![]() While all the 15 studies involved issues related to behavioral and medication adherence, four involved risk perception of CAD. CAC score was ascertained either as total score, quartiles, or standardized Agatston's ordinal scale. Of the 15 retrieved studies, three were randomized control trials and 12 were observational studies. We extracted data from the retrieved studies, assessed and synthesized the information. We searched through CINAHL, PsychInfo, Web of Science, Cochrane Central Register of Control Trials, and PubMed (Medline) for studies on the effects of CAC screening in asymptomatic individuals across three major domains: behavioral modification, risk perception for CAD, and medication adherence. To perform systematic review of the effects of screening for coronary artery calcium (CAC), a subclinical marker of coronary artery disease (CAD), on behavioral or lifestyle modification, risk perception, and medication adherence. Most high risk individuals who attended the 6 month follow up screening had improved their cardiovascular health, but attrition remains a challenge for worksite programs. In this study, more than half of the participants were classified as high risk. Screening in the workplace can identify individuals at high risk for cardiovascular disease. ![]() Almost all (99.7%) of the 909 participants (82.7% of all participants) who completed the satisfaction survey were satisfied or very satisfied with the overall program. In addition, there were statistically significant decreases in the percentages of participants with elevated systolic blood pressure, diastolic blood pressure, low density lipoprotein cholesterol, and total cholesterol to high density lipoprotein ratio. A minority of the participants (16.8%) began new cardiovascular medications, and 2.4% were diagnosed with diabetes. Most high risk participants in the 6 month follow up screening reported they had increased their exercise (64.7%), improved their diet (71.3%), and visited a physician (61.7%). ![]() A total of 167 (28.0%) high risk participants completed the 6 month follow up screening. ![]() Of 1,099 employees (16.4% of those eligible) who participated in the initial screening, 596 (54.2%) were classified as high risk. This prospective, pre- and post-evaluation of a worksite cardiovascular health management program consisted of employee education, measurement of cardiovascular risk factors, and onsite individual counseling for all employees, along with follow up screening for high risk participants. ![]()
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