Background: Stroke Coach is a lifestyle coaching telehealth program to improve self-management of stroke risk factors.

Aims: To examine the efficacy of Stroke Coach on lifestyle behaviour and risk factor control among community-living stroke survivors within one-year post stroke.

Methods: Participants were randomized to Stroke Coach or an attention control Memory Training group. Lifestyle behaviour was measured using the Health Promoting Lifestyle Profile II. Secondary outcomes included specific behavioural and cardiometabolic risk factors, health-related quality of life (HRQoL), cognitive status, and depressive symptoms. Measurements were taken at baseline, post-intervention (6 months), and retention (12 month). Linear mixed-effects models were used to test the study hypotheses (p<0.05). All analyses were intention-to-treat.

Results: The mean age of the Stroke Coach (n=64) and Memory Training (n=62) groups was 67.2 and 69.1 years, respectively. The majority of participants (n = 100) had mild stroke (modified Rankin Scale = 1 or 2), were active, with controlled blood pressure (mean = 129/79 mmHg) at baseline. At post-intervention, there were no significant differences in lifestyle (b = -2.87; 95%CI -8.03 to 2.29; p=0.28). Glucose control, as measured by HbA1c (b = 0.17; 95%CI 0.17 to 0.32; p=0.03), and HRQoL, measured using SF-36 Physical Component Summary (b = -3.05; 95%CI -5.88 to -0.21; p=0.04), were significantly improved in Stroke Coach compared to Memory Training, and the improvements were maintained at retention.

Conclusion: Stroke Coach did not improve lifestyle behaviour, however, there were improvements to HbA1c and HRQoL among community-living stroke survivors with mild stroke-related disability. (ClinicalTrials.gov identifier: NCT02207023)

背景：中风教练是一项生活方式指导远程医疗计划，旨在改善中风风险因素的自我管理。

目的：检查中风教练对中风后一年内社区生活中风幸存者的生活方式行为和风险因素控制的有效性。

方法：参与者被随机分配到中风教练组或注意力控制记忆训练组。生活方式行为是使用促进健康的生活方式概况 II 来衡量的。次要结果包括特定的行为和心脏代谢危险因素、健康相关的生活质量 (HRQoL)、认知状态和抑郁症状。在基线、干预后（6 个月）和保留（12 个月）进行测量。线性混合效应模型用于检验研究假设（p<0.05）。所有分析均为意向治疗。

结果：中风教练组（n=64）和记忆训练组（n=62）的平均年龄分别为 67.2 和 69.1 岁。大多数参与者（n = 100）患有轻度中风（改良 Rankin 量表 = 1 或 2），活跃，基线时血压得到控制（平均值 = 129/79 mmHg）。在干预后，生活方式没有显着差异（b = -2.87；95% CI -8.03 至 2.29；p=0.28）。通过 HbA1c (b = 0.17；95%CI 0.17 至 0.32；p=0.03) 和 HRQoL 测量的血糖控制，使用 SF-36 物理成分汇总测量 (b = -3.05；95%CI -5.88 至 -0.21； p = 0.04），与记忆训练相比，Stroke Coach 得到了显着改善，并且在保留时保持了改善。

结论：卒中教练并没有改善生活方式行为，但是，在社区生活的卒中幸存者中具有轻度卒中相关残疾的 HbA1c 和 HRQoL 有所改善。（ClinicalTrials.gov 标识符：NCT02207023）