University of Oulu

Oikarinen, A., Engblom, J., Kääriäinen, M., & Kyngäs, H. (2016). The effects of Risk Factor-Targeted Lifestyle Counselling Intervention on working-age stroke patients’ adherence to lifestyle change. Scandinavian Journal of Caring Sciences, 31(3), 555–568. https://doi.org/10.1111/scs.12369

The effects of risk factor-targeted lifestyle counselling intervention on working-age stroke patients’ adherence to lifestyle change

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Author: Oikarinen, Anne1; Engblom, Janne2; Kääriäinen, Maria1;
Organizations: 1Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
2Turku School of Economics, University of Turku, Turku, Finland
3Northern Ostrobothnia Hospital, Oulu, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.4 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2019091628297
Language: English
Published: John Wiley & Sons, 2017
Publish Date: 2019-09-16
Description:

Abstract

Introduction: Since a history of stroke or transient ischaemic attack is a major risk factor for a recurrent event, lifestyle counselling during the hospital phase is an essential component of treatment and may increase the probability of lifestyle change.

Aims and objectives: To study the effect of risk factor‐targeted lifestyle counselling intervention on working‐age stroke patients' adherence to lifestyle changes.

Design: A quasi‐experimental, nonequivalent control group pretest–post‐test design.

Methods: Stroke patients in an acute neurological unit were divided into a control group (n = 75) receiving standard counselling and an experimental group (n = 75) receiving risk factor‐targeted counselling. Lifestyle data and clinical outcomes were collected at hospital between January 2010 and October 2011, while data on adherence to lifestyle changes 3, 6, and 12 months after discharge.

Results: The baseline lifestyle habits did not differ significantly other than in alcohol behaviour. Both groups increased their intake, but the intervention group to a lesser degree. However, the experimental group significantly lost their weight for the first 3 and 6 months; at 3 months reduction in cigarette consumption and at 6 months significant increases in smoking cessation were also achieved. All improved some of their lifestyle habits. Intervention was associated with support from nurses as well as from family and friends. Adherence scores were higher in the experimental group.

Conclusion: Some short‐term advantages in lifestyle habits due to the intervention were noted. Participants in both groups improved some of their lifestyle habits.

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Series: Scandinavian journal of caring sciences
ISSN: 0283-9318
ISSN-E: 1471-6712
ISSN-L: 0283-9318
Volume: 31
Issue: 3
Pages: 555 - 568
DOI: 10.1111/scs.12369
OADOI: https://oadoi.org/10.1111/scs.12369
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Subjects:
Copyright information: © 2016 Nordic College of Caring Science. This is the peer reviewed version of the following article: Oikarinen, A., Engblom, J., Kääriäinen, M., & Kyngäs, H. (2016). The effects of Risk Factor-Targeted Lifestyle Counselling Intervention on working-age stroke patients’ adherence to lifestyle change. Scandinavian Journal of Caring Sciences, 31(3), 555–568. https://doi.org/10.1111/scs.12369, which has been published in final form at https://doi.org/10.1111/scs.12369. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.