4.3. Future Perspectives
Organisation and incorporation of an integrated lifestyle programme in primary practice is not sufficient yet to help patients with a high cardiovascular risk towards a longstanding healthy lifestyle. First, not all people eligible for combined lifestyle programmes are reached: future research should focus on reaching a larger (socially diverse) population, how to motivate them and how to refer effectively to a local lifestyle intervention initiative. Furthermore, in primary practice, only persons with an indication for indicated or health-related prevention are reached. The role of the social and governmental domain in universal prevention of cardiovascular risk should be examined instead of focusing on the healthcare domain only. For indicated prevention in primary care, we suggest a close collaboration with lifestyle coaches and other relevant providers, while GPs and practice nurses may play a key role in identifying patients at risk and susceptible for intervention.