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Updated: Jan 31, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Self-efficacy for health-related behaviour change in patients with TIA or minor ischemic stroke
Dorien Brouwer-Goossensen1, Lenneke van Genugten1, Hester F Lingsma1
1a Department Neurology and Public Health, Erasmus MC , University Medical Center , Rotterdam , The Netherlands.
Objective:
To assess levels of self-efficacy for health-related behaviour change and its correlates in patients with TIA or ischemic stroke.
Methods:
In this prospective cohort study, 92 patients with TIA or ischemic stroke completed questionnaires on self-efficacy for health-related behaviour change and fear, social support and depressive symptoms. Relations between fear, social support, depressive symptoms, cognitive impairment, vascular risk factors and history and demographic characteristics and low-self-efficacy were studied with univariable and multivariable logistic regression.
Results:
Median total self-efficacy score at baseline was 4 (IQR 4-5). Older age (OR 1.05, 95% CI 1.01-1.09), depressive symptoms (OR 1.09, 95% CI 1.03-1.16), presence of vascular history (OR 2.42, 95% CI 0.97-6.03), higher BMI (OR 1.15, 95% CI 1.01-1.30), fear (OR 1.06, 95% CI 1.01-1.12) and low physical activity (OR 1.49, 95% CI 1.01-2.21) were significantly associated with low self-efficacy.
Conclusion:
Patients with recent TIA or ischemic stroke report high self-efficacy scores for health-related behaviour change. Age, vascular history, more depressive symptoms, higher BMI, less physical activity and fear were correlates of low self-efficacy levels.
Practice Implications:
These correlates should be taken into account in the development of interventions to support patients in health behaviour change after TIA or ischemic stroke.
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