Cardiovascular diseases remain the main cause of mortality in Canada. While effective interventions are available for reducing the risk of cardiovascular disease,there continue to be gaps between the potential reduction in risk that could be achieved by effectively managing these risk factors and levels of risk factor control currently in clinical practice. This study will evaluate the ability of a different model of risk factor care using other health providers assisting family doctors, along with information aids for patients and health professionals,to achieve better levels of cardiovascular risk factor control in adults.

Inclusion Criteria:

• adults 50 to 80 years of age
• having attending a family medicine clinic for more than one year

Exclusion Criteria:

• not able to participate for one year
• not able to read English
• requires house calls
• nursing home resident
• cognitive impairment
• current chest pain or symptoms of active coronary heart disease