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Usability and Acceptability of a Novel Secondary Prevention Initiative Targeting Physical Activity for Individuals after a Transient Ischaemic Attack or “Minor” Stroke: A Qualitative Study

Author

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  • Neil Heron

    (Centre for Public Health, Queen’s University, CPH QUB, Belfast BT12 6BA, UK
    School of Primary, Community and Social Care, Keele University, Newcastle ST5 5BG, UK
    Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge CB2 0SR, UK)

  • Sean R. O’Connor

    (School of Primary, Community and Social Care, Keele University, Newcastle ST5 5BG, UK)

  • Frank Kee

    (Centre for Public Health, Queen’s University, CPH QUB, Belfast BT12 6BA, UK)

  • Jonathan Mant

    (Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge CB2 0SR, UK)

  • Margaret E. Cupples

    (Centre for Public Health, Queen’s University, CPH QUB, Belfast BT12 6BA, UK)

  • Michael Donnelly

    (Centre for Public Health, Queen’s University, CPH QUB, Belfast BT12 6BA, UK)

Abstract

Behavioural interventions that address cardiovascular risk factors such as physical inactivity and hypertension help reduce recurrence risk following a transient ischaemic attack (TIA) or “minor” stroke, but an optimal approach for providing secondary prevention is unclear. After developing an initial draft of an innovative manual for patients, aiming to promote secondary prevention following TIA or minor stroke, we aimed to explore views about its usability and acceptability amongst relevant stakeholders. We held three focus group discussions with 18 participants (people who had experienced a TIA or minor stroke (4), carers (1), health professionals (9), and researchers (4). Reflexive thematic analysis identified the following three inter-related themes: (1) relevant information and content, (2) accessibility of format and helpful structure, and (3) strategies to optimise use and implementation in practice. Information about stroke, medication, diet, physical activity, and fatigue symptoms was valued. Easily accessed advice and practical tips were considered to provide support and reassurance and promote self-evaluation of lifestyle behaviours. Suggested refinements of the manual’s design highlighted the importance of simplifying information and providing reassurance for patients early after a TIA or minor stroke. Information about fatigue, physical activity, and supporting goal setting was viewed as a key component of this novel secondary prevention initiative.

Suggested Citation

  • Neil Heron & Sean R. O’Connor & Frank Kee & Jonathan Mant & Margaret E. Cupples & Michael Donnelly, 2020. "Usability and Acceptability of a Novel Secondary Prevention Initiative Targeting Physical Activity for Individuals after a Transient Ischaemic Attack or “Minor” Stroke: A Qualitative Study," IJERPH, MDPI, vol. 17(23), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8788-:d:451616
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    Cited by:

    1. Maria Sammut & Kirsti Haracz & Coralie English & David Shakespeare & Gary Crowfoot & Michael Nilsson & Heidi Janssen, 2021. "Participants’ Perspective of Engaging in a Gym-Based Health Service Delivered Secondary Stroke Prevention Program after TIA or Mild Stroke," IJERPH, MDPI, vol. 18(21), pages 1-16, October.
    2. Neil Heron & Seán R. O’Connor & Frank Kee & David R. Thompson & Neil Anderson & David Cutting & Margaret E. Cupples & Michael Donnelly, 2021. "Development of a Digital Lifestyle Modification Intervention for Use after Transient Ischaemic Attack or Minor Stroke: A Person-Based Approach," IJERPH, MDPI, vol. 18(9), pages 1-15, May.

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