The optimal timing of supporting patients in health-related behavior change after TIA or ischemic stroke: a prospective cohort study to determinants of health-related intention to change over time

Brouwer‐Goossensen, Dorien; Lingsma, Hester F.; Koudstaal, Peter J.; Hertog, Heleen M. den

doi:10.1097/mrr.0000000000000443

Cited by 4 publications

(2 citation statements)

References 45 publications

(11 reference statements)

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“…Regular consumption of UFA, especially fish, reduces the risk of stroke in primary prevention ( 45 ). Of interest, it has been recently shown that the optimal moment to start an intervention to support patients in health-related behavior change after the TIA or ischemic stroke appears directly after the stroke or TIA ( 52 ). This strengthens the importance of performing a systematic dietary intervention during hospitalization.…”

Section: Discussionmentioning

confidence: 99%

Impact of dietary intervention on eating behavior after ischemic stroke

Besseau,

Sartori,

Larnier

et al. 2023

Front. Nutr.

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ObjectiveIschemic stroke is a major health issue. Currently, the relationship between dietary patterns and the occurrence of cardiovascular diseases including stroke is established, but the effect of systematic dietary intervention on dietary changes in ischemic stroke patients is unknown. Our objective was to compare changes in the dietary pattern of ischemic stroke patients who received a systematic diet intervention with changes in the dietary pattern of ischemic stroke patients who did not receive a systematic dietary intervention during their hospitalization.MethodsIn this before-and-after study, two groups of patients with ischemic stroke were compared: Group 1 included 34 patients admitted with an ischemic stroke without a systematic dietray intervention; Group 2 included 34 patients admitted with an ischemic stroke with a systematic dietary intervention. Dietary patterns were assessed by a validated food frequency questionnaire of 19 questions (from a previously validated questionnaire of 14 questions), at the onset of stroke and at 6 months after stroke. This questionnaire allows the calculation of different scores as follows: global food score, saturated fatty acids score (SFA), unsaturated fatty acids score (UFA), fruit and vegetable score, and alcohol score.ResultsScore changes were more important in group 2 than in group 1 for the global food score (7.4 ± 7 vs. 1.9 ± 6.7, p = 0.0013), the fruit and vegetable score (2 ± 2.6 vs. 0.6 ± 2.2, p = 0.0047), and the UFA score (1.8 ± 2.7 vs. 0.1 ± 3.3, p = 0.0238), whereas no significant differences were observed for the SFA score (−3.9 ± 4.9 vs. −1.6 ± 6, p = 0.1779) and the alcohol score (−0.4 ± 1.5 vs. −0.3 ± 1.1, p = 0.6960).ConclusionThis study showed that systematic dietary intervention during hospitalization improves the dietary patterns of ischemic stroke patients. The impact on the recurrence of ischemic stroke or cardiovascular events after dietary pattern changes needs to be studied.

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Section: Discussionmentioning

confidence: 99%

Impact of dietary intervention on eating behavior after ischemic stroke

Besseau,

Sartori,

Larnier

et al. 2023

Front. Nutr.

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“…Through threat and coping assessment, the PMT can help generate self-protection motivation and establish behaviour, 13 and it can also explain and predict behavioural changes in patients. 14 Therefore, if the PMT can be optimised and the self-management behaviour of patients who have had a stroke can be improved, accelerated patient rehabilitation and a reduction in recurrence are expected. This study aimed to develop an assessment scale of protection motivation for patients who had suffered a stroke using the PMT as a framework and tested the preliminary reliability of the scale, providing a scientific measurement tool and reference for explaining and predicting the possibility of adopting secondary prevention health behaviours in patients who suffer strokes.…”

Section: Introductionmentioning

confidence: 99%

Development and Reliability Testing of the Stroke Patient Protection Motivation Scale

Han¹,

Zhang²,

Liu³

2022

NDT

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A scale for evaluating the protective motivation of patients who had suffered a stroke was developed to preliminarily verify the reliability of the scale and provide scientific measurement tools for clinical professionals. Methods: A descriptive research design method was adopted. First, an initial draft of the questionnaire was formed by conducting a literature review supplemented by semi-structured interviews and modified using the Delphi method. A total of 287 patients who had suffered a stroke were selected for the formal survey using the convenience sampling method. Further item screening was performed using an item analysis and an exploratory factor analysis, and reliability testing was also performed. Results:The scale consisted of 34 entries in the following 6 dimensions: severity, susceptibility, internal and external rewards, response efficacy, response cost and self-efficacy. The overall Cronbach's alpha coefficient was 0.935, with correlation coefficients between dimensions and total scale scores ranging from 0.604 to 0.805 (P < 0.05) and correlation coefficients between dimensions ranging from 0.154 to 0.537 (P < 0.05). Conclusion:The protective motivation scale prepared in this study was tested and had good reliability, so this scale can be used as a scientific tool to evaluate the implementation of secondary prevention strategies for protective motivation of patients who have suffered a stroke.

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Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke

et al. 2021

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Objective Unhealthy lifestyle is common among patients with ischemic stroke or TIA. Hence, health‐related behavior change may be an effective way to reduce stroke recurrence. However, this is often difficult to carry out successfully. We aimed to explore patients' perspectives on health‐related behavior change, support in this change, and sustain healthy behavior. Methods We conducted a descriptive qualitative study with in‐depth, semistructured interviews in eighteen patients with recent TIA or ischemic stroke. Interviews addressed barriers, facilitators, knowledge, and support of health‐related behavior change framed by the protection motivation theory. All interviews were transcribed and thematically analyzed. Results Patients seem unable to adequately appraise their own health‐related behavior. More than half of the patients were satisfied with their lifestyle and felt no urgency to change. Self‐efficacy as coping factor was the most important determinant (both barrier and facilitator). Fear as threat factor was named as facilitator for health‐related behavior change by half of the patients. Most of the patients did not need support or already received support in changing health behavior. Patients indicated knowledge, guidelines, and social support as most needed to support and preserve a healthy lifestyle. Conclusion This study suggests that patients with recent TIA or ischemic stroke often do not have a high intention to change health‐related behavior. The results fit well within the framework of the protection motivation theory. As many patients seem unable to adequately appraise their health behaviors, interventions should focus on increasing knowledge of healthy behavior and improving self‐efficacy and social support.

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The optimal timing of supporting patients in health-related behavior change after TIA or ischemic stroke: a prospective cohort study to determinants of health-related intention to change over time

Cited by 4 publications

References 45 publications

Impact of dietary intervention on eating behavior after ischemic stroke

Impact of dietary intervention on eating behavior after ischemic stroke

Development and Reliability Testing of the Stroke Patient Protection Motivation Scale

Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke

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