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Multimodal Secondary Prevention Behavioral Interventions For Tia And Stroke: A Systematic Review And Meta-Analysis., Maggie Lawrence

Dr. Maggie Lawrence

Background Guidelines recommend implementation of multimodal interventions to help prevent recurrent TIA/stroke. We undertook a systematic review to assess the effectiveness of behavioral secondary prevention interventions.

Strategy Searches were conducted in 14 databases, including MEDLINE (1980-January 2014). We included randomized controlled trials (RCTs) testing multimodal interventions against usual care/modified usual care. All review processes were conducted in accordance with Cochrane guidelines.

Results Twenty-three papers reporting 20 RCTs (6,373 participants) of a range of multimodal behavioral interventions were included. Methodological quality was generally low. Meta-analyses were possible for physiological, lifestyle, psychosocial and mortality/recurrence outcomes. Note: all reported confidence intervals are 95%. …

The Effectiveness Of Secondary Prevention Lifestyle Interventions Designed To Change Lifestyle Behavior Following Stroke: Summary Of A Systematic Review, Maggie Lawrence, Susan Kerr, Caroline Mcvey, John Godwin

Dr. Maggie Lawrence

Background A feature of stroke is that it recurs (25% within

five-years). Risk factors for stroke and recurrent stroke

include smoking, alcohol consumption, poor diet, and physical

inactivity.

Aim To evaluate the effectiveness of secondary prevention

lifestyle interventions designed to change lifestyle behavior

following stroke. This short paper presents a summary of the

systematic review process and findings.

Methods Ten major databases were searched using subject

headings and key words. Papers were screened using

review-specific criteria. Critical appraisal and data extraction

were conducted independently by two reviewers. Data were

pooled in statistical meta-analysis; where this was not possible

findings were …

The Lisbeth Hockey Community Nursing Research Training Fellowship 2008. Final Report, Maggie Lawrence, Susan Kerr, Caroline Mcvey, Dorothy Ferguson

Dr. Maggie Lawrence

Background Stroke is the most common cause of adult disability in the UK; the incidence is particularly high in Scotland, with more than 12,000 new cases per year. Stroke recurs in approximately 25% of patients and may result in death or an increased risk of disability or institutionalisation. Stroke is associated with a disadvantaged socio-economic profile and lifestyle behaviours which include smoking, unhealthy diet, excessive alcohol consumption and lack of exercise. Crucially, these factors are amenable to change by means of pharmacotherapy and/or the delivery of lifestyle interventions. While the provision of lifestyle interventions has the potential to improve health …

What Is The Evidence For Using Family Based Interventions To Prevent Stroke Recurrence?, Maggie Lawrence, Caroline Mcvey, Susan M. Kerr

Dr. Maggie Lawrence

Stroke has a devastating impact on individuals and families. Risk factors for recurrence include lifestyle behaviours such as smoking, excessive alcohol consumption, an unhealthy diet and physical inactivity. This article describes a programme of research that aims to gather and synthesise the evidence required to inform the development and evaluation of a family centred, behavioural intervention designed to address lifestyle risk factors for recurrent stroke. We present an overview of the research undertaken to develop the evidence base. This included a survey of stroke nurse practice, a focus group study with people who had had a stroke as well as …

An Exploration Of Lifestyle Beliefs And Lifestyle Behaviour Following Stroke: Findings From A Focus Group Study Of Patients And Family Members, Maggie Lawrence, Susan M. Kerr, Hazel E. Watson, Gillian Paton, Graham Ellis

Dr. Maggie Lawrence

Stroke is a major cause of disability and family disruption and carries a high risk of recurrence. Lifestyle factors that increase the risk of recurrence include smoking, unhealthy diet, excessive alcohol consumption and physical inactivity. Guidelines recommend that secondary prevention interventions, which include the active provision of lifestyle information, should be initiated in hospital, and continued by community-based healthcare professionals (HCPs) following discharge. However, stroke patients report receiving little/no lifestyle information.

There is a limited evidence-base to guide the development and delivery of effective secondary prevention lifestyle interventions in the stroke field. This study, which was underpinned by the Theory …

A Summary Of The Guidance Relating To Four Lifestyle Risk Factors For Recurrent Stroke: Tobacco Use, Alcohol Consumption, Diet And Physical Activity, Maggie Lawrence, Susan Kerr, Hazel Watson, Jennie Jackson, Margaret Brownlee

Dr. Maggie Lawrence

Stroke is a major cause of mortality, disability and family disruption; yet prevalence continues to rise despite advances in prevention and treatment. Many risk factors for stroke are modifi able, including life style behaviours, i.e. tobacco and alcohol use, diet and physical activity. Patterns that infl uence lifestyle behaviour are believed to be embedded in family life. Primary and secondary prevention of stroke are important health promotion issues. The objective of this study was to summarize government recommendations and contemporary evidence-based guidelines regarding four lifestyle risk factors for recurrent stroke.