Factors influencing follow-up care post-TIA and minor stroke: a qualitative study using the theoretical domains framework.
Authors
Turner, Grace M
Aquino, Maria Raisa Jessica V
Atkins, Lou
Foy, Robbie
Mant, Jonathan
Calvert, Melanie
Publication Date
2022-02-21Journal Title
BMC Health Serv Res
ISSN
1472-6963
Publisher
Springer Science and Business Media LLC
Volume
22
Issue
1
Language
en
Type
Article
This Version
VoR
Metadata
Show full item recordCitation
Turner, G. M., Aquino, M. R. J. V., Atkins, L., Foy, R., Mant, J., & Calvert, M. (2022). Factors influencing follow-up care post-TIA and minor stroke: a qualitative study using the theoretical domains framework.. BMC Health Serv Res, 22 (1) https://doi.org/10.1186/s12913-022-07607-0
Abstract
BACKGROUND: Follow-up care after transient ischaemic attack (TIA) and minor stroke has been found to be sub-optimal, with individuals often feeling abandoned. We aimed to explore factors influencing holistic follow-up care after TIA and minor stroke. METHODS: Qualitative semi-structured interviews with 24 healthcare providers (HCPs): 5 stroke doctors, 4 nurses, 9 allied health professionals and 6 general practitioners. Participants were recruited from three TIA clinics, seven general practices and one community care trust in the West Midlands, England. Interview transcripts were deductively coded using the Theoretical Domains Framework and themes were generated from coded data. RESULTS: There was no clear pathway for supporting people with TIA or minor stroke after rapid specialist review in hospital; consequently, these patients had limited access to HCPs from all settings ('Environmental context and resources'). There was lack of understanding of potential needs post-TIA/minor stroke, in particular residual problems such as anxiety/fatigue ('Knowledge'). Identification and management of needs was largely influenced by HCPs' perceived role, professional training ('Social professional role and identity') and time constraints ('Environmental context and resources'). Follow-up was often passive - with onerous on patients to seek support - and predominantly focused on acute medical management ('Intentions'/'Goal'). CONCLUSIONS: Follow-up care post-TIA/minor stroke is currently sub-optimal. Through identifying factors which influence follow-up, we can inform guidelines and practical strategies to improve holistic healthcare.
Keywords
Research, Transient ischaemic attack, TIA, Minor stroke, Follow-up, Theoretical domains framework
Identifiers
s12913-022-07607-0, 7607
External DOI: https://doi.org/10.1186/s12913-022-07607-0
This record's URL: https://www.repository.cam.ac.uk/handle/1810/334277
Rights
Licence:
http://creativecommons.org/licenses/by/4.0/
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