For all participants over time , there were significant improvements for personal ( mean difference [ MD ] , 0.3 ; 95 % CI , 0.004-0 .69 ; P = .05 ) and general ( MD , 0.6 ; 95 % CI , 0.09-1 .16 ; P = .02 ) risk factor recall ; performance of stroke risk-related behaviors ( MD , 0.8 ; 95 % CI , 0.28-1 .26 ; P < .01 ) ; and progression from a nonaction to an action stage of change for 4 of 7 behaviors over time .