Determinants of intention to change health-related behavior and actual change in patients with TIA or minor ischemic stroke

Brouwer‐Goossensen, Dorien; Genugten, Lenneke van; Lingsma, Hester F.; Dippel, Diederik W.J.; Koudstaal, Peter J.; Hertog, Heleen den

doi:10.1016/j.pec.2015.10.028

Cited by 32 publications

(26 citation statements)

References 54 publications

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“…In a prospective cohort study of 100 patients post-TIA or minor stroke, self-efficacy with respect to behaviour change, belief in effectiveness of behaviour change to confer stroke risk reduction (response efficacy) and fear of another stroke, measured by standardised questionnaires at baseline, were each independently associated with the intention to increase PA, the first of these most strongly. Intention only tended non-significantly to predict actual behaviour change at 3 months as measured with a standardised self-report questionnaire 69. Therefore, while PA intentions may contribute to behaviour change, they do not suffice to account for it.…”

Section: Changing Pa and Exercise Behaviourmentioning

confidence: 76%

Exercise for stroke prevention

Prior

Suskin

2018

Stroke Vasc Neurol

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We review evidence concerning exercise for stroke prevention. Plausible biological reasons suggest that exercise would be important in preventing stroke. While definitive randomised controlled trials evaluating the impact of physical activity (PA) and exercise on preventing stroke and mortality are lacking, observational studies, small randomised controlled trials and meta-analyses have provided evidence that PA and exercise favourably modify stroke risk factors, including hypertension, dyslipidaemia, diabetes, sedentary lifestyle, obesity, excessive alcohol consumption and tobacco use. It is, therefore, important to understand the factors associated with poststroke PA/exercise and cardiorespiratory fitness. Positively associated factors include self-efficacy, social support and quality of patients’ relationships with health professionals. Negatively associated factors include logistical barriers, medical comorbidities, stroke-related deficits, negative exercise beliefs, fear of falling, poststroke fatigue, arthropathy/pain and depression. Definitive research is needed to specify efficacious behavioural approaches to increase poststroke exercise. Effective techniques probably include physician endorsement of exercise programmesto patients, enhancement of patient–professional relationships, providing patients an exercise rationale, motivational interviewing, collaborative goal-setting with patients, addressing logistical concerns, social support in programsmes, structured exercise programming, individualised behavioural instruction, behavioural diary recording, reviewing behavioural consequences of exercise efforts, reinforcing successful exercise performance. Exercise programming without counselling may increase short-term activity; simple advice or information-giving is probably ineffective. Older patients or those with cognitive impairment may need increased structure, with emphasis on behaviour per se, versus self-regulation skills. We support the latest American Heart Association/American Stroke Association guidelines (2014) recommending PA and exercise for stroke prevention, and referral to behaviourally oriented programmes to improve PA and exercise.

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Section: Changing Pa and Exercise Behaviourmentioning

confidence: 76%

Exercise for stroke prevention

Prior

Suskin

2018

Stroke Vasc Neurol

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“…The food judged by the medical staff as edible is not the same as what the patients can or want to eat. In a prospective cohort study of 100 patients with either transient ischemic attack or ischemic stroke, Brouwer et al found that baseline self-e cacy, as determined by patients' responses on questionnaires, was the strongest predictor of his/her intention to adopt a healthy diet (95% CI, 0.23-0.75) [22]. Thus, based on the aforementioned studies, it may be bene cial for hospitals' neurosurgery and neurology departments to coordinate long-term stroke coaching programs and assess patients' behavioral patterns to increase patients' adherence to healthy lifestyles.…”

Section: Intervention For Cancer Patients Suffering From Swallowing Dmentioning

confidence: 99%

“…In clinical practice, selfe cacy refers to patients' perceptions of their abilities to take actions required for improving and maintaining their health, such as controlling weight, engaging in physical activity, and controlling alcohol consumption [19][20][21]. In a prospective cohort study of 100 patients who had experienced either a transient ischemic attack or an ischemic stroke, Brouwer et al found that baseline self-e cacy, as determined by the patient's responses to questionnaires, was the strongest predictor of his/her intention to adopt a healthy diet (95% CI, 0.23-0.75) [22].…”

Section: Introductionmentioning

confidence: 99%

Relationship between the Functional Oral Intake Scale and Self-efficacy Scale among Patients with Cancer: A Cross-sectional study

Matsuda

Karino

Kanno

2020

Preprint

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Background: A few studies suggest that self-efficacy pertaining to swallowing ability can lead to dysphagia. Therefore, this cross-sectional study verified the relationship between oral health-related self-efficacy and dysphagia severity during cancer treatment. Methods: Participants included patients undergoing treatment for cancer at Shimane University Hospital, Shimane, Japan, and those receiving outpatient treatment at the hospital’s Oral Care Center between August 2018 and April 2019. In all, 203 participants enrolled in the study and completed the Functional Oral Intake Scale (FOIS), Self-efficacy Scale for Advanced Cancer (SEAC), and Oral Health-related Self-Efficacy Scale for Patients with Cancer (OSEC). Results: A multivariate analysis showed a statistically significant correlation between the low FOIS score category and the SEAC subscales of Activities of Daily Living Self-efficacy (ADE) (odds ratio 1.04, 95% confidence interval [CI] 1.00–1.07) and Symptom Coping Self-efficacy (SCE) (odds ratio 0.61, 95% [CI] 0.42–0.88). Based on the Jonckheere-Terpstra test, the SEAC and OSEC scores tended to increase as the FOIS category progressed. Conclusion: These findings suggest that self-efficacy played an important role in dysphagia and it may affect the severity of dysphagia.

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“…Brouwer-Grossen D. et al изучали особенности мотивации пациентов по модификации образа жизни после перенесенных ТИА и малого инсульта. Ими были выявлены наиболее значимые факторы в модификации образа жизни, среди которых самоэффективность, страх и эффективность ответа [55]. Умение преобразовывать копинг-стратегии пациента увеличит эффективность реабилитационной программы.…”

Section: тактика ведения и лечения пациента с тиаunclassified

Transient ischemic attacks: their importance in the progression of cerebrovascular diseases and topical issues of medical rehabilitation

Костенко

Петрова

2019

Med. sov.

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The article deals with the aspects of clinical definition of transient ischemic attack (TIA), the analysis of these risk factors for stroke after TIA and their etiopathogenetic relationship. The features of management of patients with high risk of stroke after TIA are discussed. The issues of interdisciplinary and multidisciplinary approach to medical rehabilitation (MR) of patients with TIA are covered. The results of our own studies of the effectiveness of the MR program in 351 patients with TIA with the inclusion of neurocytoprotectors (choline alfoscerate, Cerepro) are presented. Results and conclusion. Pathogenetically justified is the inclusion in MR of patients with TIA of drugs with neurocalibration effect. The high efficiency of choline alfoscerate (Cerepro) in the form of improving cognitive functions, reducing the severity of emotional disorders and reducing the number of cases of recurrent acute cerebrovascular event is shown.

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Determinants of intention to change health-related behavior and actual change in patients with TIA or minor ischemic stroke

Cited by 32 publications

References 54 publications

Exercise for stroke prevention

Exercise for stroke prevention

Relationship between the Functional Oral Intake Scale and Self-efficacy Scale among Patients with Cancer: A Cross-sectional study

Transient ischemic attacks: their importance in the progression of cerebrovascular diseases and topical issues of medical rehabilitation

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