Conclusions Stroke secondary prevention lifestyle interventions are effective in terms of affecting positive change in relation to lifestyle behaviours , physiological and secondary outcomes .
However , there was insufficient evidence to determine the effect of intervention on incidence of stroke recurrence .
EXECUTIVE SUMMARY Background Each year , approximately 15 million people worldwide have a stroke ; of these , five million die and another five million are chronically disabled .
Stroke recurs in approximately 25 % of patients during the first five years post-stroke ; recurrence may result in death , increased disability or institutionalisation .
Modifiable risk factors for recurrent stroke have been identified , and may be addressed by means of behavioural health promotion interventions .
Objectives This systematic review sought to establish the effectiveness of secondary prevention behavioural interventions , which address one or more modifiable lifestyle risk factors for recurrent stroke i.e. tobacco use , unhealthy diet , physical inactivity and excessive alcohol consumption .
Implementation, Process, and Preliminary Outcome Evaluation of Two Community Programs for Persons with Stroke and Their Care Partners
Abstract Purpose : This evaluation compared a new self-management program with l and and water exercise ( Moving On after STroke or MOST ) to a st and ard education program ( Living with Stroke or LWS ) . Participants : Of 30 persons with stroke ( average age 68 and 2 years post stroke ) , 18 selected MOST and 12 chose LWS . Sixteen care partners participated . Method : Assessment s at baseline , program completion , and 3-month follow-up included the Reintegration to Normal Living ( RNL ) Index , Activity-specific Balance Confidence ( ABC ) scale , exercise participation , and goal attainment ( for the MOST group ) . Program delivery costs were calculated and focus groups conducted to examine participant expectations and experiences . Results : Social support was an important benefit of both programs , but only MOST participants improved significantly on the RNL ( p < .05 ) and ABC ( p < .001 ) . Seventy-eight percent of all short-term personal goals in MOST were achieved , and overall goal attainment was above the expected level . At follow-up , a higher percentage of MOST participants were enrolled in exercise programs ( p < .05 ) . Conclusion : Although self-management programs with exercise are more costly to deliver than st and ard educational programs , these preliminary results indicate that such programs may be more effective in helping persons with stroke and care partners deal with the challenges of living with stroke
Conclusions Stroke secondary prevention lifestyle interventions are effective in terms of affecting positive change in relation to lifestyle behaviours , physiological and secondary outcomes .
However , there was insufficient evidence to determine the effect of intervention on incidence of stroke recurrence .
EXECUTIVE SUMMARY Background Each year , approximately 15 million people worldwide have a stroke ; of these , five million die and another five million are chronically disabled .
Stroke recurs in approximately 25 % of patients during the first five years post-stroke ; recurrence may result in death , increased disability or institutionalisation .
Modifiable risk factors for recurrent stroke have been identified , and may be addressed by means of behavioural health promotion interventions .
Objectives This systematic review sought to establish the effectiveness of secondary prevention behavioural interventions , which address one or more modifiable lifestyle risk factors for recurrent stroke i.e. tobacco use , unhealthy diet , physical inactivity and excessive alcohol consumption .