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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%