dc.contributor.author | Paukkonen Leila | |
dc.contributor.author | Kääriäinen Maria | |
dc.contributor.author | Kähkönen Outi | |
dc.contributor.author | Oikarinen Anne | |
dc.contributor.author | Kaakinen Pirjo | |
dc.contributor.author | Engblom Janne | |
dc.date.accessioned | 2022-10-27T11:44:37Z | |
dc.date.available | 2022-10-27T11:44:37Z | |
dc.identifier.uri | https://www.utupub.fi/handle/10024/154923 | |
dc.description.abstract | <p>Background <br></p><p>Adherence to medication and healthy lifestyle is crucial for preventing secondary strokes and other vascular events. However, there is not enough evidence on the long-term effects of hospital-initiated lifestyle counselling. <br></p><p>Aim <br></p><p>To determine the effects of The Risk Factor Targeted Lifestyle Counselling Intervention, which is implemented during acute hospitalisation, on adherence to lifestyle changes 7 years after stroke or TIA. <br></p><p>Methods <br></p><p>Quasi-experimental design with 7-year follow-up period. Baseline data (<em>n</em> = 150) were gathered from a neurology unit in Finland between 2010 and 2011. Patients received either the studied intervention (<em>n</em> = 75) or the prevailing form of counselling at the time (<em>n</em> = 75). Data concerning lifestyle and clinical values were measured at the baseline time point, while adherence to lifestyle changes was assessed 7 years later (2017-2018). Analysis of covariance and multivariate ordinal logistic regression were used to describe the mean differences between the intervention and control groups. <br></p><p>Results <br></p><p>Several between-group differences were detected, namely, members of the intervention group reported consuming less alcohol and having lost more weight during hospitalisation relative to the control group. No between-group differences in the prevalence of smokers were found, but the intervention group reported a greater number of daily cigarettes than the control group. Adherence to medication, importance of adherence to a healthy lifestyle, support from family and friends, and support from nurses were all significantly higher in the intervention group than in the control group. <br></p><p>Conclusions <br></p><p>The results suggest that the lifestyle counselling intervention was effective in decreasing alcohol use and weight, as well as increasing factors that are known to support adherence to a healthy lifestyle. Relevance to clinical practice The results indicate that the adherence process already begins during acute phase counselling. To ensure long-lasting lifestyle changes, counselling should be started at the hospital, after which it can be provided by friends and family members.</p> | |
dc.language.iso | en | |
dc.publisher | Wiley | |
dc.title | Effects of a lifestyle counselling intervention on adherence to lifestyle changes 7 years after stroke - A quasi-experimental study | |
dc.identifier.url | https://doi.org/10.1111/scs.13101 | |
dc.identifier.urn | URN:NBN:fi-fe2022091258414 | |
dc.contributor.organization | fi=laskentatoimen ja rahoituksen laitos yht|en=Department of Accounting and Finance| | |
dc.contributor.organization-code | 2608100 | |
dc.converis.publication-id | 175964707 | |
dc.converis.url | https://research.utu.fi/converis/portal/Publication/175964707 | |
dc.identifier.eissn | 1471-6712 | |
dc.identifier.jour-issn | 0283-9318 | |
dc.okm.affiliatedauthor | Engblom, Janne | |
dc.okm.discipline | 316 Hoitotiede | fi_FI |
dc.okm.discipline | 316 Nursing | en_GB |
dc.okm.internationalcopublication | not an international co-publication | |
dc.okm.internationality | International publication | |
dc.okm.type | Journal article | |
dc.publisher.country | Britannia | fi_FI |
dc.publisher.country | United Kingdom | en_GB |
dc.publisher.country-code | GB | |
dc.relation.doi | 10.1111/scs.13101 | |
dc.relation.ispartofjournal | Scandinavian Journal of Caring Sciences | |
dc.year.issued | 2022 | |