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Related Experiment Videos

Evaluation of referral completion after a workplace cholesterol screening program.

S T Fitzgerald1, S Gibbens, J Agnew

  • 1Division of Occupational Health, Johns Hopkins School of Hygiene and Public Health, Baltimore, Maryland 21205.

American Journal of Preventive Medicine
|November 1, 1991
PubMed
Summary

A follow-up educational mailing did not improve referral completion after workplace cholesterol screenings. Higher initial cholesterol levels, not the mailing, predicted completion, though screenings prompted lifestyle changes.

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Area of Science:

  • Cardiovascular Health
  • Preventive Medicine
  • Health Behavior Interventions

Background:

  • Workplace cholesterol screenings identify employees needing further evaluation.
  • Referral completion is crucial for managing elevated cholesterol and coronary heart disease (CHD) risk.
  • Educational interventions aim to improve adherence to medical referrals.

Purpose of the Study:

  • To evaluate the effectiveness of a follow-up educational mailing on referral completion after workplace cholesterol screening.
  • To identify predictors of referral completion in employees with elevated cholesterol.

Main Methods:

  • A randomized clinical trial was conducted with employees screened for high cholesterol.
  • Participants were randomized into a control group or an intervention group receiving an educational mailing.

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  • Referral completion rates and predictors were analyzed.

    • Main Results:

    • The educational mailing did not significantly increase referral completion rates.
    • A baseline total cholesterol level ≥ 240 mg/dL was the strongest predictor of referral completion.
    • A trend towards lifestyle behavior changes, particularly diet modification, was observed post-screening.

    Conclusions:

    • Follow-up educational mailings may not be effective in improving referral completion for workplace cholesterol screenings.
    • High baseline cholesterol levels are key indicators for patient follow-up.
    • Workplace screenings can encourage positive lifestyle changes, irrespective of referral completion.