Patient and public education for cholesterol reduction: a review of strategies and issues. |
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| Authors: | K Glanz |
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| Affiliation: | 1. Norfolk & Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK;2. University of East Anglia, Norwich Research Park, Norwich NR4 7TJ, UK;1. Department of Internal Medicine, Tri-Service General Hospital Songshan Branch, National Defense Medical Center, Taipei, Taiwan;2. Cardiology Division of Cardiovascular Medical Center, Far Eastern Memorial Hospital, New Taipei City, Taiwan;3. Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan;4. Department of Internal Medicine, Division of Cardiology, Taoyuan Armed Forces General Hospital, Taoyuan County, Taiwan;5. Department of Internal Medicine and Nuclear Medicine, National Taiwan University College of Medicine and Hospital, Taipei, Taiwan;6. Department of Nuclear Medicine and Cardiology, Division of Cardiovascular Medical Center, Far Eastern Memorial Hospital, New Taipei City, Taiwan;7. National Yang-Ming University School of Medicine, Taipei, Taiwan;8. Department of Internal Medicine, National Taiwan University Hospital Yunlin Branch, Yunlin, Taiwan;1. Department of Surgery, University of Rwanda, Kigali, Rwanda;2. University Teaching Hospital of Kigali, Kigali, Rwanda;3. Department of Surgery, University of Minnesota, Minneapolis, MN;1. Center for Cognitive Neuroscience, Duke University, Durham, NC 27708, USA;2. Brain Imaging and Analysis Center, Duke University Medical Center, Durham, NC 27710, USA;3. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27710, USA;1. Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Nanjing Medical University, Jiangsu, China;2. Jiangsu Key Laboratory of Brain Disease Bioinformation, Xuzhou Medical University, Jiangsu, China;3. Research Center for Biochemistry and Molecular Biology, Xuzhou Medical University, Jiangsu, China |
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| Abstract: | Elevated blood cholesterol is a major risk factor for coronary heart disease and a significant public health problem, affecting as many as 50% of all adults in the U.S. Public, professional and patient education are central to current widespread efforts to increase awareness and effective management of high cholesterol. Screening/case-finding, follow-up and nutrition education are the most widely applicable strategies for cholesterol reduction. The following topics are reviewed: current guidelines for treatment of elevated cholesterol levels; trends in awareness, attitudes and practices of the public and health professionals; reports of interventions for cholesterol reduction; and health policy issues and research needs related to cholesterol education. This review suggests that several major challenges lie ahead for widespread and effective educational management of high cholesterol levels. These include development of practical screening and education systems, establishment of feasible financing arrangements, effective communication of complex information to patients, and techniques for long-term maintenance of reductions in cholesterol levels. |
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