Research output: Contribution to journal › Review › peer-review
Introduction: Improvements in health behaviour are often recommended as part of secondary prevention in patients with stroke and transient ischaemic attack. However, there is a lack of knowledge as to how this is applied in clinical practice. Aim: In this systematic review and meta-analysis, we examined the effect of counselling or educational intervention directed at individual or multiple behavioural risk factors on blood pressure and other reported outcomes. Methods: PubMed, Embase, PsycInfo, CINAHL, Scopus and Web of Science were systematically searched. Meta-analyses were conducted on all outcome measures if appropriate. A qualitative analysis of the content of the interventions was conducted to review which elements the interventions consisted of. Results: Twenty-nine randomized controlled trials were identified. Fourteen reported effects on systolic blood pressure, and pooled results showed a significant beneficial effect (n = 2,222; −3.85 mmHg [95%CI −6.43; −1.28]). The effect was greatest in the four interventions which included supervised training (n = 174; −9.83 mmHg [95%CI −16.56; −3.09]). Conclusion: Modifying health behaviour in stroke survivors might have a moderate beneficial effect on blood pressure, especially if the intervention includes supervised physical training.
Original language | English |
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Journal | Acta Neurologica Scandinavica |
Volume | 142 |
Issue number | 4 |
Pages (from-to) | 299-313 |
Number of pages | 15 |
ISSN | 0001-6314 |
DOIs | |
Publication status | Published - 1 Oct 2020 |
© 2020 The Authors. Acta Neurologica Scandinavica published by John Wiley & Sons Ltd.
ID: 60260435