Article

OBJECTIVE: To describe the systematic development of the Stroke Coach, a theory-
and evidence-based intervention to improve control of lifestyle behavior risk
factors in patients with stroke. DESIGN: Intervention development. SETTING:
Community. PARTICIPANTS: Individuals who have had a stroke. INTERVENTIONS: We
used intervention mapping to guide the development of the Stroke Coach.
Intervention mapping is a systematic process used for intervention development
and composed of steps that progress from the integration of theory and evidence
to the organization of realistic strategies to facilitate the development of a
practical intervention supported by empirical evidence. Social cognitive theory
was the underlying premise for behavior change, whereas control theory methods
were directed toward sustaining the changes to ensure long-term health benefits.
Practical evidence-based strategies were linked to behavioral determinants to
improve stroke risk factor control. MAIN OUTCOME MEASURES: Not applicable.
RESULTS: The Stroke Coach is a patient-centered, community-based, telehealth
intervention to promote healthy lifestyles after stroke. Over 6 months,
participants receive seven 30- to 60-minute telephone sessions with a lifestyle
coach who provides education, facilitates motivation for lifestyle modification,
and empowers participants to self-management their stroke risk factors.
Participants also receive a self-management manual and a self-monitoring kit.
CONCLUSIONS: Through the use of intervention mapping, we developed a
theoretically sound and evidence-grounded intervention to improve risk factor
control in patients with stroke. If empirical evaluation of the Stroke Coach
produces positive results, the next step will be to develop an implementation
intervention to ensure successful uptake and delivery of the program in community
and outpatient settings.
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Langue : ANGLAIS