Patients’ responses to transient ischaemic attack symptoms: a cross-sectional questionnaire study in Australian general practices

Magin, Parker; Dunbabin, Janet; Goode, Susan; Valderas, José M; Levi, Christopher; D’Souza, Mario; Marshall, Melanie; Barker, Daniel; Lasserson, Daniel

doi:10.3399/bjgp15x683125

Cited by 3 publications

(2 citation statements)

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“…Other researchers as well highlight the need to educate the general population about stroke which is the second leading cause of mortality. [29][30] In addition, only one out of five participants (19.0%) was aware which emergency number to call.…”

Section: Discussionmentioning

confidence: 99%

Can We Learn from Our Children About stroke? Effectiveness of a School-Based Educational Programme in Greece

Proios

Baskini

Keramydas

et al. 2022

Journal of Stroke and Cerebrovascular Diseases

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Section: Discussionmentioning

confidence: 99%

Can We Learn from Our Children About stroke? Effectiveness of a School-Based Educational Programme in Greece

Proios

Baskini

Keramydas

et al. 2022

Journal of Stroke and Cerebrovascular Diseases

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“…Participants were recruited from participants in an earlier questionnaire-based cross-sectional quantitative study [ 17 ]. That study had recruited consecutive adult attendees ( n = 869) at 14 of the 16 member practices of the Hunter New England Central Coast Network of Research General Practices, [ 18 ] covering urban/rural areas and diverse socioeconomic demographics in a region of New South Wales, Australia.…”

Section: Methodsmentioning

confidence: 99%

Patients’ anticipated actions following transient ischaemic attack symptoms: a qualitative vignette-based study

et al. 2017

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BackgroundTransient Ischaemic Attack (TIA) requires urgent investigation and management. Urgent management reduces the risk of subsequent stroke markedly, but non-presentation or delays in patient presentation to health services have been found to compromise timely management. We aimed to explore general practice patients’ anticipated responses to TIA symptoms.MethodsThis was a qualitative study employing semi-structured telephone interviews. Participants were recruited from respondents in an earlier quantitative study based in Australian general practices. Maximum variation purposive sampling of patients from that study (on the basis of age, rurality, gender and previous experience of stroke/TIA) continued until thematic saturation was achieved. After initial interviews explored knowledge of TIA and potential responses, subsequent interviews further explored anticipated responses via clinical vignettes containing TIA and non-TIA symptoms. Transcribed interviews were coded independently by two researchers. Data collection and analysis were concurrent and cumulative, using a process of iterative thematic analysis and constant comparison. A schema explaining participants’ anticipated actions emerged during this process and was iteratively tested in later interviews.ResultsThirty-seven interviews were conducted and a ‘spectrum of action’, from watchful waiting (only responding if symptoms recurred) to summoning an ambulance immediately, was established. Intermediate actions upon the spectrum were: intending to mention the episode to a general practitioner (GP) at a routine appointment; consulting a GP non-urgently; consulting a general practitioner (GP) urgently; and attending an Emergency Department urgently. The substrate for decision-making relating to this spectrum operated via three constructs: the ‘individual set’ of the participant (their inherent disposition towards action in response to health matters in general), their ‘discriminatory power’ (the ability to discriminate TIA symptoms from non-TIA symptoms) and their ‘effective access’ to health-care services.ConclusionsPolicies to improve patients’ accessing care (and accessing care urgently) post-TIA should address these three determinants of anticipated action.Electronic supplementary materialThe online version of this article (doi:10.1186/s12875-017-0594-4) contains supplementary material, which is available to authorized users.

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Quality of Referrals and Guideline Compliance for Time to Consultation at an Acute Neurovascular Clinic

Sales¹,

Quain

Lasserson

et al. 2015

Journal of Stroke and Cerebrovascular Diseases

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Patients’ responses to transient ischaemic attack symptoms: a cross-sectional questionnaire study in Australian general practices

Cited by 3 publications

References 34 publications

Can We Learn from Our Children About stroke? Effectiveness of a School-Based Educational Programme in Greece

Can We Learn from Our Children About stroke? Effectiveness of a School-Based Educational Programme in Greece

Patients’ anticipated actions following transient ischaemic attack symptoms: a qualitative vignette-based study

Quality of Referrals and Guideline Compliance for Time to Consultation at an Acute Neurovascular Clinic

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