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Article
Evaluating stroke patients' awareness of risk factors and readiness to change stroke risk-related behaviors in a randomized controlled trial.
Faculty of Health Sciences & Medicine Publications
  • Sally Eames, University of Queensland
  • Tammy Hoffmann, Bond University
  • Nichola Phillips, University of Queensland
Date of this Version
1-1-2014
Document Type
Journal Article
Publication Details

Citation only

Eames, S., Hoffmann, T. C., & Phillips, N. F. (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 Suppl 1, S52-62.

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© Copyright, Thomas Land Publishers, 2014

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 (0-1 3), and performance of (0-1 0) and stage of change for up to 7 stroke risk-related behaviors were assessed before and 3 months after discharge. Results: No significant between-group differences were found. For all participants over time, there were significant improvements for personal (mean difference [MD], 0.3; 95% Cl, 0.004-0.69; P = .05) and general (MD, 0.6; 95% Cl, 0.09-1.16; P = .02) risk factor recall; performance of stroke risk-related behaviors (MD, 0.8; 95% Cl, 0.28-1.26; P < .01 ); and progression from a non action 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% Cl, 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.

Citation Information
Sally Eames, Tammy Hoffmann and Nichola Phillips. "Evaluating stroke patients' awareness of risk factors and readiness to change stroke risk-related behaviors in a randomized controlled trial." (2014) ISSN: 1074-9357
Available at: http://works.bepress.com/tammy_hoffmann/78/