The effects of Risk Factor‐Targeted Lifestyle Counselling Intervention on working‐age stroke patients' adherence to lifestyle change

Abstract

Some short-term advantages in lifestyle habits due to the intervention were noted. Participants in both groups improved some of their lifestyle habits.

Hypothetical model of perceived adherence to treatment among patients with coronary heart disease after a percutaneous coronary intervention

“…The construct validity of ACDI and SSCHD was verified with an exploratory factor analysis (EFA). In the ACDI, the alpha coefficients ranged from 0.40 to 0.88 and the alpha coefficient of the entire scale was 0.80, indicating sufficient‐to‐high internal consistency (Polit & Beck, ) as seen also in the earlier studies (Oikarinen et al, ; Ylimäki, Kanste, Heikkinen, Bloigu, & Kyngäs, ). Regarding ACDI, eleven factors explained 65% of the total variance, communalities varied between 0.20 and 0.80 and the factor loadings were between 0.30 and 0.90 (Polit & Beck, ).…”

“…The Theory of Adherence among People with Chronic Disease (1999) is originally developed by Kyngäs () and developed further among different patient groups (Kähkönen et al, ; Oikarinen, Engblom, Kääriäinen, & Kyngäs, ). According to this theory, adherence to treatment is defined as an active, intentional and responsible process of care where patients with chronic conditions work to maintain their health in collaboration with healthcare professionals.…”

“…Adherence to treatment consists of adherence to medication and a healthy lifestyle, including a healthy diet, physical activity, non‐smoking and moderate alcohol consumption. Explanatory factors associated with adherence to treatment according to Kyngäs's original Theory of Adherence among People with Chronic Disease are responsibility, cooperation, a sense of normality, motivation, the results of care, support from next of kin, support from nurses, support from physicians and a fear of complications (Kähkönen et al, ; Kyngäs, ; Oikarinen et al, ). The Theory of Adherence among People with Chronic Disease as a theoretical framework to evaluate post‐PCI patients’ adherence has been tested.…”

Lifestyle Counseling Intervention Effects on Counseling Quality in Patients With Stroke and Transient Ischemic Attack

“…diet, safe alcohol consumption, stress management, physical activity, smoking and weight control) and of medication adherence. [9][10] Poor adherence decreases the effectiveness of treatment, which may lead to recurrent strokes and complications, signifying a burden not just for the stroke patients themselves but also for the healthcare organization and society. 11 The aim of the study was to investigate the effects of lifestyle counseling intervention on lifestyle counseling quality in stroke and TIA patients.…”

“…The description of the intervention and its effects on adherence to lifestyle change have previously been published. 10 Briefly, the intervention was carried out as follows: To start with, the nurses in the unit were given training concerning stroke risk factors by organizing education days with the same content twice to verify that most of the nurses were able to participate. In addition, a structured lifestyle counseling conversation was planned: the goal of the conversation was addressed together with the patient based on their earlier knowledge and experience about stroke risk factors and on the current understanding of their lifestyle.…”