{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T20:18:18Z","timestamp":1788293898930,"version":"build-2803163510"},"reference-count":52,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T00:00:00Z","timestamp":1614816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Brain and Behavior"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Unhealthy lifestyle is common among patients with ischemic stroke or TIA. Hence, health\u2010related behavior change may be an effective way to reduce stroke recurrence. However, this is often difficult to carry out successfully. We aimed to explore patients' perspectives on health\u2010related behavior change, support in this change, and sustain healthy behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a descriptive qualitative study with in\u2010depth, semistructured interviews in eighteen patients with recent TIA or ischemic stroke. Interviews addressed barriers, facilitators, knowledge, and support of health\u2010related behavior change framed by the protection motivation theory. All interviews were transcribed and thematically analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients seem unable to adequately appraise their own health\u2010related behavior. More than half of the patients were satisfied with their lifestyle and felt no urgency to change. Self\u2010efficacy as coping factor was the most important determinant (both barrier and facilitator). Fear as threat factor was named as facilitator for health\u2010related behavior change by half of the patients. Most of the patients did not need support or already received support in changing health behavior. Patients indicated knowledge, guidelines, and social support as most needed to support and preserve a healthy lifestyle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study suggests that patients with recent TIA or ischemic stroke often do not have a high intention to change health\u2010related behavior. The results fit well within the framework of the protection motivation theory. As many patients seem unable to adequately appraise their health behaviors, interventions should focus on increasing knowledge of healthy behavior and improving self\u2010efficacy and social support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/brb3.1993","type":"journal-article","created":{"date-parts":[[2021,3,4]],"date-time":"2021-03-04T16:39:15Z","timestamp":1614875955000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Patient perspectives on health\u2010related behavior change after transient ischemic attack or ischemic stroke"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4136-0419","authenticated-orcid":false,"given":"Dorien","family":"Brouwer\u2010Goossensen","sequence":"first","affiliation":[{"name":"Erasmus MC University Medical Center Rotterdam Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heleen M.","family":"den Hertog","sequence":"additional","affiliation":[{"name":"Isala Hospital Zwolle The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marinke A.","family":"Mastenbroek\u2010de Jong","sequence":"additional","affiliation":[{"name":"University of Twente Twente The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisette J. 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