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An individualized coaching program for patients with acute ischemic stroke: Feasibility study.

P Vanacker1, D Standaert2, N Libbrecht2

  • 1Department of Neurology, Sint-Lucashospital, Bruges, Belgium; NeuroVascular Reference Center, Antwerp University Hospital, Edegem, Belgium.

Clinical Neurology and Neurosurgery
|February 3, 2017
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Summary

This study shows that a personalized stroke coaching program is feasible for improving patient education and adherence to secondary prevention. The coaching service demonstrated low stroke recurrence and mortality rates at three months.

Keywords:
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Area of Science:

  • Neurology
  • Public Health
  • Healthcare Management

Background:

  • Stroke care requires individualized patient education for secondary prevention and rehabilitation.
  • Effective post-discharge support is crucial for managing stroke recovery and reducing recurrence.

Purpose of the Study:

  • To assess the feasibility of an in-hospital and post-discharge personalized stroke coaching service.
  • To match patients' stroke knowledge and needs with tailored educational interventions.

Main Methods:

  • Acute ischemic stroke patients from the ASTRAL-B registry were selected for individualized coaching.
  • Coaching involved in-hospital and post-discharge phone calls focusing on risk factor management and clinical evolution.
  • Patients were followed for up to 12 months with clinical assessments.

Main Results:

  • 152 (59.7%) of eligible patients received individualized education during hospitalization.
  • At three months, stroke recurrence was 5% and mortality was 4%, potentially linked to improved adherence.
  • Challenges included patient condition (palliative care, dementia) and short hospitalizations.

Conclusions:

  • An individualized stroke coaching service delivered by a stroke nurse is feasible.
  • The program shows potential for improving adherence and patient outcomes.
  • Future research will explore an online portal for post-discharge support.