Article

OBJECTIVE: To identify associations between lifestyle counselling quality and
adherence to lifestyle changes during the 12-month period after discharge.
SETTING: Neurology unit. SUBJECTS: Stroke and transient ischaemic attack (TIA)
patients ( n = 98). DESIGN: Longitudinal explorative study that utilized data
initially collected for quasi-experimental study. MAIN MEASURES: The exploratory
measures of Counselling Quality were collected at the hospital on the day of
discharge between January 2010 and October 2011, and the outcome measures of
Adherence to Lifestyle Change and clinical values were collected 3, 6 and 12
months after discharge. RESULTS: There were significant associations between the
exploratory and outcome measures over time.
Three of the counselling quality
parameters, counselling interaction, advantages and resources, were found to be
significantly associated with adherence to lifestyle change. In particular,
counselling interactiveness was positively associated with physical activity at 3
( B = 0.31, SD = 0.10, P = 0.004) and 12 ( B = 0.29, SD = 0.13, P = 0.030)
months, as was advantages of following the advice at 3 ( B = 0.33, SD = 0.11, P =
0.006) and 12 ( B = 0.34, SD = 0.14, P = 0.021) months. Counselling resources
were associated with lower body mass index throughout the entire follow-up
period, that is, at 3 ( B = -0.06, SD = 0.02, P = 0.006), 6 ( B = -0.05, SD =
0.02, P = 0.040) and 12 months ( B = -0.05, SD = 0.02, P = 0.022). Furthermore,
all aspects of counselling quality were positively related to support from nurses. CONCLUSION: Adherence to lifestyle change is more likely to be attained
if lifestyle counselling is interactive, the advantages of following the given
advice are perceived as beneficial and the counsellor has sufficient resources.

Langue : ANGLAIS