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However, there is not enough evidence on the long\u2010term effects of hospital\u2010initiated lifestyle counselling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine the effects of The Risk Factor Targeted Lifestyle Counselling Intervention, which is implemented during acute hospitalisation, on adherence to lifestyle changes 7\u2009years after stroke or TIA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Quasi\u2010experimental design with 7\u2010year follow\u2010up period. Baseline data (<jats:italic>n<\/jats:italic>\u00a0=\u00a0150) were gathered from a neurology unit in Finland between 2010 and 2011. Patients received either the studied intervention (<jats:italic>n<\/jats:italic>\u00a0=\u00a075) or the prevailing form of counselling at the time (<jats:italic>n<\/jats:italic>\u00a0=\u00a075). Data concerning lifestyle and clinical values were measured at the baseline time point, while adherence to lifestyle changes was assessed 7\u2009years later (2017\u20132018). Analysis of covariance and multivariate ordinal logistic regression were used to describe the mean differences between the intervention and control groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Several between\u2010group differences were detected, namely, members of the intervention group reported consuming less alcohol and having lost more weight during hospitalisation relative to the control group. No between\u2010group differences in the prevalence of smokers were found, but the intervention group reported a greater number of daily cigarettes than the control group. Adherence to medication, importance of adherence to a healthy lifestyle, support from family and friends, and support from nurses were all significantly higher in the intervention group than in the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results suggest that the lifestyle counselling intervention was effective in decreasing alcohol use and weight, as well as increasing factors that are known to support adherence to a healthy lifestyle.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>The results indicate that the adherence process already begins during acute phase counselling. To ensure long\u2010lasting lifestyle changes, counselling should be started at the hospital, after which it can be provided by friends and family members.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scs.13101","type":"journal-article","created":{"date-parts":[[2022,6,29]],"date-time":"2022-06-29T10:38:15Z","timestamp":1656499095000},"page":"163-172","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effects of a lifestyle counselling intervention on adherence to lifestyle changes 7\u2009years after stroke \u2013 A quasi\u2010experimental study"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3509-8912","authenticated-orcid":false,"given":"Anne","family":"Oikarinen","sequence":"first","affiliation":[{"name":"Research Unit of Nursing Science and Health Management, Faculty of Medicine University of Oulu  Oulu Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janne","family":"Engblom","sequence":"additional","affiliation":[{"name":"Quantitative Methods in Management Turku School of Economics University of Turku  Turku Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8762-311X","authenticated-orcid":false,"given":"Leila","family":"Paukkonen","sequence":"additional","affiliation":[{"name":"Research Unit of Nursing Science and Health Management, Faculty of Medicine University of Oulu  Oulu Finland"},{"name":"Northern Ostrobothnia Hospital District  Oulu Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"K\u00e4\u00e4ri\u00e4inen","sequence":"additional","affiliation":[{"name":"Research Unit of Nursing Science and Health Management, Faculty of Medicine University of Oulu  Oulu Finland"},{"name":"Northern Ostrobothnia Hospital District  Oulu Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pirjo","family":"Kaakinen","sequence":"additional","affiliation":[{"name":"Research Unit of Nursing Science and Health Management, Faculty of Medicine University of Oulu  Oulu Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Outi","family":"K\u00e4hk\u00f6nen","sequence":"additional","affiliation":[{"name":"Research Unit of Nursing Science and Health Management, Faculty of Medicine University of Oulu  Oulu Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,29]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"World Health Organisation. 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