Li-Hong Wan1, Li-Ming You1, Shao-Xian Chen2, Xiao-Pei Zhang3, Miao-Miao Mo3, Ying-Mei Zhang3, Cui-Ling Ou4, You-Ai Ao4, Xiao-Ni Xiong4, Min Zhang5, Yu-Wei Lu6. 1. School of Nursing, Sun Yat-sen University, Guangzhou, China. 2. School of Public Health, Sun Yat-sen University, Guangzhou, China. 3. Department of Neurology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China. 4. Department of Neurology and Stroke Center, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. 5. Department of Biostatistics, School of Public Health, Guangdong Pharmaceutical University, Guangzhou, China. 6. Department of Neurology and Stroke Center, the Second Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Abstract
AIM: The aim of this study was to determine whether the Comprehensive Reminder System based on the Health Belief Model improves health belief, health behaviours, medication adherence and blood pressure control as a means of decreasing the rate of stroke recurrence among hypertensive ischaemic stroke. BACKGROUND:Hypertensive patients having experienced recent ischaemic strokes are at high risk for stroke recurrence. Several trials attempted to improve secondary stroke prevention via patient education, however, patient outcomes remained poor. Long-term follow-up studies regarding secondary stroke prevention are limited. DESIGN: A multi-centre, 12-month, assessor-blinded, parallel-group, randomized controlled longitudinal trial. METHODS:Hypertensive patients having experienced an ischaemic stroke are the target population. The intervention consists of health belief education, a calendar handbook, a weekly automated short-message service and four telephone follow-up interviews. Outcomes will be assessed at baseline and at 3, 6 and 12 months following discharge. The primary outcome is blood pressure control. The secondary outcomes include health belief, health behaviours and medication adherence. The clinical endpoint is the rate of stroke recurrence. DISCUSSION: Although many efforts to improve secondary stroke prevention have been undertaken, research indicates that improvements remain possible and warranted. This research protocol based on the Health Belief Model will improve our understanding of stroke education and transitional care needed in China and with the world-wide target population.
RCT Entities:
AIM: The aim of this study was to determine whether the Comprehensive Reminder System based on the Health Belief Model improves health belief, health behaviours, medication adherence and blood pressure control as a means of decreasing the rate of stroke recurrence among hypertensive ischaemic stroke. BACKGROUND:Hypertensivepatients having experienced recent ischaemic strokes are at high risk for stroke recurrence. Several trials attempted to improve secondary stroke prevention via patient education, however, patient outcomes remained poor. Long-term follow-up studies regarding secondary stroke prevention are limited. DESIGN: A multi-centre, 12-month, assessor-blinded, parallel-group, randomized controlled longitudinal trial. METHODS:Hypertensivepatients having experienced an ischaemic stroke are the target population. The intervention consists of health belief education, a calendar handbook, a weekly automated short-message service and four telephone follow-up interviews. Outcomes will be assessed at baseline and at 3, 6 and 12 months following discharge. The primary outcome is blood pressure control. The secondary outcomes include health belief, health behaviours and medication adherence. The clinical endpoint is the rate of stroke recurrence. DISCUSSION: Although many efforts to improve secondary stroke prevention have been undertaken, research indicates that improvements remain possible and warranted. This research protocol based on the Health Belief Model will improve our understanding of stroke education and transitional care needed in China and with the world-wide target population.
Authors: Sarah A Moore; Nina Hrisos; Darren Flynn; Linda Errington; Christopher Price; Leah Avery Journal: Int J Behav Nutr Phys Act Date: 2018-10-17 Impact factor: 6.457