Effectiveness of health management among individuals at high risk of stroke: An intervention study based on the health ecology model and self-determination theory (HEM-SDT)

作者：Lina Guo, Mengyv Zhang, Genoosha Namassevayam, Wei Miao, Gege Zhang, Yv He, Yuanli Guo, Yanjin Liu · 发表于：Heliyon · 年份：2023 · DOI：10.1016/j.heliyon.2023.e21301 · 被引用次数：15 · 研究领域：Stroke Rehabilitation and Recovery、Advanced Technologies in Various Fields、Cardiovascular Health and Risk Factors

Background Stroke is the second leading cause of death in adults worldwide. However, up to 80% of strokes can be prevented by modifying risk factors. Objective The study aims to assess the effectiveness of the Health Ecology Model and Self-Determination Theory (HEM-SDT) based health management intervention among individuals at high risk of stroke. Methods A randomized controlled trial was conducted in Zhengzhou from May 1st, 2020, to December 31st, 2020. A total of 229 participants were recruited for the study, with 116 individuals at high risk of stroke being randomly assigned to the HEM-SDT health management group, while 113 participants were enrolled in the control group, following their current routine practices. The Generalized Estimating Equation model (GEE) was used to analyze the differences in health knowledge, belief and, behavior between the two groups at the beginning of the intervention, and at 6-month intervals after the intervention. The chi-square test was utilized to assess the control rate of risk factors. Results After 6 months of intervention, there were significant improvements in health knowledge, behavior, and belief among the participants. The study found significant differences in the interaction effects between time and group for health knowledge (Mean, SD = 25.62 ± 3.88, 95% CI : 7.944–9.604, P ＜0.001), health belief (Mean, SD = 87.18 ± 14.21, 95% CI : 23.999–29.887, P ＜0.001), and health behavior (Mean, SD = 173.28 ± 24.22, 95% CI : 22.332–36.904, ...