ArticleBrain and behavior2021
Patient perspectives on health-related behavior change after transient ischemic attack or ischemic stroke.
Article in Brain and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 23 citations in OpenAlex.
- Association of Stroke and Myocardial Infarction Symptom Knowledge with Cancer Screening Participation Among Patients with Hypertension and Diabetes: A Cross-Sectional Study in Korea.Healthcare (Basel, Switzerland) · 2026Article
- Self-efficacy mediates the effect of hope on health promotion intention in Chinese stroke patients.Scientific reports · 2025Article
- Temporal Trends in Public Stroke Awareness in Korea, 2009 to 2023.Journal of the American Heart Association · 2025Article
- Identifying mediators of healthy lifestyle adoption after stroke: a focus group study using a Theoretical Domains Framework guided analysis.BMC neurology · 2025Article
- Influencing factors of health promotion behaviour in patients with aortic dissection: a qualitative study using the COM-B model.BMJ open · 2025Article
- Association between recurrence risk perception and health behavior in patients with recurrent ischemic stroke in China: the mediation effect of self-efficacy.Frontiers in psychology · 2025Article
- Incidence and Influencing Factors of Anxiety and Depression in Individuals with Acute Ischemic Stroke: A Retrospective Study.Actas espanolas de psiquiatria · 2024Article
- Article
- Perceived social support on objective measured sedentary behavior of stroke patients: the mediating role of exercise self-efficacy.Frontiers in psychology · 2024Article
- Factors related to sedentary behavior in older adult stroke patients in China: a study based on decision tree and logistic regression model.Frontiers in public health · 2024Article
- Article
- A Contemporary Review of Epidemiology, Risk Factors, Etiology, and Outcomes of Premature Stroke.Current atherosclerosis reports · 2022Review
- Development and Reliability Testing of the Stroke Patient Protection Motivation Scale.Neuropsychiatric disease and treatment · 2022Article
- Participants' Perspective of Engaging in a Gym-Based Health Service Delivered Secondary Stroke Prevention Program after TIA or Mild Stroke.International journal of environmental research and public health · 2021Article
- Patient perspectives on health-related behavior change after transient ischemic attack or ischemic stroke.Brain and behavior · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveUnhealthy 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.
methodsWe 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.
resultsPatients 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.
conclusionThis 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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