ArticleInternational journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation2021
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.
Article in International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 8 citations in OpenAlex.
- Self-efficacy mediates the effect of hope on health promotion intention in Chinese stroke patients.Scientific reports · 2025Article
- Factors influencing the health behaviors of patients with ischemic stroke from a social-ecological perspective: a cross-sectional study.BMC public health · 2025Article
- Towards Proactive Recovery: A BCW Guided Nursing Intervention Protocol for Health Behavior Promotion in First-Episode Stroke Patients.Patient preference and adherence · 2025Article
- Impact of dietary intervention on eating behavior after ischemic stroke.Frontiers in nutrition · 2023Article
- Development and Reliability Testing of the Stroke Patient Protection Motivation Scale.Neuropsychiatric disease and treatment · 2022Article
- Patient perspectives on health-related behavior change after transient ischemic attack or ischemic stroke.Brain and behavior · 2021Article
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Authors and funding
4 authors at 2 institutions in 1 country.
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Abstract
The optimal timing of an intervention to support health-related behavior after transient ischemic attack (TIA) or ischemic stroke is unknown. We aimed to assess determinants of patients' health-related intention to change over time. We prospectively studied 100 patients with TIA or minor ischemic stroke. Patients completed questionnaires on fear, response-efficacy (belief that lifestyle change reduces risk of recurrent stroke), and self-efficacy (patients' confidence to carry out lifestyle behavior) for behavior change, at baseline, 6 weeks and at 3 months after their TIA or ischemic stroke. We studied differences between these determinants at each visit by means of Wilcoxon signed-rank tests. Median self-efficacy score at baseline was 4.3 [interquartile range (IQ) 3.9-4.7], median fear 16 (IQ 7-21), and response-efficacy 10 (9-12). Fear was significantly higher at baseline than at 3 months (mean difference 2.0; 95% confidence interval: 0.78-3.9) and started to decrease after 6 weeks. No change in self-efficacy or response-efficacy was found. Since fear significantly decreased over time after TIA or ischemic stroke and self-efficacy and response-efficacy scores remained high, the optimal moment to start an intervention to support patients in health-related behavior change after TIA or ischemic stroke seems directly after the stroke or TIA.
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