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Stroke secondary pr...
Stroke secondary prevention, a non-surgical and non-pharmacological consensus definition: results of a Delphi study
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- Lawrence, Maggie (author)
- Glasgow Caledonian University,Glasgow Caledonian Univ, Sch Hlth & Life Sci, Dept Nursing & Community Hlth, Glasgow G4 0BA, Lanark, Scotland.
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- Asaba, Eric (author)
- Karolinska Institutet,Karolinska Inst, Dept Neurobiol Care Sci & Soc NVS, Div Occupat Therapy, Stockholm, Sweden.
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- Duncan, Elaine (author)
- Glasgow Caledonian University,Glasgow Caledonian Univ, Sch Hlth & Life Sci, Dept Psychol, Glasgow, Lanark, Scotland.
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- Elf, Marie, 1962 (author)
- Högskolan Dalarna,Omvårdnad,Chalmers University of Technology,Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden.;Chalmers Univ Technol, Architecture & Civil Engn, Dept Bldg Design, Gothenburg, Sweden.
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- Eriksson, Gunilla (author)
- Uppsala universitet,Karolinska Institutet,Forskning om funktionshinder och habilitering,Karolinska Inst, Dept Neurobiol Care Sci & Soc NVS, Div Occupat Therapy, Stockholm, Sweden.
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- Faulkner, James (author)
- University of Winchester,Univ Winchester, Dept Sport Exercise & Hlth, Winchester, Hants, England.
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- Guidetti, Susanne (author)
- Karolinska Institutet,Karolinska Inst, Dept Neurobiol Care Sci & Soc NVS, Div Occupat Therapy, Stockholm, Sweden.
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- Johansson, Birgitta, 1957 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi,Institute of Neuroscience and Physiology
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- Kruuse, Christina (author)
- Herlev Gentofte Hosp, Dept Neurol, Stroke Unit, Copenhagen, Denmark.;Herlev Gentofte Hosp, Dept Neurol, Neurovasc Res Unit, Copenhagen, Denmark.
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- Lambrick, Danielle (author)
- University of Southampton,Univ Southampton, Fac Environm & Life Sci, Sch Hlth Sci, Southampton, Hants, England.
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- Longman, Caitlin (author)
- Stroke Assoc, London, England.
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- von Koch, Lena (author)
- Karolinska Institutet,Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.
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- Wang, Xu (author)
- Leeds Becket University, United Kingdom,Leeds Beckett Univ, Leeds Sch Social Sci, Leeds, W Yorkshire, England.
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- Lennon, Olive (author)
- University College Dublin, National University Of Ireland,Univ Coll Dublin, Sch Publ Hlth Physiotherapy & Sports Sci, Dublin, Ireland.
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Glasgow Caledonian University Glasgow Caledonian Univ, Sch Hlth & Life Sci, Dept Nursing & Community Hlth, Glasgow G4 0BA, Lanark, Scotland (creator_code:org_t)
- 2019-12-23
- 2019
- English.
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In: BMC Research Notes. - : Springer Science and Business Media LLC. - 1756-0500. ; 12:1
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Abstract
Subject headings
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- OBJECTIVE: Evidence supporting lifestyle modification in vascular risk reduction is limited, drawn largely from primary prevention studies. To advance the evidence base for non-pharmacological and non-surgical stroke secondary prevention (SSP), empirical research is needed, informed by a consensus-derived definition of SSP. To date, no such definition has been published. We used Delphi methods to generate an evidence-based definition of non-pharmacological and non-surgical SSP. RESULTS: The 16 participants were members of INSsPiRE (International Network of Stroke Secondary Prevention Researchers), a multidisciplinary group of trialists, academics and clinicians. The Elicitation stage identified 49 key elements, grouped into 3 overarching domains: Risk factors, Education, and Theory before being subjected to iterative stages of elicitation, ranking, discussion, and anonymous voting. In the Action stage, following an experience-based engagement with key stakeholders, a consensus-derived definition, complementing current pharmacological and surgical SSP pathways, was finalised: Non-pharmacological and non-surgical stroke secondary prevention supports and improves long-term health and well-being in everyday life and reduces the risk of another stroke, by drawing from a spectrum of theoretically informed interventions and educational strategies. Interventions to self-manage modifiable lifestyle risk factors are contextualized and individualized to the capacities, needs, and personally meaningful priorities of individuals with stroke and their families.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper -- Neurovetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine -- Neurosciences (hsv//eng)
Keyword
- Secondary prevention
- Delphi
- Stroke
- Hälsa och välfärd
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Lawrence, Maggie
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Asaba, Eric
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Duncan, Elaine
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Elf, Marie, 1962
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Eriksson, Gunill ...
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Faulkner, James
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Guidetti, Susann ...
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Johansson, Birgi ...
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Kruuse, Christin ...
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Lambrick, Daniel ...
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Longman, Caitlin
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von Koch, Lena
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Wang, Xu
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Lennon, Olive
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and General Practice
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Public Health Gl ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Basic Medicine
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and Neurosciences
- Articles in the publication
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BMC Research Not ...
- By the university
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Chalmers University of Technology
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Karolinska Institutet
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Högskolan Dalarna
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Uppsala University
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University of Gothenburg