Education in stroke prevention: Efficacy of an educational counselling intervention to increase knowledge in stroke survivors

Green, Theresa, Haley, Eryka, Eliasziw, Michael, & Hoyte, Keith (2007) Education in stroke prevention: Efficacy of an educational counselling intervention to increase knowledge in stroke survivors. Canadian Journal of Neuroscience Nursing, 29(2), pp. 13-20.

View at publisher



Motivational interviewing and stages of change are approaches to increasing knowledge and effecting behavioural change. This study examined the application of this approach on stroke knowledge acquisition and changing individual lifestyle risk factors in an outpatient clinic.


RCT in which 200 participants were allocated to an education-counselling interview (ECI) or a control group. ECI group participants mapped their individual risk factors on a stage of change model and received an appointment to the next group lifestyle class. Participants completed a stroke knowledge questionnaire at baseline (T1), post-appointment, and three months (T3) post-appointment. Passive to active changes in lifestyle behaviour were self-reported at three months.


There was a statistically significant difference between groups from T1 toT3 in stroke knowledge (p < 0.001). While there was a significant shift from a passive to active stage of change for the overall study sample (p < 0.000), there was no significant difference between groups on the identified risk factors.


Although contact with patients in ambulatory clinical settings is limited due to time constraints, it is still possible to improve knowledge and initiate lifestyle changes utilizing motivational interviewing and a stage of change model. Stroke nurses may wish to consider these techniques in their practice setting.

Impact and interest:

18 citations in Scopus
Search Google Scholar™

Citation counts are sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

ID Code: 85068
Item Type: Journal Article
Refereed: Yes
Keywords: aged; article; attitude to health; clinical trial; controlled clinical trial; controlled study; counseling; education; female; follow up; human; lifestyle; male; methodology; middle aged; motivation; nurse; nursing assessment; nursing evaluation research;, organization and management; patient education; psychological aspect; randomized controlled trial; risk assessment; risk reduction; self care; self help; single blind procedure; stroke; survivor
ISSN: 1913-7176
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Nursing not elsewhere classified (111099)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Deposited On: 30 Jun 2015 23:47
Last Modified: 03 Jul 2015 03:55

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page