Dorien Brouwer

43 Patient perspectives on health-related behavior change PART 1 Table 1. Interview guide 1. What was the cause of your stroke/TIA? 2. How would you describe a healthy lifestyle? 3. How would you describe your lifestyle? 4. Did your lifestyle change after your stroke/TIA? 5. Did you change your lifestyle before? 6. Did you receive advice about a healthy lifestyle in the hospital? 7. Are you planning to follow this advice and if so, 8. How are you planning to follow this advice? 9. Which support would you like in changing your lifestyle after stroke or TIA? 10. Which support would you like in maintaining a healthy lifestyle? Qualitative analysis All interviews were analyzed with open, axial and selective coding using a framework approach [23] by the interviewer (MdJ) and researchers (DBG and ET). In first stage MdJ listened the interview recordings while reading the transcripts. In the second stage MdJ divided interviews into fragments which were classified over the determinants of the Protection Motivation Theory. No qualitative software was used. In the third stage DBG and ET reviewed this classification. Interviews were read again and fragments further refined. Barriers and facilitators per factors were selected by MdJ and reviewed by DBG and ET. Results Of the eighteen interviewed patients the mean age was 65 years (IQR 48-80), 11 (61%) were male and 14 (78%) had a TIA (Table 1). Most patients had a mRS of 0 or 1, which means that they were mildly or not disabled. None of the patients used more alcohol than advised and 3 (17%) of the patients were smokers. Three patients changed their alcohol consumption and two patients stopped smoking after their TIA of ischemic stroke. Healthy lifestyle perspectives All patients mentioned a good diet as positive and smoking as negative in relation with a healthy lifestyle. “For me, that means regular nutrition, but vegetables, fruit and not toomuch.” (07, M80) “Just a normal life, quit smoking, reducing alcohol and a healthy lifestyle.” (09, M59)