Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke
Abstract Objective Unhealthy 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 healt...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-04-01
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| Series: | Brain and Behavior |
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| Online Access: | https://doi.org/10.1002/brb3.1993 |
| _version_ | 1818849498501218304 |
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| author | Dorien Brouwer‐Goossensen Heleen M. denHertog Marinke A. Mastenbroek‐de Jong Lisette J. E. W. C. vanGemert‐Pijnen Erik Taal |
| author_facet | Dorien Brouwer‐Goossensen Heleen M. denHertog Marinke A. Mastenbroek‐de Jong Lisette J. E. W. C. vanGemert‐Pijnen Erik Taal |
| author_sort | Dorien Brouwer‐Goossensen |
| collection | DOAJ |
| description | Abstract Objective Unhealthy 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. Methods We 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. Results Patients 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. Conclusion This 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. |
| first_indexed | 2024-12-19T06:34:12Z |
| format | Article |
| id | doaj.art-385567bf242f4cd78888d76390c61129 |
| institution | Directory Open Access Journal |
| issn | 2162-3279 |
| language | English |
| last_indexed | 2024-12-19T06:34:12Z |
| publishDate | 2021-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Brain and Behavior |
| spelling | doaj.art-385567bf242f4cd78888d76390c611292022-12-21T20:32:15ZengWileyBrain and Behavior2162-32792021-04-01114n/an/a10.1002/brb3.1993Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic strokeDorien Brouwer‐Goossensen0Heleen M. denHertog1Marinke A. Mastenbroek‐de Jong2Lisette J. E. W. C. vanGemert‐Pijnen3Erik Taal4Erasmus MC University Medical Center Rotterdam Rotterdam The NetherlandsIsala Hospital Zwolle The NetherlandsUniversity of Twente Twente The NetherlandsUniversity of Twente Twente The NetherlandsUniversity of Twente Twente The NetherlandsAbstract Objective Unhealthy 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. Methods We 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. Results Patients 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. Conclusion This 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.https://doi.org/10.1002/brb3.1993health‐related behaviorpatient perspectivessearch terms: strokeTIA |
| spellingShingle | Dorien Brouwer‐Goossensen Heleen M. denHertog Marinke A. Mastenbroek‐de Jong Lisette J. E. W. C. vanGemert‐Pijnen Erik Taal Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke Brain and Behavior health‐related behavior patient perspectives search terms: stroke TIA |
| title | Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke |
| title_full | Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke |
| title_fullStr | Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke |
| title_full_unstemmed | Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke |
| title_short | Patient perspectives on health‐related behavior change after transient ischemic attack or ischemic stroke |
| title_sort | patient perspectives on health related behavior change after transient ischemic attack or ischemic stroke |
| topic | health‐related behavior patient perspectives search terms: stroke TIA |
| url | https://doi.org/10.1002/brb3.1993 |
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