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Interventions That Support Lifestyle Behavior Change for Secondary Prevention of Stroke: A Scoping Review
Beilei Lin1, Liam P Allan2,3, Dominique A Cadilhac2,4
1Nursing and Health School, Zhengzhou University, Henan, China (B.L.).
Promoting lifestyle changes like physical activity and diet is key for stroke secondary prevention. However, effective methods to encourage and sustain these changes in stroke survivors remain unclear, requiring further research.
Area of Science:
- Cardiovascular Health
- Behavioral Science
- Public Health
Background:
- Lifestyle behavioral change is crucial for secondary stroke prevention.
- Current methods for promoting and maintaining behavior change in stroke patients are not well-defined.
Purpose of the Study:
- To synthesize evidence on lifestyle behavior change interventions for stroke and transient ischemic attack (TIA) patients.
- To identify effective intervention attributes and behavior change theories.
Main Methods:
- Systematic review of randomized controlled trials, quasi-experimental, and longitudinal studies.
- Searched 7 databases, identifying 73 studies from 4620 records.
- Extracted data on participant characteristics, intervention details, and risk factor control.
Main Results:
- Physical activity and blood pressure were most frequently assessed outcomes.
- Interventions delivered by multidisciplinary teams using behavior change techniques showed more promise.
- Most studies reported mixed or no significant changes in risk factors; sleep was not assessed.
Conclusions:
- Effective strategies for promoting and sustaining lifestyle behavior change in stroke survivors require further investigation.
- Multidisciplinary approaches and behavior change techniques appear beneficial but need more research.
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