Effectiveness of Goal-Setting Telephone Follow-Up on Health Behaviors of Patients with Ischemic Stroke: A Randomized Controlled Trial

Wan, Li-Hong; Zhang, Xiao-Pei; Mo, Miao-Miao; Xiong, Xiao-Ni; Ou, Cui-Ling; You, Liming; Chen, Shaoxian; Zhang, Min

doi:10.1016/j.jstrokecerebrovasdis.2016.05.010

“…This study showed that the CRS‐HBM intervention programme improved patients' health behaviours, BP control, and disability significantly after discharge via comprehensive methods at 6 months after discharge. This finding may have emerged because the intervention used comprehensive methods, including health belief education and HBM calendar handbook, an automated short‐massage service and telephone follow‐up interviews by nurses, and optimized secondary prevention at the time of hospital discharge and continued following discharge (Wan, Zhang, et al, 2016; Wan et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…The intervention is intended to help patients understand stroke susceptibility and severity, recognize the benefits of health behaviours, identify barriers to implementation of health behaviours, and enhance health‐related motivation and self‐efficacy (Wan et al, 2018). The CRS‐HBM programme includes four elements: (a) health belief education before discharge; (b) an HBM calendar handbook included calendar memos for self‐management; (c) an automated short‐message service to remind patients about lifestyle modification and medication adherence; and (d) telephone follow‐up interviews by nurses after discharge (see Wan, Zhang, et al, 2016 and Wan et al, 2018, for more details).…”

Section: Methodsmentioning

confidence: 99%

Factors influencing health behaviour, blood pressure control, and disability in hypertensive ischaemic stroke patients after a comprehensive reminder intervention

Zhang

¹

,

Pan

²

,

Wan

³

et al. 2020

Journal of Advanced Nursing

14

2

0

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Aims:To test prospective pathways of a Comprehensive Reminder System based on the Health Belief Model (CRS-HBM), stroke knowledge, health belief in health behaviour, blood pressure (BP) control, and disability in hypertensive ischaemic stroke patients at 6-month postdischarge.Design: A nested cohort study design. Methods: Data were derived from a randomized controlled trial evaluating the effects of the intervention (N = 174, performed during February 2015 -March 2016). Data were collected by questionnaires and analysed in structural equation modelling in Mplus software. Results: The proposed model provided a good fit to the data. This model accounted for 51.5% of the variance in health behaviour, 34.1% in BP control, and 5.7% in modified Rankin Scale score at 6-month postdischarge. The CRS-HBM had: (a) direct positive effect (β = .391, p < .001) and indirect positive effects (β = .186, p = .002) on health behaviour; (b) direct positive effect (β = .356, p < .001) and indirect positive effects (β = .183, p = .009) on BP control; and (c) indirect negative effect (β = −.146, p = .008) on disability. Being female was linked to better health behaviour. Higher education predicted higher level of stroke knowledge and health belief. Conclusions:The CRS-HBM can not only directly but also indirectly improve patients' health behaviours by improving their health knowledge or health belief. Better health behaviour can improve patients' BP control and reduce disability. Therefore, nurses need to pay more attention to not only patients' health knowledge but also their health belief when providing education. Impact:The CRS-HBM intervention accounted for 51.5% of variance in health behaviour, 34.1% in BP control, and 5.7% in modified Rankin Scale score at 6-month postdischarge. This research can help nurses improve health education strategies in postdischarge and community contexts to achieve better health results. | 1385ZHANG et Al.

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“…However, there were certain contexts in which interventions based on this mechanism observed more success. Specifically, four [67,71,84,103,104] out of eight interventions [59,63,67,71,80,84,103,104] in Asia reported that participants were more likely to quit smoking. Interventions that utilized capability in community based settings or in schools also had positive results with 71% (5/7) [40, 70,77,81,104] and 80% (4/5) [40, 73,82,84], respectively reporting long-term smoking cessation.…”

Section: Demi-regularity -Capabilitymentioning

confidence: 99%

Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: A rapid realist review

Minian

¹

,

Corrin

²

,

Lingam

³

et al. 2020

Preprint

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Background: Smoking continues to be a leading cause of preventable chronic disease-related morbidity and mortality, excess healthcare expenditure, and lost work productivity. Tobacco users are disproportionately more likely to be engaging in other modifiable risk behaviours such as excess alcohol consumption, physical inactivity, and poor diet. While hundreds of interventions addressing the clustering of smoking and other modifiable risk behaviours have been conducted worldwide, there is insufficient information available about the context and mechanisms in these interventions that promote successful smoking cessation. The aim of this rapid realist review was to identify possible contexts and mechanisms used in multiple health behaviour change interventions (targeting tobacco and two or more additional risk behaviours) that are associated with improving smoking cessation outcome.Methods: This realist review method incorporated the following steps: (1) clarifying the scope, (2) searching for relevant evidence, (3) relevance confirmation, data extraction, and quality assessment, (4) data analysis and synthesis.Results: Of the 20,423 articles screened, 138 articles were included in this realist review. Following Michie et al.’s behavior change model (the COM-B model), capability, opportunity, and motivation were used to identify the mechanisms of behaviour change. Universally, increasing opportunities (i.e. factors that lie outside the individual that prompt the behaviour or make it possible) for participants to engage in healthy behaviours was associated with smoking cessation success. However, increasing participant’s capability or motivation to make a behaviour change was only successful within certain contexts. Conclusion: In order to address multiple health behaviours and assist individuals in quitting smoking, public health promotion interventions need to shift away from ‘individualistic epidemiology’ and invest resources into modifying factors that are external from the individual (i.e. creating a supportive environment).Study registration: PROSPERO registration number: CRD42017064430

show abstract

“…However, there were certain contexts in which interventions based on this mechanism observed more success. Speci cally, four [67,71,84,103,104] out of eight interventions [59,63,67,71,80,84,103,104] in Asia reported that participants were more likely to quit smoking. Interventions that utilized capability in community based settings or in schools also had positive results with 71% (5/7) [40,70,77,81,104] and 80% (4/5) [40,73,82,84], respectively reporting long-term smoking cessation.…”

Section: Demi-regularity -Capabilitymentioning

confidence: 99%

Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: A rapid realist review

Minian

¹

,

Corrin

²

,

Lingam

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: Smoking continues to be a leading cause of preventable chronic disease-related morbidity and mortality, excess healthcare expenditure, and lost work productivity. Tobacco users are disproportionately more likely to be engaging in other modifiable risk behaviours such as excess alcohol consumption, physical inactivity, and poor diet. While hundreds of interventions addressing the clustering of smoking and other modifiable risk behaviours have been conducted worldwide, there is insufficient information available about the context and mechanisms in these interventions that promote successful smoking cessation. The aim of this rapid realist review was to identify possible contexts and mechanisms used in multiple health behaviour change interventions (targeting tobacco and two or more additional risk behaviours) that are associated with improving smoking cessation outcome.Methods: This realist review method incorporated the following steps: (1) clarifying the scope, (2) searching for relevant evidence, (3) relevance confirmation, data extraction, and quality assessment, (4) data analysis and synthesis.Results: Of the 20,423 articles screened, 138 articles were included in this realist review. Following Michie et al.’s behavior change model (the COM-B model), capability, opportunity, and motivation were used to identify the mechanisms of behaviour change. Universally, increasing opportunities (i.e. factors that lie outside the individual that prompt the behaviour or make it possible) for participants to engage in healthy behaviours was associated with smoking cessation success. However, increasing participant’s capability or motivation to make a behaviour change was only successful within certain contexts. Conclusion: In order to address multiple health behaviours and assist individuals in quitting smoking, public health promotion interventions need to shift away from ‘individualistic epidemiology’ and invest resources into modifying factors that are external from the individual (i.e. creating a supportive environment).Study registration: PROSPERO registration number: CRD42017064430

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Effectiveness of Goal-Setting Telephone Follow-Up on Health Behaviors of Patients with Ischemic Stroke: A Randomized Controlled Trial

Cited by 62 publications

References 34 publications

Factors influencing health behaviour, blood pressure control, and disability in hypertensive ischaemic stroke patients after a comprehensive reminder intervention

Factors influencing health behaviour, blood pressure control, and disability in hypertensive ischaemic stroke patients after a comprehensive reminder intervention

Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: A rapid realist review

Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: A rapid realist review

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