J Korean Acad Nurs.  2013 Jun;43(3):331-340. 10.4040/jkan.2013.43.3.331.

The Lifestyle Modification Coaching Program for Secondary Stroke Prevention

Affiliations
  • 1Department of Nursing, Baeseok University, Chungnam, Korea. heejeongkim@bu.ac.kr
  • 2Division of Nursing Science, Ewha Womans University, Seoul, Korea.

Abstract

PURPOSE
The purpose of this study was to investigate the effects of the lifestyle modification coaching program on self efficacy, lifestyle and physiologic indexes related to the recurrence of stroke in patients with stroke.
METHODS
Sixty-one patients with stroke registered with a stroke center participated in this study. Of the participants, 32 were assigned to the experimental group and 29 to the control group. Self efficacy, alcohol drinking, smoking, physical activity, BMI (body mass index), WHR (waist-hip ratio), blood lipid level, and blood pressure were measured both for the baseline, as well as after intervention. The lifestyle modification coaching program consisted of an 8-week telecoaching session following face-to-face education. The control group received only the face-to-face education.
RESULTS
There were significant differences in physical activities, WHR, blood pressure within and between groups after intervention. The lifestyle modification coaching program had significant influences on blood pressure even after gender, age, and physical activity had been adjusted.
CONCLUSION
The results of the study indicate that lifestyle modification coaching program is effective for physical activity, abdominal obesity and blood pressure. Therefore it can be used by nurses in hospitals and communities as one of the secondary stroke prevention programs for patients with stroke.

Keyword

Lifestyle; Stroke; Secondary prevention

MeSH Terms

Aged
Alcohol Drinking
Blood Pressure
Body Mass Index
Diet
Female
Humans
*Life Style
Lipids/blood
Male
Middle Aged
Motor Activity
Patient Education as Topic
*Program Evaluation
Self Efficacy
Smoking
Stroke/*prevention & control
Telephone
Waist-Hip Ratio
Lipids

Reference

1. Bak HK. The effects of the stroke secondary prevention program on the health-promoting lifestyle and the health risk indicators of the inhouse stroke patients. Seoul: Korea University;2003. Unpublshed doctoral dissertation.
2. Byers AM, Lamanna L, Rosenberg A. The effect of motivational interviewing after ischemic stroke on patient knowledge and patient satisfaction with care: A pilot study. J Neurosci Nurs. 2010; 42(6):312–322.
3. Cahalan D, Roizen R, Room R. Alcohol problems and their prevention: Public attitudes in California. In : Room R, Sheffield S, editors. The prevention of alcohol problems: Report of a conference. Sacramento, CA: California State Office of Alcoholism;1976. p. 354–404.
4. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007; 39(2):175–191.
5. Friedewald WT, Levy RI, Fredrickson DS. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972; 18(6):499–502.
6. Furie KL, Kasner SE, Adams RJ, Albers GW, Bush RL, Fagan SC, et al. Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: A guideline for healthcare professionals from the american heart association/American stroke association. Stroke. 2011; 42(1):227–276. http://dx.doi.org/10.1161/STR.0b013e3181f7d043.
7. Holmes-Rovner M, Stommel M, Corser WD, Olomu A, Holtrop JS, Siddiqi A, et al. Does outpatient telephone coaching add to hospital quality improvement following hospitalization for acute coronary syndrome? J Gen Intern Med. 2008; 23(9):1464–1470. http://dx.doi.org/10.1007/s11606-008-0710-1.
8. Jeon HO, Kim OS. The effects of an internet based coaching program for obesity management in hypertensive patients. Korean J Adult Nurs. 2011; 23(2):146–159.
9. Kim CG, Park HA. Development and evaluation of a web-based education program to prevent secondary stroke. J Korean Acad Nurs. 2011; 41(1):47–60. http://dx.doi.org/10.4040/jkan.2011.41.1.47.
10. Ko Y, Park JH, Kim WJ, Yang MH, Kwon OK, Oh CW, et al. The long-term incidence of recurrent stroke: Single hospital-based cohort study. J Korean Neurol Assoc. 2009; 27(2):110–115.
11. Kono Y, Yamada S, Kamisaka K, Araki A, Fujioka Y, Yasui K, et al. Recurrence risk after noncardioembolic mild ischemic stroke in a Japanese population. Cerebrovasc Dis. 2011; 31(4):365–372. http://dx.doi.org/10.1159/000323233.
12. Korean Nutrition Society. 2010 dietary reference intakes for Koreans. Seoul: Author;2010.
13. Korean Stroke Society. Patient education brochure. 2005. Retrieved July 24 2010. from http://www.stroke.or.kr.
14. Lawes CM, Bennett DA, Feigin VL, Rodgers A. Blood pressure and stroke: An overview of published reviews. Stroke. 2004; 35(3):776–785. http://dx.doi.org/10.1161/01.str.0000116869.64771.5a.
15. Lindner H, Menzies D, Kelly J, Taylor S, Shearer M. Coaching for behaviour change in chronic disease: A review of the literature and the implications for coaching as a self-management intervention. Aust J Prim Health. 2003; 9(3):177–185. http://dx.doi.org/10.1071/PY03044.
16. National Cholesterol Education Program (NCEP) Expert Panel on Detection Evaluation and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation. 2002; 106(25):3143–3421.
17. National Stroke Association. Stroke risk scorecard. 2005. Retrieved July 25, 2010. from http://www.stroke.org.
18. National Stroke Association. Hope: The stroke recovery guide. 2007. Retrieved July 25, 2010. from http://www.stroke.org.
19. National Stroke Association. Secondary stroke fact sheet. 2009. Retrieved July 25, 2010. from http://www.stroke.org.
20. Oak JW. Effects of primary stroke prevention program on self-efficacy, self-care compliance and risk indicators of the stroke high risk group. Seoul: Ewha Womans University;2007. Unpublshed doctoral dissertation.
21. Oh JY, Yang YJ, Kim BS, Kang JH. Validity and reliability of Korean version of international physical activity questionnaire (IPAQ) short form. J Korean Acad Fam Med. 2007; 28(7):532–541.
22. Plutzky J, Ridker PM. Statins for stroke: The second story? Circulation. 2001; 103(3):348–350.
23. Rahilly-Tierney CR, Lawler EV, Scranton RE, Gaziano JM. Cardiovascular benefit of magnitude of low-density lipoprotein cholesterol reduction: A comparison of subgroups by age. Circulation. 2009; 120(15):1491–1497. http://dx.doi.org/10.1161/circulationaha.108.846931.
24. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychol Rep. 1982; 51(2):663–671. http://dx.doi.org/10.2466/pr0.1982.51.2.663.
25. Sit JW, Yip VY, Ko SK, Gun AP, Lee JS. A quasi-experimental study on a community-based stroke prevention programmefor clients with minor stroke. J Clin Nurs. 2007; 16(2):272–281. http://dx.doi.org/10.1111/j.1365-2702.2005.01522.x.
26. Statistics Korea. 2010 social indicators in Korea: Death rate by chronic diseases. Daejeon: Author;2011.
27. Thom T, Haase N, Rosamond W, Howard VJ, Rumsfeld J, Manolio T, et al. Heart disease and stroke statistics-2006 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2006; 113(6):e85–e151. http://dx.doi.org/10.1161/circulationaha.105.171600.
28. United States Department of Agriculture, & United States Department of Health and Human Services. Dietary guidelines for Americans, 2000. Washington, DC: Author;2000.
29. Vale MJ, Jelinek MV, Best JD, Dart AM, Grigg LE, Hare DL, et al. Coaching patients on achieving cardiovascular health (COACH): A multicenter randomized trial in patients with coronary heart disease. Arch Intern Med. 2003; 163(22):2775–2783. http://dx.doi.org/10.1001/archinte.163.22.2775.
30. Vale MJ, Jelinek MV, Best JD, Santamaria JD. Coaching patients with coronary heart disease to achieve the target cholesterol: A method to bridge the gap between evidence-based medicine and the "real world"-randomized controlled trial. J Clin Epidemiol. 2002; 55(3):245–252.
31. Yatsuya H, Folsom AR, Yamagishi K, North KE, Brancati FL, Stevens J. Race-and sex-specific associations of obesity measures with ischemic stroke incidence in the Atherosclerosis Risk in Communities (ARIC) study. Stroke. 2010; 41(3):417–425. http://dx.doi.org/10.1161/strokeaha.109.566299.
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