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:
- 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.
