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Community-Based Secondary Stroke Prevention

An Evidence-Based Practice

Description

The Community-Based Secondary Stroke Prevention program is an intervention to improve knowledge about stroke, improve self-health monitoring, and maintain behavioral changes for a healthy lifestyle to prevent stroke. Individuals with minor stroke often underestimate the long-term impact on their health; educational interventions can equip those at risk with knowledge and self-care strategies for secondary stroke prevention. This intervention program includes eight, once-weekly group educational sessions to improve participant awareness of health signals. The sessions include lectures, games, and exercises to promote group interaction and individual reflections. Program topics include goal setting, forming personal action plans, stroke risk factors and symptoms, self health monitoring skills, understanding medication, healthy eating, and regular exercise.

Goal / Mission

The goal of this program is to increase knowledge of stroke, encourage self-monitoring, and maintain healthy lifestyle changes to prevent secondary stroke.

Results / Accomplishments

When compared to a control group, participants in the intervention group had significant positive changes in knowledge of stroke warning signs (p < 0.001), treatment seeking response in case of a stroke (p < 0.001), medication compliance (p < 0.001), self blood pressure monitoring (p < 0.001), and dietary modification to reduce salt intake (p = 0.004). No significant improvement was found in exercise participation in the intervention group, but the control group had a significant decrease in exercise in the two months of follow-up.

About this Promising Practice

Organization(s)
Hong Kong Polytechnic University School of Nursing
Primary Contact
Janet Sit
School of Nursing
The Hong Kong Polytechnic University
Yuk Choi Road
HungHom, Kowloon
Hong Kong
China
+86-852-276-66549
hsjsit@inet.polyu.edu.hk
http://www.polyu.edu.hk/cpa/polyu/index.php
Topics
Health / Heart Disease & Stroke
Health / Older Adults
Organization(s)
Hong Kong Polytechnic University School of Nursing
Source
Journal of Clinical Nursing
Date of publication
Feb 2007
Date of implementation
2004
Location
Hong Kong, China
For more details
http://www.ncbi.nlm.nih.gov/pubmed/17239062
Target Audience
Adults

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Related Content for: Community-Based Secondary Stroke Prevention

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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