Effects of a behavior intervention based on recurrence risk perception and behavioral decision-making model for patients with ischemic stroke in rural areas: A randomized controlled trial

Title : Effects of a behavior intervention based on recurrence risk perception and behavioral decision-making model for patients with ischemic stroke in rural areas: A randomized controlled trial

Abstract:

Aims: To examine the effectiveness of a behavior intervention based on the Recurrence risk perception and Behavioral decision-making Model on improving risk perception of recurrence, behavioral-decision making and health behavior for patients with ischemic stroke in rural areas.

Design: A single-blind, two-arm randomized controlled trial.

Methods: 70 patients with ischemic stroke in rural areas were recruited from July 2022 to December 2022. Participants were randomly assigned to the intervention group (n=35) or the control group (n=35). A three-month intervention was developed based on the Recurrence risk perception and Behavioral decision-making Model. It consisted of three face-to-face sessions, a printed booklet, four telephonic interventions and three reinforcement telephone follow-ups at months 4 to 6. The results were analyzed by Generalized Estimating Equation (GEE) models.

Results: No significant differences were found between the groups at baseline except for stroke frequency. Participants were on average 63 years old and 58.2% of them had a first stroke. GEE results showed significantly higher health behavior and risk perception of recurrence improvements in the intervention group than the control group at T₁ and T₃ after adjusting for stroke frequency. Results also showed a significantly higher increase in behavioral decision-making at T₂ and T₃. The proportion of participants with accurate perception of stroke recurrence risk increased in both groups from T₁ to T₃, but was higher in the intervention than control group at T₁ and T₂.

Conclusions: The intervention was effective in improving health behavior and risk perception of recurrence, and had potential for improving behavioral decision-making.

Audience Take Away Notes

• This study found that the behavior intervention based on Recurrence risk perception and Behavioral decision-making Model can increase the awareness of recurrence risk perception and promote healthy behavior of patients with ischemic stroke in rural areas, and may have a positive effect on behavioral decision-making.
• The Recurrence risk perception and Behavioral decision-making Model has the potential to guide behavioral management programme for stroke patients.

Biography:

Miss. Zhang studied nursing at the Zhengzhou University, China and working on master's degree