title: Determinants of intention to change health-related behavior and actual change in patients with TIA or minor ischemic stroke.
abstract: OBJECTIVE
  To assess determinants of intention to change health-related behavior and actual change in patients with TIA or ischemic stroke.
  
  
  METHODS
  In this prospective cohort study, 100 patients with TIA or minor ischemic stroke completed questionnaires on behavioral intention and sociocognitive factors including perception of severity, susceptibility, fear, response-efficacy and self-efficacy at baseline. Questionnaires on physical activity, diet and smoking were completed at baseline and at 3 months. Associations between sociocognitive factors and behavioral intention and actual change were studied with multivariable linear and logistic regression.
  
  
  RESULTS
  Self-efficacy, response efficacy, and fear were independently associated with behavioral intention, with self-efficacy as the strongest determinant of intention to increase physical activity (aBeta 0.40; 95% CI 0.12-0.71), adapt a healthy diet (aBeta 0.49; 95% CI 0.23-0.75), and quit smoking (aBeta 0.51; 95% CI 0.13-0.88). Intention to change tended to be associated with actual health-related behavior change.
  
  
  CONCLUSIONS
  Self-efficacy, fear, and response-efficacy were determinants of intention to change health-related behavior after TIA or ischemic stroke.
  
  
  CONCLUSIONS
  These determinants of intention to change health-related behavior after TIA or ischemic stroke should be taken into account in the development of future interventions promoting health-related behavior change in these group of patients.
authors.affiliation: Department of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands. Electronic address: d.goossensen@erasmusmc.nl.
authors.forename: Dorien
authors.initials: D
authors.lastname: Brouwer-Goossensen
authors.affiliation: Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
authors.forename: Lenneke van
authors.initials: LV
authors.lastname: Genugten
authors.affiliation: Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
authors.forename: Hester
authors.initials: H
authors.lastname: Lingsma
authors.affiliation: Department of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
authors.forename: Diederik
authors.initials: D
authors.lastname: Dippel
authors.affiliation: Department of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
authors.forename: Peter
authors.initials: P
authors.lastname: Koudstaal
authors.affiliation: Department of Neurology, Medisch Spectrum Twente, Enschede, The Netherlands.
authors.forename: Heleen den
authors.initials: HD
authors.lastname: Hertog
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D015444:Exercise; D005239:Fear / Q000523:psychology; D005260:Female; D015438:Health Behavior; D006801:Humans; D033182:Intention; D002546:Ischemic Attack, Transient / Q000523:psychology* / Q000534:rehabilitation; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D020377:Self Efficacy; D012720:Severity of Illness Index; D012907:Smoking / Q000523:psychology; D020521:Stroke / Q000523:psychology*; D000071939:Stroke Rehabilitation; D011795:Surveys and Questionnaires
keywords: Behavorial intention; Health-related behavior; Sociocognitive determinants; Stroke; TIA