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Table 4 Summary of emergent themes from the needs assessment

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

Interview Topics Supporting Themes Indy
N = 28
Houston
N = 19
Current Provider Roles Current roles of the provider to prevent a second stroke 81% 94%
  Working with or referring to other professionals or VA programs to prevent a second stroke 54% 66%
  Working with the patient, family, or caregiver to prevent a second stroke 15% 22%
Barriers and Supports to Secondary Stroke Risk Factor Management Patient adherence/motivation/or set in their ways 85% 83%
  Provider lacks the knowledge or training to assist in secondary stroke risk factor management 8% 22%
  Level of support from the administration (barrier/support) 65%/15% 22%/41%
  Other: factors and characteristics such as poor adherence, decreased motivation, patients not wanting to change, and patients not taking responsibility for their self, depression, cognition, stroke severity, reading/education level, family relationships 42% 56%
  Patient lacks the cognition, education, knowledge, training, comfort to assist with prevention of a second stroke 38% 39%
  Patient transportation 0% 39%
Suggestions on how to Enhance Secondary Stroke Risk Factor Management Throughout the Continuum of Care Desired resources: staff/provider education, handouts and pamphlets, standard training and discharge list, videos, support groups 93% 70%
  Training about what resources are available in the VA system, how to refer 38% 41%
  Timing of stroke risk factor management is important 30% 41%
  Other: important aspects of care: empowerment and encouragement of the patient, blood pressure machines, increased time with patient specifically for secondary stroke prevention information and training, and time to work with the family. 38% 65%