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Effects of a lifestyle counselling intervention on adherence to lifestyle changes 7 years after stroke - A quasi-experimental study

Paukkonen Leila; Kääriäinen Maria; Kähkönen Outi; Oikarinen Anne; Kaakinen Pirjo; Engblom Janne

dc.contributor.authorPaukkonen Leila
dc.contributor.authorKääriäinen Maria
dc.contributor.authorKähkönen Outi
dc.contributor.authorOikarinen Anne
dc.contributor.authorKaakinen Pirjo
dc.contributor.authorEngblom Janne
dc.date.accessioned2022-10-27T11:44:37Z
dc.date.available2022-10-27T11:44:37Z
dc.identifier.urihttps://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.isoen
dc.publisherWiley
dc.titleEffects of a lifestyle counselling intervention on adherence to lifestyle changes 7 years after stroke - A quasi-experimental study
dc.identifier.urlhttps://doi.org/10.1111/scs.13101
dc.identifier.urnURN:NBN:fi-fe2022091258414
dc.contributor.organizationfi=laskentatoimen ja rahoituksen laitos yht|en=Department of Accounting and Finance|
dc.contributor.organization-code2608100
dc.converis.publication-id175964707
dc.converis.urlhttps://research.utu.fi/converis/portal/Publication/175964707
dc.identifier.eissn1471-6712
dc.identifier.jour-issn0283-9318
dc.okm.affiliatedauthorEngblom, Janne
dc.okm.discipline316 Hoitotiedefi_FI
dc.okm.discipline316 Nursingen_GB
dc.okm.internationalcopublicationnot an international co-publication
dc.okm.internationalityInternational publication
dc.okm.typeJournal article
dc.publisher.countryBritanniafi_FI
dc.publisher.countryUnited Kingdomen_GB
dc.publisher.country-codeGB
dc.relation.doi10.1111/scs.13101
dc.relation.ispartofjournalScandinavian Journal of Caring Sciences
dc.year.issued2022


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