High-risk stroke patients more likely to get follow-up care after motivational talk

Aug 04, 2011

Even though many Americans learn through community health screenings that they are at high risk for having a stroke, they rarely follow-up with their doctor for care.

But a new University of Michigan study shows high-risk stroke patients are twice as likely to get follow-up care from a primary care doctor if they receive a pep talk over the telephone.

“It is unfortunate that these high-risk patients often have a lower rate of follow-up with their primary care physicians,” says Rajesh Balkrishnan PhD, associate professor in the College of Pharmacy and School of Public Health at the University of Michigan.

The University of Michigan study, published in the July-August issue of the Journal of Stroke and Cerebrovascular Diseases, tested the effectiveness of telephone interventions with those who had 2 or more stroke risk factors.

More than 200 people participated in the study. All participants lived in North Carolina, a state in the ‘stroke belt,’ the southeastern region of the country with the nation’s highest incidence of stroke.

They received either standard information on strokes, such as risk factors, or a telephone call—a brief intervention known as the Health Belief Model which offers specific health advice and discusses barriers to seeing a primary care physician.

“Patients who had the telephone intervention were twice as likely to visit their primary care physician and discuss stroke screening results,” says Balkrishnan. “Telephone interviewers worked with these patients and reinforced the need for stroke care with a primary care doctor,” he says.

These patients also modified their diet and even talked about seeing stroke specialists, he adds.

Three months after the screening, 56% in the intervention group, compared to 38% who did not get a call, had visited their primary care doctor specifically to discuss the stroke screening results.

Source: News Release
Univesity of Michigan Health System
August 4, 2011