk factors; and total coronary risk score.


RESULTS
Data were collected from 106 (17%) of the 608 non-attending families (99 men and 42 women). Of the 543 non-attending families from five practices that attempted complete follow up, 256 had moved away or died. Only 76 were eventually enrolled into the study. The prevalence of coronary heart disease and a family history of coronary heart disease were similar among non-attenders and attenders as were the individual coronary risk factors studied except smoking. Women non-attenders were more likely to be current cigarette smokers than attenders (15/42 v 202/948, P = 0.02).


CONCLUSIONS
The intensive follow up of non-attenders resulted in real intervention opportunities in only a small number. Since the effect of any intervention in a population is reduced by non-attendance audit of preventive medical programmes aimed at the population should allow for the effect of non-attenders on the overall results.
Davies
G
G
Faculty of Medicine, University of Southampton.
Pyke
S
S
Kinmonth
A L
AL
D002318:Cardiovascular Diseases / Q000517:prevention & control*; D005194:Family Practice; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011320:Primary Health Care; D012307:Risk Factors; D012907:Smoking; D012959:Socioeconomic Factors; D016312:Treatment Refusal; D006113:United Kingdom