Long-Term Effect of Intensive Education in Patients With First-Ever Ischemic Stroke.

Cohort studyJournal of the American Heart Association· Jul 2026

Long-Term Effect of Intensive Education in Patients With First-Ever Ischemic Stroke.

Yeong Wook Kim, Minsoo Jeon, Min Kyun Sohn … Won Hyuk Chang

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Physical Medicine & RehabilitationCohort studyTreatmentQ1IF 5.3

Intensive education linked to greater long-term quality-of-life improvement after mild stroke

Long-Term Effect of Intensive Education in Patients With First-Ever Ischemic Stroke.

Yeong Wook Kim … Won Hyuk Chang

Journal of the American Heart Association · Jul 2026

Background

This study evaluated the long-term effects of intensive education on functional recovery and quality of life in patients with first-ever mild ischemic stroke.

Methods

This propensity score-matched cohort study was conducted within the KOSCO (Korean Stroke Cohort for Functioning and Rehabilitation).

n = 138 participants

Results

greater quality of life gains over 4 years with intensive education

β 11.48 (95% CI 0.05 to 22.92)

null 0

0.05

22.92

CI excludes the null - significant

More results

Baseline characteristics were well balanced.

No significant group-by-time interactions were found for other functional measures, including the Functional Independence Measure, Korean version of Modified Barthel Index, Fugl-Meyer Assessment, and Korean Mini-Mental State Examination.

“

Conclusion

Structured, intensive, multisession education for patients with first-ever mild ischemic stroke produced favorable long-term effects on quality of life, psychological well-being, and disability, highlighting the value of comprehensive education as part of stroke rehabilitation and secondary prevention.

Long-Term Effect of Intensive Education in Patients With First-Ever Ischemic Stroke.

Long-Term Effect of Intensive Education in Patients With First-Ever Ischemic Stroke.

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