Source:http://linkedlifedata.com/resource/pubmed/id/20692182
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
2011-7-6
|
| pubmed:abstractText |
Stroke risk factors are routinely assessed in community screening programs; however, the rate of patient follow-up for health care once risk factors are identified is known to be low. This study was conducted to test the effectiveness of a brief behavioral telephonic intervention in an ongoing community stroke prevention screening program on health care seeking for stroke risk. A total of 227 participants with 2 or more stroke risk factors were randomly allocated to either an attention control arm or a behavioral intervention arm. The control group received standard information on risk and advice, whereas the intervention group received a brief Health Belief Model telephonic intervention designed to motivate care-seeking. The effect of treatment on the participants who completed a health care visit for stroke risk concerns was assessed using logistic regression. Cox survival analysis was used to compare time to physician visit between the 2 groups. Participants in the intervention arm were 1.85 times more likely to visit a primary care physician than controls. At 3 months, 69.2% of subjects in the intervention arm and 52.9% of those in the controls arm reported a new primary care visit after screening (P = .02), with 56.0% in the intervention arm and 38.4% in the control arm reporting a primary care visit specifically to discuss the stroke screening results (P < .01). Our data indicate that the brief, low-cost, motivational intervention effectively promoted adherence to screening advice and merits further testing.
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| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
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| pubmed:issn |
1532-8511
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| pubmed:author | |
| pubmed:copyrightInfo |
Copyright © 2011 National Stroke Association. Published by Elsevier Inc. All rights reserved.
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| pubmed:issnType |
Electronic
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| pubmed:volume |
20
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
330-5
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| pubmed:meshHeading |
pubmed-meshheading:20692182-Adult,
pubmed-meshheading:20692182-Chi-Square Distribution,
pubmed-meshheading:20692182-Community Health Services,
pubmed-meshheading:20692182-Female,
pubmed-meshheading:20692182-Health Knowledge, Attitudes, Practice,
pubmed-meshheading:20692182-Humans,
pubmed-meshheading:20692182-Logistic Models,
pubmed-meshheading:20692182-Male,
pubmed-meshheading:20692182-Mass Screening,
pubmed-meshheading:20692182-Mental Recall,
pubmed-meshheading:20692182-Middle Aged,
pubmed-meshheading:20692182-Motivation,
pubmed-meshheading:20692182-North Carolina,
pubmed-meshheading:20692182-Office Visits,
pubmed-meshheading:20692182-Patient Acceptance of Health Care,
pubmed-meshheading:20692182-Patient Compliance,
pubmed-meshheading:20692182-Patient Education as Topic,
pubmed-meshheading:20692182-Primary Health Care,
pubmed-meshheading:20692182-Proportional Hazards Models,
pubmed-meshheading:20692182-Risk Assessment,
pubmed-meshheading:20692182-Risk Factors,
pubmed-meshheading:20692182-Stroke,
pubmed-meshheading:20692182-Telephone,
pubmed-meshheading:20692182-Time Factors
|
| pubmed:articleTitle |
Enhancing the effectiveness of community stroke risk screening: a randomized controlled trial.
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| pubmed:affiliation |
Department of Public Health Sciences and Penn State Hershey Cancer Institute, The Pennsylvania State University College of Medicine, Hershey, Pennsylvania, USA.
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| pubmed:publicationType |
Journal Article,
Randomized Controlled Trial
|