Rationale
Recurrent
stroke is prevalent and associated with high mortality rates,
disability, and social and economic costs. Adequate management of risk
factors may reduce recurrent stroke; however, many stroke survivors have
poor control of risk factors. We have developed a theoretically sound
and evidence-based lifestyle modification program called the Stroke
Coach, a telephone-based self-management program to improve control of
risk factors.
Hypothesis
Individuals
who participate in Stroke Coach will achieve more lifestyle
improvements than individuals in an attention controlled Memory Training
Program.
Design
In
this single blind randomized controlled trial, 126 community-living
stroke survivors will be randomized to Stroke Coach or the attention
control group. Participants randomized to the six-month Stroke Coach
will receive seven telephone lifestyle coaching sessions,
self-management education and practice, and a self-monitoring kit,
comprised of a health report card, with blood pressure and activity
monitors.
Study Outcomes
The
primary outcome will be measured using the Health Promoting Lifestyle
Profile II. Secondary outcomes include behavioral and physiological risk
factors, quality of life, cognitive status, health and social service
use. Measurements will be taken at baseline, immediately after the
intervention and six-month post-intervention.
Summary
The
results of this trial will add to our understanding of the use of
self-management to improve control of risk factors, and may facilitate
the development of a larger trial evaluating the effect of Stroke Coach
on endpoints such as recurrent stroke or cardiac events as the primary
outcome.
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