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Title: Effectiveness of an intervention to improve risk factor knowledge in patients with stroke: a randomized controlled trial.
Authors: Gerraty, Richard
Other Authors: Olaiya, Muideen
Cadilhac, Dominique
Kim, Joosup
Ung, David
Nelson, Mark
Srikanth, Velandai
Bladin, Christopher
Fitzgerald, Sharyn
Phan, Thanh
Frayne, Judith
Thrift, Amanda
Keywords: Health Knowledge
Health Attitudes
Health Practice
Transient Ischemic Attack
Patient Education
Risk Factors
Treatment Outcomes
Risk Awareness
Secondary Prevention
Nurse-Led Intervention
Knowledge Improvement
Risk Factor Management
Health Care Plans
Neurosciences Clinical Institute, Epworth HealthCare, Victoria, Australia
Department of Medicine, Epworth Healthcare, Australia.
Issue Date: Apr-2017
Publisher: Lippincott Williams & Wilkins
Citation: Stroke. 2017 Apr; 48(4): pp 1101-1103
Abstract: BACKGROUND AND PURPOSE: Despite the benefit of risk awareness in secondary prevention, survivors of stroke are often unaware of their risk factors. We determined whether a nurse-led intervention improved knowledge of risk factors in people with stroke or transient ischemic attack. METHODS: Prospective study nested within a randomized controlled trial of risk factor management in survivors of stroke or transient ischemic attack. INTERVENTION: 3 nurse education visits and specialist review of care plans. OUTCOME: unprompted knowledge of risk factors of stroke or transient ischemic attack at 24 months. Effect of intervention on knowledge and factors associated with knowledge were determined using multivariable regression models. RESULTS: Knowledge was assessed in 268 consecutive participants from the main trial, 128 in usual care and 140 in the intervention. Overall, 34% of participants were unable to name any risk factor. In adjusted analyses, the intervention group had better overall knowledge than controls (incidence risk ratio, 1.26; 95% confidence interval, 1.00-1.58). Greater functional ability and polypharmacy were associated with better knowledge and older age and having more comorbidities associated with poorer knowledge. CONCLUSIONS: Overall knowledge of risk factors of stroke or transient ischemic attack was better in the intervention group than controls. However, knowledge was generally poor. New and more effective strategies are required, especially in subgroups identified as having poor knowledge.
DOI: 10.1161/STROKEAHA.116.016229
PubMed URL:
ISSN: 0039-2499
Journal Title: Stroke
Type: Journal Article
Affiliated Organisations: Departments of Medicine and Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia
Stroke Division, Florey Institute of Neuroscience and Mental Health, Parkville, VIC, Australia
Menzies Institute for Medical Research, Hobart, TAS, Australia
Department of Neurosciences, Box Hill Hospital, VIC, Australia
Department of Neurology, Alfred Hospital, Melbourne, VIC, Australia
Type of Clinical Study or Trial: Randomized Controlled Clinical Trial
Appears in Collections:Neurosciences

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