There was no significant difference in smoking continuance , or improved fruit and vegetable consumption .
CONCLUSIONS There are benefits to be derived from multimodal secondary prevention interventions .
BACKGROUND Guidelines recommend implementation of multimodal interventions to help prevent recurrent TIA/stroke .
We undertook a systematic review to assess the effectiveness of behavioral secondary prevention interventions .
Predictors of Adherence to Secondary Preventive Medication in Stroke Patients
Objective The purpose of this study is to identify factors which predict adherence in stroke survivors . Design This is a longitudinal study where 180 stroke survivors were assessed 1 year after their first ischaemic stroke . The relationship between adherence and illness and medication beliefs was tested at baseline ( time 1 ) and again 5–6 weeks later ( time 2).Main Outcome Measures The main outcome measures used in this study are Medication Adherence Report Scale and urinary salicylate levels . Results Four variables predicted time 1 poor adherence : ( 1 ) younger age , ( 2 ) increased specific concerns about medications , ( 3 ) reduced cognitive functioning and ( 4 ) low perceived benefit of medication . Three out of these four variables were again predictive of time 2 adherence and accounted for 24 % of the variance : ( 1 ) younger age , ( 2 ) increased specific concerns about medications and ( 3 ) low perceived benefit of medication . The urinary salicylate assay failed to differentiate between patients taking and not taking aspirin . Conclusion Interventions to improve adherence should target patients ’ beliefs about their medication
There was no significant difference in smoking continuance , or improved fruit and vegetable consumption .
CONCLUSIONS There are benefits to be derived from multimodal secondary prevention interventions .
BACKGROUND Guidelines recommend implementation of multimodal interventions to help prevent recurrent TIA/stroke .
We undertook a systematic review to assess the effectiveness of behavioral secondary prevention interventions .