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Cited by 22Behavioral Health and InterventionsAcute Ischemic Stroke ManagementHealth and Wellbeing Research

Patient Perspectives on Health‐Related Behavior Change After Transient Ischemic Attack or Ischemic Stroke

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Brouwer‐Goossensen, Dorien, den Hertog, Heleen M., Mastenbroek‐de Jong, Marinke A., van Gemert‐Pijnen, Lisette J. E. W. C., Taal, Erik·2021·Brain and Behavior
DOI 10.1002/brb3.1993PMC PMC8035466
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Abstract

Objective: Unhealthy lifestyle is common among patients with ischemic stroke or TIA. Hence, health‐related behavior change may be an effective way to reduce stroke recurrence. However, this is often difficult to carry out successfully. We aimed to explore patients' perspectives on health‐related behavior change, support in this change, and sustain healthy behavior. Methods: We conducted a descriptive qualitative study with in‐depth, semistructured interviews in eighteen patients with recent TIA or ischemic stroke. Interviews addressed barriers, facilitators, knowledge, and support of health‐related behavior change framed by the protection motivation theory. All interviews were transcribed and thematically analyzed. Results: Patients seem unable to adequately appraise their own health‐related behavior. More than half of the patients were satisfied with their lifestyle and felt no urgency to change. Self‐efficacy as coping factor was the most important determinant (both barrier and facilitator). Fear as threat factor was named as facilitator for health‐related behavior change by half of the patients. Most of the patients did not need support or already received support in changing health behavior. Patients indicated knowledge, guidelines, and social support as most needed to support and preserve a healthy lifestyle. Conclusion: This study suggests that patients with recent TIA or ischemic stroke often do not have a high intention to change health‐related behavior. The results fit well within the framework of the protection motivation theory. As many patients seem unable to adequately appraise their health behaviors, interventions should focus on increasing knowledge of healthy behavior and improving self‐efficacy and social support.

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Authors
Brouwer‐Goossensen, D., den Hertog, H. M., Mastenbroek‐de Jong, M. A., van Gemert‐Pijnen, L. J. E. W. C., & Taal, E.
Affiliations
  • Erasmus MC (NL)
  • Isala Hospital Zwolle The Netherlands
  • University of Twente Twente The Netherlands
  • University of Twente (NL)
Corresponding author
Brouwer‐Goossensen, Dorien
ORCID
Venue
Brain and Behavior
Publisher
Wiley
Published
2021-03-04
Volume
11
Issue
4
Pages
e01993-e01993
ISSN
  • 2157-9032 (ISSN-L)
  • 2162-3279
DOI
10.1002/brb3.1993
PMC
PMC8035466
OpenAlex
W3134311097
Cited by
22
References
51
Citations by year
2026: 1 · 2025: 7 · 2024: 8 · 2023: 2 · 2022: 3 · 2021: 1
FWCI
3.14
Type
journal article
Language
en
Open access
Licence
Locations
  • Brain and Behavior (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, cc-by)
  • University of Twente Research Information (publishedVersion, cc-by)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • University of Twente Research Information (submittedVersion, cc-by)
Topics
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
  • Health Sciences › Health Professions › General Health Professions › Health and Wellbeing Research
Keywords
transient ischemic attack, ischemic stroke, health behavior change, patient perspectives, protection motivation theory, self-efficacy, social support, barriers and facilitators, secondary stroke prevention, healthy lifestyle, patient knowledge
MeSH terms
Ischemic Stroke, Brain Ischemia, Ischemic Attack, Transient, Humans, Health Behavior, Stroke

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