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Research article
Grace M Turner
University of Birmingham
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9783-9413
License:
This work is licensed under a CC BY 4.0 License. Read Full License
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 with 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 lay information about TIA/minor stroke diagnosis and secondary stroke prevention, and improve their identification of and response to important residual impairments affecting patients.
Keywords
Transient ischemic attack; minor stroke; Quality of Life; Rehabilitation; Qualitative
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CURRENT STATUS: Published
View the published article at BMC Primary Care.
Version 3
Posted 25 Nov, 2019
No community comments so far
Submission checks complete
On 21 Nov, 2019
Editorial decision: Accept
On 20 Nov, 2019
Editor assigned
On 19 Nov, 2019
Editor invited
On 18 Nov, 2019
No comments provided
Editorial decision: Minor revision
On 04 Nov, 2019
Editor assigned
On 28 Oct, 2019
Submission checks complete
On 27 Oct, 2019
Editor invited
On 27 Oct, 2019
No comments provided
Editorial decision: Minor revision
On 01 Oct, 2019
Review #2 received
Received 28 Sep, 2019
Review #3 received
Received 28 Sep, 2019
Reviewer #4 agreed
On 17 Sep, 2019
Reviewer #3 agreed
On 17 Sep, 2019
Reviewer #2 agreed
On 14 Sep, 2019
Review #1 received
Received 05 Sep, 2019
Reviewer #1 agreed
On 26 Aug, 2019
Editor assigned
On 23 Aug, 2019
Reviewers invited
Invitations sent on 23 Aug, 2019
Submission checks complete
On 22 Aug, 2019
Editor invited
On 16 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Practice
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Primary Care.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Grace M Turner
University of Birmingham
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9783-9413
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Primary Care.
Version 3
Posted 25 Nov, 2019
No community comments so far
Submission checks complete
On 21 Nov, 2019
Editorial decision: Accept
On 20 Nov, 2019
Editor assigned
On 19 Nov, 2019
Editor invited
On 18 Nov, 2019
No comments provided
Editorial decision: Minor revision
On 04 Nov, 2019
Editor assigned
On 28 Oct, 2019
Submission checks complete
On 27 Oct, 2019
Editor invited
On 27 Oct, 2019
No comments provided
Editorial decision: Minor revision
On 01 Oct, 2019
Review #2 received
Received 28 Sep, 2019
Review #3 received
Received 28 Sep, 2019
Reviewer #4 agreed
On 17 Sep, 2019
Reviewer #3 agreed
On 17 Sep, 2019
Reviewer #2 agreed
On 14 Sep, 2019
Review #1 received
Received 05 Sep, 2019
Reviewer #1 agreed
On 26 Aug, 2019
Editor assigned
On 23 Aug, 2019
Reviewers invited
Invitations sent on 23 Aug, 2019
Submission checks complete
On 22 Aug, 2019
Editor invited
On 16 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Practice
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Primary Care.
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 with 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 lay information about TIA/minor stroke diagnosis and secondary stroke prevention, and improve their identification of and response to important residual impairments affecting patients.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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