Evaluating stroke patients' awareness of risk factors and readiness to change stroke risk-related behaviors in a randomized controlled trial

Eames, Sally, Hoffmann, Tammy C. and Phillips, Nichola E. (2014) Evaluating stroke patients' awareness of risk factors and readiness to change stroke risk-related behaviors in a randomized controlled trial. Topics in Stroke Rehabilitation, 21 S52-S62. doi:10.1310/tsr21S1-S52

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Author Eames, Sally
Hoffmann, Tammy C.
Phillips, Nichola E.
Title Evaluating stroke patients' awareness of risk factors and readiness to change stroke risk-related behaviors in a randomized controlled trial
Journal name Topics in Stroke Rehabilitation   Check publisher's open access policy
ISSN 1074-9357
1945-5119
Publication date 2014-01-01
Sub-type Article (original research)
DOI 10.1310/tsr21S1-S52
Open Access Status File (Publisher version)
Volume 21
Start page S52
End page S62
Total pages 11
Place of publication Leeds, W Yorks, United Kingdom
Publisher Maney Publishing
Language eng
Formatted abstract
Purpose: To identify the effects of a brief educational intervention on stroke patients’ recall and recognition of risk factors and
performance of and stage of change for stroke risk–related behaviors.

Methods: Sixty-six patients with stroke participated in a multisite randomized controlled trial. The intervention group (n = 35) received a brief education intervention (tailored written stroke information, verbal reinforcement of information for 3 months after discharge, and provision of a telephone number). The control group (n = 31) received usual care. Unprompted recall (personal and general), prompted recognition of risk factors (0-13), and performance of (0-10) and stage of change for up to 7 stroke risk–related behaviors were assessed before and 3 months after discharge.

Results: No signifi cant between-group differences were found. For all participants over time, there were signifi cant improvements for personal (mean difference [MD], 0.3; 95% CI, 0.004-0.69; P = .05) and general (MD, 0.6; 95% CI, 0.09-1.16; P = .02) risk factor recall; performance of stroke risk–related behaviors (MD, 0.8; 95% CI, 0.28-1.26; P < .01); and progression from a nonaction to an action stage of change for 4 of 7 behaviors over time. There was a significant decline in total risk factor recognition scores (MD, -0.8; 95% CI, 0.39-1.13; P < .01).

Conclusion: Stroke patients’ unprompted recall of risk factors and performance of risk-related behaviors improved over time; readiness to change risk-related behaviors progressed for some behaviors. A brief educational intervention did not improve risk factor awareness or behavior change more than usual care.
Keyword Behavior
Patient
Randomized controlled trial
Readiness to change
Risk factor
Stroke
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Health and Rehabilitation Sciences Publications
 
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