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Stroke secondary prevention, a non-surgical and non-pharmacological consensus definition: results of a Delphi study
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Chalmers University of Technology.ORCID iD: 0000-0001-7044-8896
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Number of Authors: 142019 (English)In: BMC Research Notes, ISSN 1756-0500, E-ISSN 1756-0500, Vol. 12, no 1, article id 823Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2019. Vol. 12, no 1, article id 823
Keywords [en]
Delphi, Secondary prevention, Stroke
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-31507DOI: 10.1186/s13104-019-4857-0ISI: 000500364100020PubMedID: 31870411Scopus ID: 2-s2.0-85077179027OAI: oai:DiVA.org:du-31507DiVA, id: diva2:1382050
Available from: 2020-01-01 Created: 2020-01-01 Last updated: 2020-03-04

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Elf, Marie

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