Improving secondary stroke self-care among underserved ethnic minority individuals: a randomized clinical trial of a pilot intervention

J Behav Med. 2014 Apr;37(2):196-204. doi: 10.1007/s10865-012-9469-2. Epub 2012 Dec 8.


The overall purpose of this study was to pilot a multibehavioral, brief, stroke self-care treatment adapted for implementation with underserved racial/ethnic minority groups and to test the moderating effects of anxiety and depression on engagement in secondary stroke-prevention behaviors. Fifty-two participants were randomized to the secondary stroke prevention (STOP) (N = 27) or usual care (N = 25) group. The STOP program consisted of 3 culturally tailored information sessions and goal-setting activities that were delivered in person by a research assistant. Participants were assessed at baseline and 4-week follow-up for stroke knowledge, exercise, fruit and vegetable consumption, tobacco and alcohol use, and medication adherence (primary outcomes) and anxiety and depression (moderator variables). Between-groups analysis of covariance and logistic multiple regressions revealed significant between-group differences for stroke knowledge, tobacco use and moderating effects between tobacco and anxiety, and improved alcohol use. The STOP program decreased secondary stroke risk factors among underserved racial/ethnic minorities and should be tested in large-scale trials.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anxiety / complications
  • Anxiety / therapy
  • Cognitive Behavioral Therapy
  • Depression / complications
  • Depression / therapy
  • Diet
  • Ethnicity* / psychology
  • Female
  • Health Behavior
  • Humans
  • Male
  • Medication Adherence
  • Middle Aged
  • Minority Groups* / psychology
  • Pilot Projects
  • Secondary Prevention / methods*
  • Self Care* / psychology
  • Stroke / nursing
  • Stroke / prevention & control
  • Stroke / psychology
  • Stroke / therapy*
  • Vulnerable Populations* / psychology