At each intervention center, a local network consisting of primary physicians, specialists, sport groups and other therapists will be established prior to study start (Figure 1). If a patient needs further treatment or for example wishes to join a sports group, this network helps him to quickly find advice. After inclusion into the study, a baseline examination is performed. During this appointment, all patients receive intensive advice and information about their stroke and risk factors of stroke and are examined in detail. Furthermore, for each of the patients’ individual risk factors explicit goals will be formulated. Follow-up visits are performed after 1, 3, 6 and 9 months. During these visits, patients are examined again and their medication and the provision of therapeutic appliances and remedies is controlled and adjusted if necessary. The physician also discusses problems and barriers that hinder the implementation of the recommended lifestyle changes with the patient and offers support to solve these problems. In addition, structured screening for complications such as depression and cognitive impairment is performed during the visits after 3 and 6 months to ensure timely treatment of the patient. An extensive final examination is performed after 12 months, during which the primary and secondary endpoints of the study are obtained.
Patients of the control group receive a baseline examination after study inclusion. During this appointment, all patients are examined in detail and obtain information about their disease according to the hospital’s standard procedures. All questions are answered to the patient and his relatives. After 12 months, the patients are invited for a final assessment during which the primary and secondary endpoints of the study are obtained.