Abstract
The overall purpose of this study was to pilot a multibehavioral, brief, stroke self-care treatment adapted for implementation with underserved racial/ethnic minority groups and to test the moderating effects of anxiety and depression on engagement in secondary stroke-prevention behaviors. Fifty-two participants were randomized to the secondary stroke prevention (STOP) (N = 27) or usual care (N = 25) group. The STOP program consisted of 3 culturally tailored information sessions and goal-setting activities that were delivered in person by a research assistant. Participants were assessed at baseline and 4-week follow-up for stroke knowledge, exercise, fruit and vegetable consumption, tobacco and alcohol use, and medication adherence (primary outcomes) and anxiety and depression (moderator variables). Between-groups analysis of covariance and logistic multiple regressions revealed significant between-group differences for stroke knowledge, tobacco use and moderating effects between tobacco and anxiety, and improved alcohol use. The STOP program decreased secondary stroke risk factors among underserved racial/ethnic minorities and should be tested in large-scale trials.
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Acknowledgments
This work was supported by NIDDR fellowship grant #H133P020003 (training future investigators projects) from the National Institute on Disability and Rehabilitation Research to Dr. Diana Rintalla. This work was also partly supported by the VA HSR&D Houston Center of Excellence (HFP90-020) and the VA South Central (VISN 16) Mental Illness Research, Education, and Clinical Center. The views expressed reflect those of the authors and not necessarily those of the NIDDR, the National Institutes of Health, the Department of Veterans Affairs, the US government or Baylor College of Medicine. The NIDDR had no role in the design and conduct of the study; the collection, management, analysis and interpretation of the data; or the preparation, review or approval of the manuscript. The authors had/have full control of all primary data and agree to allow review of data if required.
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Evans-Hudnall, G.L., Stanley, M.A., Clark, A.N. et al. Improving secondary stroke self-care among underserved ethnic minority individuals: a randomized clinical trial of a pilot intervention. J Behav Med 37, 196–204 (2014). https://doi.org/10.1007/s10865-012-9469-2
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DOI: https://doi.org/10.1007/s10865-012-9469-2