Cookie policy: This site uses cookies (small files stored on your computer) to simplify and improve your experience of this website. Cookies are small text files stored on the device you are using to access this website. For more information please take a look at our terms and conditions. Some parts of the site may not work properly if you choose not to accept cookies.


Subscribe or Register

Existing user? Login

Cardiovascular diseases

Low-intensity intervention ineffective at reducing cardiovascular risk

Research has suggested that individual and group motivational interviews are no more effective than usual care in reducing cardiovascular risk in the general population.

Nutritionist interviewing a patient


The motivational interviews were based around addressing an individual’s cognitive barriers to changing their lifestyle

A low-intensity psychological intervention did not improve physical activity and weight loss in people at high risk of cardiovascular disease (CVD) events, a study published in Heart (12 December 2019) has shown[1].

The trial involved patients aged 40–74 years with a 20% or greater risk of a CVD event in the next 10 years. Patients were randomly assigned to one of three arms: ten sessions of group motivational interviewing (n=697), ten sessions of individual motivational interviewing (n=523) or usual care (n=522) over one year. Usual care involved community-based weight loss, smoking cessation and exercise programmes.

At 24 months, there were no significant differences between the intervention groups and the usual care group for any of the outcomes, including in physical activity (steps per day), weight loss, or secondary outcomes, such as low-density lipoprotein cholesterol levels and CVD risk score.

The motivational interviewing technique aimed to address cognitive barriers to dietary and lifestyle changes to increase an individual’s intentions to change, but did not prescribe a diet or physical activity programme.

The researchers said their results indicated that a low-intensity psychological intervention may be ineffective in reducing CVD risk in people at high risk when applied to the general population.

“We may need to consider more intensive approaches to supporting lifestyle change in those most at risk of CVD,” they concluded.

Citation: The Pharmaceutical Journal DOI: 10.1211/PJ.2020.20207632

Have your say

For commenting, please login or register as a user and agree to our Community Guidelines. You will be re-directed back to this page where you will have the ability to comment.

Recommended from Pharmaceutical Press

Search an extensive range of the world’s most trusted resources

Powered by MedicinesComplete
  • Print
  • Share
  • Comment
  • Save
  • Print Friendly Version of this pagePrint Get a PDF version of this webpagePDF

Jobs you might like

Newsletter Sign-up

Want to keep up with the latest news, comment and CPD articles in pharmacy and science? Subscribe to our free alerts.