London, United Kingdom 2013 Poster Session Nurses/AHP’s Cerebrovasc Dis 2013; 35 (suppl 3)1-854 211 2029 Stroke care problems Intention to change and actual change in lifestyle behavior after TIA or minor ischemic stroke D. Brouwer- Goossensen1, H.F. Lingsma2, L. van Genugten3, D.W.J. Dippel4, P.J. Koudstaal5, H.M. den Hertog6 Erasmus Medical Center, Rotterdam, THE NETHERLANDS1, Erasmus Medical Center, Rot-terdam, THE NETHERLANDS2, Erasmus Medical Center, Rotterdam, THE NETHERLANDS3, Erasmus Medical Center, Rotterdam, THE NETHERLANDS4, Erasmus Medical Center, Rotterdam, THE NETHERLANDS5, Erasmus Medical Center, Rotterdam, THE NETHERLANDS6 Background: Lifestyle behavior change may be an effective way to reduce stroke recurrence. How-ever, little is known about how to deliver effective lifestyle interventions after stroke. In this study, we aimed to assess intention to change and actual change in lifestyle behavior after TIA or minor ischemic stroke. We also explored the effect of self-efficacy and fear on both intention and actual change. Methods: Eighty patients with TIA or minor ischemic stroke were included in the first week after their visit to our TIA clinic or admission to the stroke unit. All patients completed questionnaires on behavior intention, self-efficacy, fear, physical activity, diet and smoking at baseline and at 3 months. We studied relations between intention to change at baseline and actual behavior change af-ter 3 months and the influence of self- efficacy and fear on behavior intentions and change with mul-tivariable logistic or linear regression. Results: Twenty-six (33%) patients changed their lifestyle by improving more than 30 minutes in physical activity a day and 8 patients (30%) stopped smoking. None of the patients improved their dietary behavior. We found a relation between intention to change physical activity and actual change (aOR 2.14, CI 1.67- 3.95). Patients with high self-efficacy had significantly higher intention to stop smoking (abeta 0.65, CI 0.35- 0.94), increase physical activity (abeta 0.46, CI 0.19- 0.73) and improve diet (abeta 0.31, CI 0.04 -0.58). Fear was significantly associated with increased inten-tion to stop smoking (abeta 0.05, CI 0.01- 0.96) and improve diet (abeta 0.04, CI 0.00- 0.07). We found no relations between fear or self- efficacy and actual lifestyle behavior change. Conclusion: Intention to change was associated with actual change only for physical activity. Fear and self- efficacy were related with behavior intentions, but not with actual lifestyle change. 2030 Stroke care problems What matters to people after stroke? Using an innovative communication framework to inter-view people with aphasia about stroke rehabilitation outcomes F. van Wijck1, H. Moore2, J. Morris3, J. Law4, L. Salisbury5, J. Dennis6, T. Kroll7 Institute for Applied Health Research, Glasgow Caledonian University, Glasgow, UNITED KINGDOM1, School of Nursing & Midwifery / Social Dimensions of Health Institute, University of Dundee, Dundee, UNITED KINGDOM2, School of Nursing & Midwifery / Social Dimensions of Health Institute, University of Dundee, Dundee, UNITED KINGDOM3, Institute of Health and So-ciety, University of Newcastle, Newcastle University, Newcastle upon Tyne, UNITED KINGDOM4, University of Edinburgh, Edinburgh, UNITED KINGDOM5, NHS Greater Glasgow and Clyde, Glasgow, UNITED KINGDOM6, School of Nursing & Midwifery / Social Dimensions of Health In-stitute, University of Dundee, Dundee, UNITED KINGDOM7 Background: It is unclear whether outcome measures, used by therapists in community stroke reha-bilitation, are considered meaningful and accessible by stroke patients themselves. There is a partic-ular dearth of research on the views of stroke patients with aphasia. Their views are critical to un-derstand their rehabilitation needs and goals, and for the development of patient-centred, equitable services. This study is part of a larger project that compares and contrasts stroke patients’ views on their rehabilitation goals with current assessment practice. The aim of this study was to explore the views of stroke patients with aphasia on the relevance and accessibility of outcomes used by thera-pists. Method: Participants with aphasia, currently engaged in community stroke rehabilitation across Scotland, were recruited. This study used Talking Mats TM, a novel communication framework and speech therapy support tool, which represents discussion topics pictorially as symbols placed along a visual scale on a mat. Talking Mats were used to adapt the format of interviews previously con-ducted with a larger group of stroke participants without aphasia (n=30). Interviews were videotaped and content analysed to explore links between which domains were important to participants and how progress in these domains was assessed. Results: Six participants (4 males, mean age 62, range 32-75 years), engaged in interviews using Talking Mats TM. The method was successful in facilitating discussion about relevant life domains. Participation as defined by the WHO ICF was important to all participants. Particularly, participation in interpersonal relationships and domestic life were key domains. The accessibility of PROMS was not rated favourably however. Conclusion: Talking Mats enabled people with aphasia to engage with research on stroke rehabil-itation. There are gaps between domains considered important by stroke patients with aphasia and those assessed in community stroke rehabilitation.
Karger_ESC London_2013
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