Abstract:
:Secondary stroke prevention is championed as guideline care; yet there are no systematic programs offered. We developed a stroke self-management program to address this gap and pilot test the program. We conducted a randomized controlled trial at two Veterans Administration (VA) hospital sites where we recruited patients with an acute stroke to receive either the stroke program or an attention-control protocol over a 12-week period following hospital discharge. The stroke program included six sessions that facilitated stroke self management focusing on increasing self-efficacy to recover from stroke and engage in secondary stroke risk factor management. We surveyed outcomes at baseline, 3 and 6 months. We conducted an intention to treat analysis comparing the intervention to the control group on changes of outcomes between baseline and follow-up modeled by a linear model with fixed effects for treatment, visit, and the treatment by visit interaction adjusting for baseline. We recruited 63 participants (33 control and 30 intervention) who were hospitalized with a primary diagnosis of ischemic stroke. We found trends in differences between groups on self-efficacy to communicate with physicians, weekly minutes spent in aerobic exercise, and on dimensions of stroke-specific quality of life. This pilot study demonstrated the feasibility of delivering a stroke self-management program to recent stroke survivors in a healthcare organization. The program also demonstrated improvements in patient self-efficacy, self-management behaviors, specific dimensions of stroke-specific quality of life compared to a group that received an attention placebo program.
journal_name
Transl Behav Medjournal_title
Translational behavioral medicineauthors
Damush TM,Ofner S,Yu Z,Plue L,Nicholas G,Williams LSdoi
10.1007/s13142-011-0070-ysubject
Has Abstractpub_date
2011-12-01 00:00:00pages
561-72issue
4eissn
1869-6716issn
1613-9860pii
70journal_volume
1pub_type
杂志文章abstract::The Patient Protection and Affordable Care Act, and Centers for Medicare and Medicaid Services (CMS) decision on tobacco cessation counseling support the need for expanded cessation coverage. Primary care practices receiving CMS payments will soon be mandated to offer these services. This commentary discusses the sali...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-010-0010-2
更新日期:2011-03-01 00:00:00
abstract::Individuals diagnosed with impaired glucose tolerance (i.e., prediabetes) are at increased risk for developing diabetes. We proposed a clinical trial with a novel adaptive randomization designed to examine the impact of a home-based physical activity (PA) counseling intervention on metabolic risk in prediabetic elders...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-011-0075-6
更新日期:2011-11-01 00:00:00
abstract::Girl Scouts (GS) is a setting with large reach to target increased moderate-to-vigorous physical activity (MVPA) in girls. The Scouting Nutrition and Activity Program (SNAP) increased MVPA during intervention troop meetings; therefore, further examination of implementation of SNAP components is warranted to determine ...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/iby091
更新日期:2018-11-21 00:00:00
abstract::Translating effective research into community practice is critical for improving breast cancer (BC) survivor health. The purpose of this study is to utilize the RE-AIM framework to evaluate the translational potential of Project MOVE, an innovative intervention focused on increasing physical activity (PA) in BC surviv...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/iby081
更新日期:2019-07-16 00:00:00
abstract::Women with larger personal social networks have better breast cancer survival and a lower risk of mortality. However, little work has examined the mechanisms through which social networks influence breast cancer outcomes and cancer outcomes more generally, potentially limiting the development of feasible, clinically e...
journal_title:Translational behavioral medicine
pub_type: 杂志文章,评审
doi:10.1093/tbm/ibx061
更新日期:2018-07-17 00:00:00
abstract::Caring for people with cancer can be a burdensome and emotionally straining experience. Without adequate psychosocial support, distressed caregivers are at risk for psychiatric and medical morbidity, which can adversely affect patient outcomes. Although there is a tremendous need to provide effective and timely suppor...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibx028
更新日期:2018-03-01 00:00:00
abstract::The aim of this study was to assess whether or not behaviour change techniques (BCTs) as well as engagement and ease-of-use features used in smartphone applications (apps) to aid smoking cessation can be identified reliably. Apps were coded for presence of potentially effective BCTs, and engagement and ease-of-use fea...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-015-0352-x
更新日期:2016-09-01 00:00:00
abstract::This position statement provides researchers, practitioners, and policymakers an overview of pre-existing and COVID-related rural health inequities in the United States (U.S.) and how they have been exacerbated by the COVID-19 pandemic. "Health deserts," defined as "large areas with inadequate or nonexistent medical a...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibaa114
更新日期:2020-12-08 00:00:00
abstract::Variability in individuals' responses to interventions may contribute to small average treatment effects of childhood obesity prevention interventions. But, neither the causes of this individual variability nor the mechanism by which it influences behavior are clear. We used qualitative methods to characterize variabi...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibx029
更新日期:2018-09-08 00:00:00
abstract::Little is known about the effective elements of Interactive Cancer Communication Systems (ICCSs). A randomized trial explored which types of services of a multifaceted ICCS benefited patients and the nature of the benefit. Women with breast cancer (N=450) were randomized to different types of ICCS services or to a con...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-010-0004-0
更新日期:2011-03-01 00:00:00
abstract::Initiatives to increase physical activity (PA) are most effective when combined with behavior change strategies (BCS). However, this is not routinely done and perhaps can be attributed to health care professionals' (HCP) lack of confidence and understanding of how to best apply BCS. This review aimed to identify and s...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/iby118
更新日期:2020-02-03 00:00:00
abstract::The greatest challenge I face as a pediatric oncologist is breaking life-threatening news to patients and their parents. I frequently felt the need to improve my ability to deliver such information in a professional, yet compassionate way. I was fortunate to participate in the Leadership Institute, which provided me w...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibaa063
更新日期:2020-10-08 00:00:00
abstract::Use of digital communication technologies (DCT) shows promise for enhancing outcomes and efficiencies in asthma care management. However, little is known about the impact of DCT interventions on healthcare personnel requirements and costs, thus making it difficult for providers and health systems to understand the val...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibaa130
更新日期:2021-01-15 00:00:00
abstract::Caregivers and healthcare professionals (HPs) are increasingly concerned about childhood obesity. A critical consideration of caregivers and HPs is discussing weight status without provoking disordered eating. Given the complexity of these interacting concerns, major health advocacy groups have independently published...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibaa012
更新日期:2020-10-12 00:00:00
abstract::Governors use State of the State speeches to publicly outline state status, progress, and policy priorities. The purpose of this study was to qualitatively analyze the public health content of State of the State addresses from 2009 to 2013. Speech transcripts were collected and uploaded into NVivo10. Speeches were cod...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-015-0323-2
更新日期:2015-09-01 00:00:00
abstract::A major contributor to the obesity epidemic is the overconsumption of high-calorie foods, which is partly governed by inhibitory control, that is, the ability to override pre-prepotent impulses and drives. Computerized inhibitory control trainings (ICTs) have demonstrated qualified success at affecting real-world heal...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibaa091
更新日期:2020-09-18 00:00:00
abstract::Primary Care Mental Health Integration (PC-MHI) visits are mandated to be brief, limited in number, and delivered in the primary care practice area. Current evidence-based protocols for Cognitive-Behavioral Therapy for Chronic Pain (CBT-CP) do not meet these PC-MHI requirements, however, and thus PC-MHI providers are ...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/iby127
更新日期:2020-02-03 00:00:00
abstract::Low-socioeconomic status (SES) individuals have higher rates of obesity. Social media platforms are used frequently by low-SES individuals and facilitate important weight loss program components including social support. Very few social media-based weight loss interventions, however, have enrolled or been tailored to ...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibaa070
更新日期:2020-07-27 00:00:00
abstract::Many nurses express difficulty in communicating with their patients, especially in oncology settings where there are numerous challenges and high-stake decisions during the course of diagnosis and treatment. Providing specific training in communication skills is one way to enhance the communication between nurses and ...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-017-0473-5
更新日期:2017-09-01 00:00:00
abstract::Optimizing performance of individuals in acutely stressful work-related situations requires a deeper understanding of the interaction between the demands of the stimuli and an individual's associated physiological response. Identifying these responses is particularly germane for healthcare professionals, who experienc...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/iby019
更新日期:2019-01-01 00:00:00
abstract::Stigma against sexual and gender minorities is a major driver of health disparities. Psychological and behavioral interventions that do not address the stigma experienced by sexual and gender minorities may be less efficacious. We conducted a systematic review of existing psychological and behavioral health interventi...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibz200
更新日期:2020-10-12 00:00:00
abstract::Emergency food networks consist of food banks, food pantries, and other feeding programs. Food pantries help supplement the diets of low-income populations through direct distribution of food. There is a gap in understanding whether food pantries are adopting nutrition policies to guide food donation and distribution....
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibz036
更新日期:2019-11-25 00:00:00
abstract::Commit to Quit (CTQ), a program that utilized vigorous intensity exercise as an adjunct to a cognitive-behavioral smoking cessation program, was shown to be effective for female smokers (Marcus et al., Prev Med 26(4):586-597, 1997; Marcus et al., Arch Intern Med 159(11):1229-1234, 1999). Adapting effective programs, s...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1007/s13142-012-0181-0
更新日期:2013-03-01 00:00:00
abstract::Rural communities experience higher rates of obesity, and residents have a lower intake of fruits and vegetables. Innovative healthy food promotions in supermarkets may improve healthy food access and dietary intake among residents, yet few supermarket interventions have been translated to the rural context. The aim o...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibz064
更新日期:2019-10-01 00:00:00
abstract::In 2008, Apple and Android launched their Application or "App" stores. Since then, there has been a growing interest in using mobile apps for improving medication adherence. However, research on the efficacy of apps, in terms of improved medication adherence and clinical outcome and/or patient-related outcome measures...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibz125
更新日期:2020-12-31 00:00:00
abstract::Well-documented associations between lifestyle behaviors and disease outcomes necessitate evidence-based health promotion interventions. To enhance potential efficacy and effectiveness, interventionists increasingly respond to community priorities, employ comprehensive theoretical frameworks, invest heavily to ensure ...
journal_title:Translational behavioral medicine
pub_type: 杂志文章,随机对照试验
doi:10.1093/tbm/ibx013
更新日期:2018-09-08 00:00:00
abstract::State health departments commonly use quality improvement coaching as an implementation strategy for improving low human papillomavirus (HPV) vaccination coverage, but such coaching can be resource intensive. To explore opportunities for improving efficiency, we compared in-person and webinar delivery of coaching sess...
journal_title:Translational behavioral medicine
pub_type: 临床试验,杂志文章
doi:10.1093/tbm/iby008
更新日期:2019-01-01 00:00:00
abstract::SIPsmartER is a theory-based, 6-month, multi-component health literacy intervention shown to improve sugar-sweetened beverages (SSB) behaviors among adults in rural, southwest Virginia. The objective of this pilot trial was to understand the reach and effectiveness of SIPsmartER when delivered by existing staff in pub...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibz003
更新日期:2020-08-07 00:00:00
abstract::Partner-based social support can motivate engagement in physical activity (PA); however, couples approach exchanging support in different ways. This study aimed to elucidate the role of relationship dynamics in couple-based support for PA, with the goal of informing intervention strategies that will effectively levera...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibz052
更新日期:2020-08-07 00:00:00
abstract::A lack of access to fresh fruits and vegetables (F&Vs) is associated with consumption of fewer F&Vs and higher risk of obesity, especially for lower-income individuals. It is widely believed that the addition of new food retail opportunities could improve F&V consumption and subsequently reduce the chronic disease bur...
journal_title:Translational behavioral medicine
pub_type: 杂志文章
doi:10.1093/tbm/ibz094
更新日期:2019-10-01 00:00:00