Make My Day - Stroke Prevention Grounded in Engaging Everyday Activities in Primary Healthcare - A Single-Blinded Randomised Controlled Trial.

Abstract

Lifestyle habits significantly impact health, including stroke risk, and structured approaches in primary healthcare are needed to address risk factors and promote healthy lifestyles. Make My Day, a multifactorial activity-focussed and lifestyle-based stroke prevention programme, was developed to address the rising challenges of increasingly unhealthy lifestyle habits and stroke risk factors. This study evaluated the effect of the Make My Day intervention to reduce stroke risk at 12 months in primary healthcare. In this single-blinded randomised controlled trial, 122 individuals at risk for stroke were randomised to intervention group (n = 63) or control group (n = 59). Inferential statistics and a longitudinal mixed-effect logistic regression model were used to analyse the primary outcome. Inferential statistics were applied to analyse secondary outcomes, that is, goal achievement. At 12 months, the odds for high stroke risk (adjusted OR (CI) = 0.390 (0.156; 0.971), <i>P</i> = .043), was found significantly lower in the intervention group, compared to the control group. Both groups showed significant improvements in several stroke risk factors and goal fulfilment at 12 months. The Make My Day intervention trial indicates a reduction in stroke risk, and the potential of individual goals and engaging everyday activities to support lifestyle change. Make My Day can be a valuable means to address stroke prevention within primary healthcare.The study is registered at ClinicalTrials.gov, Identifier: NCT05279508. Protocol ID: KI2020-00175.