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dc.contributor.authorTurner, Grace M.
dc.contributor.authorMcMullan, Christel
dc.contributor.authorAtkins, Lou
dc.contributor.authorFoy, Robbie
dc.contributor.authorMant, Jonathan
dc.contributor.authorCalvert, Melanie
dc.date.accessioned2020-12-22T18:55:50Z
dc.date.available2020-12-22T18:55:50Z
dc.date.issued2019-12-17
dc.date.submitted2019-07-08
dc.identifier.others12875-019-1057-x
dc.identifier.other1057
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/315422
dc.description.abstractAbstract: Background: Transient ischaemic attack (TIA) and minor stroke are often considered transient events; however, many patients experience residual problems and reduced quality of life. Current follow-up healthcare focuses on stroke prevention and care for other long-term problems is not routinely provided. We aimed to explore patient and healthcare provider (HCP) experiences of residual problems post-TIA/minor stroke, the impact of TIA/minor stroke on patients’ lives, and current follow-up care and sources of support. Methods: This qualitative study recruited participants from three TIA clinics, seven general practices and one community care trust in the West Midlands, England. Semi-structured interviews were conducted with 12 TIA/minor stroke patients and 24 HCPs from primary, secondary and community care. Data was analysed using framework analysis. Results: A diverse range of residual problems were reported post-TIA/minor stroke, including psychological, cognitive and physical impairments. Consultants and general practitioners generally lacked awareness of these long-term problems; however, there was better recognition among nurses and allied HCPs. Residual problems significantly affected patients’ lives, including return to work, social activities, and relationships with family and friends. Follow-up care was variable and medically focused. While HCPs prioritised medical investigations and stroke prevention medication, patients emphasised the importance of understanding their diagnosis, individualised support regarding stroke risk, and addressing residual problems. Conclusion: HCPs could better communicate information about TIA/minor stroke diagnosis and secondary stroke prevention using lay language, and improve their identification of and response to important residual impairments affecting patients.
dc.languageen
dc.publisherBioMed Central
dc.subjectResearch Article
dc.subjectKnowledge, attitudes, behaviors, education, and communication
dc.subjectTransient ischemic attack
dc.subjectMinor stroke
dc.subjectQuality of life
dc.subjectRehabilitation
dc.subjectQualitative
dc.titleTIA and minor stroke: a qualitative study of long-term impact and experiences of follow-up care
dc.typeArticle
dc.date.updated2020-12-22T18:55:49Z
prism.issueIdentifier1
prism.publicationNameBMC Family Practice
prism.volume20
dc.identifier.doi10.17863/CAM.62529
dcterms.dateAccepted2019-11-21
rioxxterms.versionofrecord10.1186/s12875-019-1057-x
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
dc.contributor.orcidTurner, Grace M. [0000-0002-9783-9413]
dc.identifier.eissn1471-2296
pubs.funder-project-idNational Institute for Health Research (NIHR) (PDF-2017-10-047)


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