Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/1185
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dc.contributor.authorGerraty, Richard-
dc.contributor.otherOlaiya, Muideen-
dc.contributor.otherCadilhac, Dominique-
dc.contributor.otherKim, Joosup-
dc.contributor.otherUng, David-
dc.contributor.otherNelson, Mark-
dc.contributor.otherSrikanth, Velandai-
dc.contributor.otherBladin, Christopher-
dc.contributor.otherFitzgerald, Sharyn-
dc.contributor.otherPhan, Thanh-
dc.contributor.otherFrayne, Judith-
dc.contributor.otherThrift, Amanda-
dc.date.accessioned2017-08-02T01:48:43Z-
dc.date.available2017-08-02T01:48:43Z-
dc.date.issued2017-04-
dc.identifier.citationStroke. 2017 Apr; 48(4): pp 1101-1103en_US
dc.identifier.issn0039-2499en_US
dc.identifier.issn1524-4628en_US
dc.identifier.urihttp://hdl.handle.net/11434/1185-
dc.description.abstractBACKGROUND 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.en_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.subjectHealth Knowledgeen_US
dc.subjectHealth Attitudesen_US
dc.subjectHealth Practiceen_US
dc.subjectTransient Ischemic Attacken_US
dc.subjectTIAen_US
dc.subjectPatient Educationen_US
dc.subjectMethodsen_US
dc.subjectRisk Factorsen_US
dc.subjectStrokeen_US
dc.subjectSurvivorsen_US
dc.subjectTreatment Outcomesen_US
dc.subjectInterventionsen_US
dc.subjectRisk Awarenessen_US
dc.subjectSecondary Preventionen_US
dc.subjectNurse-Led Interventionen_US
dc.subjectKnowledge Improvementen_US
dc.subjectRisk Factor Managementen_US
dc.subjectHealth Care Plansen_US
dc.subjectNeurosciences Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.subjectDepartment of Medicine, Epworth Healthcare, Australia.en_US
dc.titleEffectiveness of an intervention to improve risk factor knowledge in patients with stroke: a randomized controlled trial.en_US
dc.typeJournal Articleen_US
dc.identifier.doi10.1161/STROKEAHA.116.016229en_US
dc.identifier.journaltitleStrokeen_US
dc.description.pubmedurihttps://www.ncbi.nlm.nih.gov/pubmed/28250198en_US
dc.description.affiliatesDepartments of Medicine and Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australiaen_US
dc.description.affiliatesStroke Division, Florey Institute of Neuroscience and Mental Health, Parkville, VIC, Australiaen_US
dc.description.affiliatesMenzies Institute for Medical Research, Hobart, TAS, Australiaen_US
dc.description.affiliatesDepartment of Neurosciences, Box Hill Hospital, VIC, Australiaen_US
dc.description.affiliatesDepartment of Neurology, Alfred Hospital, Melbourne, VIC, Australiaen_US
dc.type.studyortrialRandomized Controlled Clinical Trialen_US
dc.type.contenttypeTexten_US
Appears in Collections:Neurosciences

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