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Related Experiment Video

Updated: Sep 28, 2025

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Health Behavior Change Following Stroke: Recommendations for Adapting the Diabetes Prevention Program-Group Lifestyle

Ryan R Bailey1,2,3, Jennifer L Stevenson1,2,3, Simon Driver1,2,3

  • 1Occupational Science and Occupational Therapy, Saint Louis University, St Louis, Missouri (RRB).

American Journal of Lifestyle Medicine
|April 4, 2022
PubMed
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Lifestyle changes can reduce recurrent stroke risk. Adapting the Diabetes Prevention Program-Group Lifestyle Balance program for stroke survivors, considering their unique deficits, is crucial for effective cardiovascular risk reduction.

Keywords:
diabetes prevention programhealth promotionnutritionphysical activitystroke

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Area of Science:

  • Neurology
  • Public Health
  • Lifestyle Medicine

Background:

  • Recurrent stroke poses a significant risk to survivors.
  • The Diabetes Prevention Program-Group Lifestyle Balance (DPP-GLB) program effectively manages cardiovascular risk factors.
  • Existing DPP-GLB lacks adaptations for stroke-related deficits.

Purpose of the Study:

  • To determine appropriate adaptations of the DPP-GLB program for adults who have experienced a stroke.
  • To enhance the program's suitability for stroke survivors' unique needs.

Main Methods:

  • A phenomenological qualitative study involving 15 community-dwelling adults with stroke and 10 care-partners.
  • Four focus groups were conducted to gather recommendations on DPP-GLB curriculum adaptation.
  • Inductive content analysis was employed to identify key themes from transcribed discussions.

Main Results:

  • Stroke-related deficits (physical, cognitive, sensory, psychosocial) can impede participation in lifestyle programs.
  • Certain aspects of the existing DPP-GLB program may facilitate participation.
  • Recommended adaptations include modified content/format, tailored physical activity and dietary advice, and care-partner involvement.

Conclusions:

  • The current DPP-GLB program may not adequately address the specific needs of stroke survivors.
  • Developing and testing a stroke-specific curriculum with suggested adaptations is recommended.
  • Such adaptations hold potential for reducing recurrent stroke risk.