Skip to main content

Table 2 Summarization of the recommendations and next actions for the TOOLS intervention

From: Using intervention mapping to develop and adapt a secondary stroke prevention program in Veterans Health Administration medical centers

Enhance provider practices in secondary stroke risk factor management Address the needs to support providers in secondary stroke risk factor management Implement advice from providers to enhance secondary stroke risk factor management throughout the continuum of care
Educate all types of providers regarding stroke warning signs, stroke risk factors, and stroke risk factor management Tailor the self-management aspect of the TOOLS intervention to each veteran using self-management concepts Address secondary stroke prevention prior to discharge - we are providing this through training of all providers
Teach rehabilitation therapists to include a stroke risk factor management goal for every patient with stroke or TIA Develop and issue rehabilitation specific information handouts and pamphlets for addressing stroke risk factors Send pamphlets and information home with each patient - we are addressing this through nursing discharge
Incorporate (through nursing) secondary stroke risk factor management information and training into the discharge process for every patient with stroke or TIA Develop and issue a self-management prescription pad for risk factors - this will provide information for clinics, etc Need to establish a gatekeeper (or champion) at each facility, we feel that this person may be found in rehabilitation due to the relationships that are often built
   Develop a discharge template
   Initiate peer to peer programming and facility stroke support groups