Stroke secondary prevention, a non-surgical and non-pharmacological consensus definition: results of a Delphi study
Journal article, 2019

OBJECTIVE: Evidence supporting lifestyle modification in vascular risk reduction is limited, drawn largely from primary prevention studies. To advance the evidence base for non-pharmacological and non-surgical stroke secondary prevention (SSP), empirical research is needed, informed by a consensus-derived definition of SSP. To date, no such definition has been published. We used Delphi methods to generate an evidence-based definition of non-pharmacological and non-surgical SSP. RESULTS: The 16 participants were members of INSsPiRE (International Network of Stroke Secondary Prevention Researchers), a multidisciplinary group of trialists, academics and clinicians. The Elicitation stage identified 49 key elements, grouped into 3 overarching domains: Risk factors, Education, and Theory before being subjected to iterative stages of elicitation, ranking, discussion, and anonymous voting. In the Action stage, following an experience-based engagement with key stakeholders, a consensus-derived definition, complementing current pharmacological and surgical SSP pathways, was finalised: Non-pharmacological and non-surgical stroke secondary prevention supports and improves long-term health and well-being in everyday life and reduces the risk of another stroke, by drawing from a spectrum of theoretically informed interventions and educational strategies. Interventions to self-manage modifiable lifestyle risk factors are contextualized and individualized to the capacities, needs, and personally meaningful priorities of individuals with stroke and their families.

Secondary prevention

Delphi

Stroke

Author

Maggie Lawrence

Glasgow Caledonian University

Eric Asaba

Karolinska Institutet

Elaine Duncan

Glasgow Caledonian University

Marie Elf

Chalmers, Architecture and Civil Engineering, Building Design

Dalarna university

Gunilla Eriksson

Karolinska Institutet

Uppsala University

James Faulkner

University of Winchester

Susanne Guidetti

Karolinska Institutet

Birgitta Johansson

University of Gothenburg

Christina Kruuse

Amtssygehuset i Gentofte

Danielle Lambrick

University of Southampton

Caitlin Longman

Stroke Association

Lena von Koch

Karolinska Institutet

Xu Wang

Leeds Becket University

Olive Lennon

University College Dublin

BMC Research Notes

1756-0500 (ISSN)

Vol. 12 1 823

Subject Categories

Health Care Service and Management, Health Policy and Services and Health Economy

General Practice

Public Health, Global Health, Social Medicine and Epidemiology

DOI

10.1186/s13104-019-4857-0

PubMed

31870411

More information

Latest update

8/19/2020