Update on Stroke Prevention

Kenner, Meghan; Kelley, Roger E.

doi:10.1385/comp:31:2:113

Cited by 2 publications

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“…Although some stroke risk factors are not modifiable (e.g., age) [1], many stroke risk factors are modifiable (e.g., hypertension, physical inactivity) [1]. Modifiable risk factors are most effectively managed through a combination of lifestyle and medication management and therefore require strategies that target and support behavioral modification and the uptake of prescribed therapies by clinical providers [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Implementation of a stroke self-management program

Damush

Ofner

et al. 2011

Behav. Med. Pract. Policy Res.

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Secondary stroke prevention is championed as guideline care; yet there are no systematic programs offered. We developed a stroke self-management program to address this gap and pilot test the program. We conducted a randomized controlled trial at two Veterans Administration (VA) hospital sites where we recruited patients with an acute stroke to receive either the stroke program or an attention-control protocol over a 12-week period following hospital discharge. The stroke program included six sessions that facilitated stroke self management focusing on increasing self-efficacy to recover from stroke and engage in secondary stroke risk factor management. We surveyed outcomes at baseline, 3 and 6 months. We conducted an intention to treat analysis comparing the intervention to the control group on changes of outcomes between baseline and follow-up modeled by a linear model with fixed effects for treatment, visit, and the treatment by visit interaction adjusting for baseline. We recruited 63 participants (33 control and 30 intervention) who were hospitalized with a primary diagnosis of ischemic stroke. We found trends in differences between groups on self-efficacy to communicate with physicians, weekly minutes spent in aerobic exercise, and on dimensions of stroke-specific quality of life. This pilot study demonstrated the feasibility of delivering a stroke self-management program to recent stroke survivors in a healthcare organization. The program also demonstrated improvements in patient self-efficacy, self-management behaviors, specific dimensions of stroke-specific quality of life compared to a group that received an attention placebo program.

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Section: Introductionmentioning

confidence: 99%

Implementation of a stroke self-management program

Damush

Ofner

et al. 2011

Behav. Med. Pract. Policy Res.

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“…Modifiable stroke risk factors include the following: atrial fibrillation, carotid artery disease, diabetes mellitus, diet, excessive alcohol consumption, high blood cholesterol, hypertension, obesity, physical inactivity, and tobacco use (Wolf et al, 1999). Most are effectively managed through a combination of lifestyle modifications and medication (American Stroke Association, 2007; Kenner & Kelley, 2005).…”

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Barriers and Facilitators to Exercise Among Stroke Survivors

Damush

Plue

Bakas

et al. 2007

Rehabilitation Nursing

168

177

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Physical activity after stroke may prevent disability and stroke recurrence; yet, physical impairments may inhibit poststroke exercise and subsequently limit recovery. The goal of this study was to elicit barriers to and facilitators of exercise after stroke. We conducted three focus groups and achieved content saturation from 13 stroke survivors--eight men and five women--85% of whom were African American and 15% White, with a mean age of 59 years. We coded and analyzed the transcripts from the focus groups for common themes. Participants across groups reported three barriers (physical impairments from stroke, lack of motivation, and environmental factors) and three facilitators (motivation, social support, and planned activities to fill empty schedule) to exercise after stroke. Exercise activity can provide a purpose and structure to a stroke survivor's daily schedule, which may be interrupted after stroke. In addition, receiving social support from peers and providers, as well as offering stroke-specific exercise programming, may enhance physical activity of stroke survivors including those with disabilities. We intend to incorporate these findings into a post-stroke self-management exercise program.

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Update on Stroke Prevention

Abstract: It is now well recognized that stroke-prone individual scan be identified in the majority of instances and that effective preventive therapy is available. Cumulative risk factors enhance the potential for stroke.The challenge is to effectively intervene to substantially reduce stroke risk.

Cited by 2 publications

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Implementation of a stroke self-management program

Implementation of a stroke self-management program

Barriers and Facilitators to Exercise Among Stroke Survivors

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