Can Goal-Based Health Management Improve the Health Knowledge, Health Belief and Health Behavior in People at High Risk of Stroke? A Non-Randomized Controlled Trial

• Main Authors: He Y, Guo L, Liu Y, Wei M, Guo Y, Dong X, Yang C, Zhou Q, Lei X, Zhang G, Zhang M
• Format: Article
• Language: English
• Published: Dove Medical Press 2021-10-01
• Series: Neuropsychiatric Disease and Treatment
• Subjects: stroke; prevention; goal setting theory; ecology of health
• Online Access: https://www.dovepress.com/can-goal-based-health-management-improve-the-health-knowledge-health-b-peer-reviewed-fulltext-article-NDT
• ISSN: 1178-2021

Yu He,1 Lina Guo,1 Yanjin Liu,2 Miao Wei,1 Yuanli Guo,1 Xiaofang Dong,1 Caixia Yang,1 Qing Zhou,3 Xiaoyu Lei,4 Gege Zhang,1 Mengyu Zhang4 1Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China; 2Department of Nursing, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China; 3Department of Rehabilitation, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China; 4College of Nursing, Zhengzhou University, Zhengzhou, People’s Republic of ChinaCorrespondence: Yanjin LiuDepartment of Nursing, The First Affiliated Hospital of Zhengzhou University, No. 1, Jianshe East Road, Erqi District, Zhengzhou, People’s Republic of ChinaTel [phone]Email [e-mail]: To examine the effectiveness of goal-based health management on health knowledge, health belief and health behavior in people at high risk of stroke.Patients and Methods: This is a two-armed and non-randomized controlled trial from May 31, 2020 to December 31, 2020. Participants were arranged to receive regular health care (n=126) or goal-based health management (n=126). The generalized estimation equation was used to analyze the changes in the participants’ health knowledge, health belief and health behavior at baseline (T0), 1-month (T1), 3-month (T3), and 6-month (T6).Results: A total of 243 participants completed the 6-month study, of which 123 were in the control group and 120 were in the intervention group. After receiving goal-based health management, participants’ health behavior (β= 27.154, p< 0.001), health knowledge (β= 10.504, p< 0.001) and health belief (β= 49.057, p< 0.001) scores increased significantly.Conclusion: Goal-based health management can effectively improve the health knowledge, health belief and health behavior of people at high risk of stroke. We recommend that nurses can provide goal-based health management for people at high risk of stroke with support from hospitals and family members of people at high risk of stroke.Keywords: stroke, prevention, goal setting theory, ecology of health