The Effect of Education on Self-Management and Stroke Prevention Behavior on Recurrence

Aini, Nur; Mashfufa, Erma Wahyu; Setyowati, Lilis; Marta, Ollyvia Freeska Dwi

doi:10.54259/mudima.v2i3.608

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…Patients' medication adherence can be improved by providing information regarding the advantage of taking treatments, reminders, and (self)-monitoring [24]. Moreover, the (self)-management behavior of patients who had a stroke improved their self-efficacy, disease outcome, QoL, and self-satisfaction that could improve stroke recurrence [25]. It also increased patients' self-confidence and well-being [26].…”

Section: Study Framework and Hypothesismentioning

confidence: 99%

Effectiveness of a Health Education Program for Patients Who Had a Stroke and Their Caregivers by Controlling Modifiable Risk Factors to Reduce Stroke Recurrence in a Tertiary Hospital in Bangladesh: Protocol for a Randomized Controlled Trial

Afrin,

Khan,

Das

et al. 2023

JMIR Res Protoc

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Background Stroke is a significant public health concern that causes severe and long-lasting disability. The recurrence of stroke is increasing due to lack of patients’ knowledge and compliance with treatment to control modifiable risk factors and lifestyle changes. Health education can be an effective way to increase knowledge about behavioral changes in patients who had a stroke. Objective The aim of this study is to evaluate the effectiveness of a health education program in Bangladesh for patients who had their first stroke and their family caregivers in order to reduce the recurrence of stroke by controlling modifiable risk factors. Methods This is a parallel, open-label, prospective randomized controlled trial conducted at the National Institute of Neurosciences & Hospital in Dhaka, Bangladesh. We enrolled ≥18-year-old patients of both sexes who had a history of first stroke attack (transient ischemic attack, hemorrhagic stroke, lacunar stroke, atherothrombotic stroke, or cardioembolic stroke). We stratified patients into those aged <65 years and those aged ≥65 years and according to types of strokes for randomization. Our estimated sample size was 432. The intervention group receives face-to-face counseling on lifestyle modifications, blood pressure monitoring, and medication compliance–related health education during enrollment and monthly follow-ups. However, the control group receives only usual care from the hospital. The primary end point of this study is the reduction in the stroke recurrence rates at the end of the 12-month follow-up period. The secondary end points are to (1) assess the occurrence of all adverse events such as other cardiac events and all-cause mortality, (2) evaluate the status of the controlling modifiable risk factors such as blood pressure, glycated hemoglobin, and non–high-density lipoprotein cholesterol, (3) assess the knowledge related to stroke by using the investigator-developed questionnaire, (4) evaluate the lifestyle behavior related to stroke by using the investigator-developed questionnaire, (5) assess medication adherence, and (6) evaluate the quality of life of patients who had a stroke and their family caregivers. The evaluation points will be at baseline, 6 months, and 12 months for both groups. Results Patients’ enrollment started on October 2022, and follow-up will be completed in March 2024. A total of 432 participants were included in both the intervention (n=216) and control groups (n=216). This study was approved by the institutional review board and the ethics review board of the National Institute of Neurosciences & Hospital (IRB/NINSH/2022/151) on August 30, 2022. Conclusions Our health education program is expected to reduce the recurrence of stroke and improve the quality of life of patients who have had the first stroke. The results of this study will provide insights into the importance of health education for (self)-management and prevention of stroke. Trial Registration ClinicalTrials.gov NCT05520034; https://clinicaltrials.gov/ct2/show/NCT05520034 International Registered Report Identifier (IRRID) DERR1-10.2196/51178

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Section: Study Framework and Hypothesismentioning

confidence: 99%

Effectiveness of a Health Education Program for Patients Who Had a Stroke and Their Caregivers by Controlling Modifiable Risk Factors to Reduce Stroke Recurrence in a Tertiary Hospital in Bangladesh: Protocol for a Randomized Controlled Trial

Afrin,

Khan,

Das

et al. 2023

JMIR Res Protoc

View full text Add to dashboard Cite

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Effectiveness of a Health Education Program for Patients Who Had a Stroke and Their Caregivers by Controlling Modifiable Risk Factors to Reduce Stroke Recurrence in a Tertiary Hospital in Bangladesh: Protocol for a Randomized Controlled Trial (Preprint)

Afrin¹,

Khan²,

Das³

et al. 2023

Preprint

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BACKGROUND Stroke is a significant public health concern that causes severe and long-lasting disability. The recurrence of stroke is increasing due to lack of patients’ knowledge and compliance with treatment to control modifiable risk factors and lifestyle changes. Health education can be an effective way to increase knowledge about behavioral changes in stroke patients. OBJECTIVE To evaluate the effectiveness of health education among first-stroke patients and their family caregivers in reducing the recurrence of stroke by controlling modifiable risk factors. METHODS It is a parallel, open-label, prospective randomized controlled trial (RCT) conducting at the National Institute of Neuroscience Hospital (NINSH) in Dhaka, Bangladesh. We enrolled stroke patients aged 18 years and above, both sexes and who had history of first-time attack. We stratified the patients with <65 and 65≥ years and types of strokes for randomization. Our estimated sample size was 432. The intervention group is receiving face to face lifestyle modification, blood pressure (BP) monitoring, medication compliance related health education during enrollment and monthly follow up periods. However, the control group is receiving usual care from the hospital. The primary endpoint of this study is to (1) reduce the recurrence rate of stroke at the end of 12 months follow up period. The secondary endpoints are to (1) assess the occurrence of all adverse events, such as other cardiac events and all-cause of mortality, (2) evaluate the status of controlling modifiable risk factors such as of BP, glycated hemoglobin, non- High-Density Lipoprotein cholesterol, (3) asses the knowledge related to stroke by the investigators developed questionnaire, (4) evaluate the lifestyle behavior related to stroke by the investigators developed questionnaire, (5) assess medication adherence, and (6) evaluate the quality of life (QoL) of stroke patients and their family caregivers. The evaluation points will be at baseline, 6 months, and 12 months for both groups. RESULTS Patients’ enrollment was started on October 2022, and follow up will be completed in March 2024. A total of 432 participants were included in both intervention group (n=216) and the control group (n=216). CONCLUSIONS Effectiveness of the health education program is expected to be reducing the recurrence of stroke and improving the QoL. The results of this study will provide insights into the importance of health education for (self)-management and prevention of stroke. CLINICALTRIAL ClinicalTrials.gov NCT05520034; https://clinicaltrials.gov/ct2/show/NCT05520034

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The Influence of Providing Information and Educational Media in Efforts to Prevent Stroke

Wijaya,

Pratama,

Girsang

2024

j. info kesehat.

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Stroke is the leading cause of physical and mental disability worldwide. In Indonesia, the incidence of stroke is alarmingly high, affecting approximately 10.9% of the population annually, with around 713,783 individuals experiencing stroke each year. Understanding how to prevent stroke is crucial. Clear and regular information, along with effective educational media, are essential for increasing public awareness of stroke. This study aims to determine the impact of social media and knowledge on stroke prevention. This type of study is a non-experimental quantitative study using a cross-sectional. This study is conducted in portions, with patients who are willing and able to talk effectively. Univariate, bivariate, and multivariate analyses were conducted using Pearson correlation tests and linear regression tests. The results show that among the 100 respondents, most were male, aged 41-60 years, and engaged in the best stroke prevention efforts. The Pearson correlation test showed significant correlations between information accuracy, frequency, and educational media for stroke prevention (Pearson p=0.89; p=0.62; p=0.75). The linear regression test revealed that the clarity of information, frequency of information, and educational media together increased stroke prevention efforts (p=0.037), with the clarity of information being the most significant factor. The conclusion is the study concludes that educational media and accurate information are crucial in preventing stroke. It is recommended that the Kasih Sayang Clinic conducts comprehensive stroke education and screening every six months to enhance prevention efforts.

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The Effect of Education on Self-Management and Stroke Prevention Behavior on Recurrence

Cited by 3 publications

References 19 publications

Effectiveness of a Health Education Program for Patients Who Had a Stroke and Their Caregivers by Controlling Modifiable Risk Factors to Reduce Stroke Recurrence in a Tertiary Hospital in Bangladesh: Protocol for a Randomized Controlled Trial

Effectiveness of a Health Education Program for Patients Who Had a Stroke and Their Caregivers by Controlling Modifiable Risk Factors to Reduce Stroke Recurrence in a Tertiary Hospital in Bangladesh: Protocol for a Randomized Controlled Trial

Effectiveness of a Health Education Program for Patients Who Had a Stroke and Their Caregivers by Controlling Modifiable Risk Factors to Reduce Stroke Recurrence in a Tertiary Hospital in Bangladesh: Protocol for a Randomized Controlled Trial (Preprint)

The Influence of Providing Information and Educational Media in Efforts to Prevent Stroke

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