Towards Proactive Recovery: A BCW Guided Nursing Intervention Protocol for Health Behavior Promotion in First-Episode...

Area of Science:

• Neuroscience
• Public Health
• Behavioral Science

Background:

• Stroke is a leading cause of disability and mortality, strongly linked to unhealthy lifestyle behaviors.
• The post-stroke period is crucial for recovery and initiating lifestyle changes, yet current interventions often neglect long-term sustainability.
• First-episode stroke patients require sustained support for behavioral modification to improve long-term outcomes.

Purpose of the Study:

• To assess the efficacy and long-term impact of a 6-month proactive health behavior guidance intervention.
• To evaluate improvements in proactive health behavior ability, medication adherence, physical activity, psychological stress coping, anxiety, and depression.
• To understand the sustainable effects of the intervention on stroke survivors' health behaviors.

Main Methods:

• A 6-month intervention protocol integrated with the Behavior Change Wheel (BCW) framework.
• Data collected at six time points: baseline, 3 months post-discharge, end of intervention, and 1, 3, and 6 months post-intervention.
• Outcomes measured included health behavior, prevention knowledge, health beliefs, social support, depression, and anxiety, analyzed using GEE models and Bonferroni correction (P<0.01).

Main Results:

• The intervention protocol effectively integrates behavioral guidance, psychological support, and family involvement.
• A multi-modal, family-centered approach enhanced accessibility and continuity of care.
• The study protocol is registered under ChiCTR2400090433.

Conclusions:

• The proactive health behavior guidance intervention shows promise for improving long-term outcomes in stroke survivors.
• The multi-modal and family-centered approach supports sustainable health behavior changes.
• This intervention strategy can improve functional recovery, reduce recurrence risk, and promote long-term health.