ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2016
Barriers to medication adherence for the secondary prevention of stroke: a qualitative interview study in primary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.
- Psychological Determinants of Medication Adherence in Stroke Survivors: a Systematic Review of Observational Studies.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2017Pooled it
- Barriers for general practitioners in post-stroke follow-up within a fragmented healthcare system in Sweden - a focus group study.The European journal of general practice · 2026Article
- Postdischarge Class-Complete Secondary Prevention Medication Nonadherence After Ischemic Stroke: Overall and Comorbidity-Specific Patterns.Patient preference and adherence · 2026Article
- Identifying mediators of healthy lifestyle adoption after stroke: a focus group study using a Theoretical Domains Framework guided analysis.BMC neurology · 2025Article
- Importance of blood pressure lowering in patients with direct oral anticoagulant-associated intracerebral haemorrhage in the acute phase and for secondary prevention.European stroke journal · 2025Review
- Using status of secondary prevention medications in post-stroke dysphagia patients: time to raise awareness and develop special formulations.Scientific reports · 2024Article
- Reducing risk behaviours after stroke: An overview of reviews interrogating primary study data using the Theoretical Domains Framework.PloS one · 2024Article
- The dyadic self-care experience of stroke survivors and their caregivers: A qualitative descriptive study.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Accounts of preventative coping: an interview study of stroke survivors on general practice registers.BMJ open · 2022Article
- Factors influencing follow-up care post-TIA and minor stroke: a qualitative study using the theoretical domains framework.BMC health services research · 2022Article
- The Attitude towards Polypills Questionnaire (APPQ): a phase I-III development and validation study in patients with cerebrovascular disease.European journal of neurology · 2021Article
- Medication adherence early after stroke: using the Perceptions and Practicalities Framework to explore stroke survivors', informal carers' and nurses' experiences of barriers and solutions.Journal of research in nursing : JRN · 2021Article
- Barriers to medication adherence in a rural-urban dual economy: a multi-stakeholder qualitative study.BMC health services research · 2021Article
- Knowledge of stroke and medication adherence among patients with recurrent stroke or transient ischemic attack in Indonesia: a multi-center, cross-sectional study.International journal of clinical pharmacy · 2021Article
- 'What the herbal medicine can do for me in a week, the orthodox does in a year': Perceived efficacy of local alternative therapies influences medication adherence in patients with atherosclerotic cardiovascular disease.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Optimizing a digital intervention for managing blood pressure in stroke patients using a diverse sample: Integrating the person-based approach and patient and public involvement.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Stroke Risk Factor Status and Use of Stroke Prevention Medications Among Hispanic/Latino Adults in HCHS/SOL.Stroke · 2021Article
- Pharmacist medication instructions are associated with continued medication self-management in older adults: a retrospective observational study.Journal of pharmaceutical health care and sciences · 2021Article
- From Three-Months to Five-Years: Sustaining Long-Term Benefits of Endovascular Therapy for Ischemic Stroke.Frontiers in neurology · 2021Review
- Association Between Patient Activation and Medication Adherence in Patients With Stroke: A Cross-Sectional Study.Frontiers in neurology · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedications are highly effective at reducing risk of recurrent stroke, but success is influenced by adherence to treatment. Among survivors of stroke and transient ischaemic attack (TIA), adherence to medication is known to be suboptimal.
aimTo identify and report barriers to medication adherence for the secondary prevention of stroke/TIA. DESIGN AND
settingA qualitative interview study was conducted within general practice surgeries in the East of England, UK.
methodPatients were approached by letter and invited to take part in a qualitative research study. Semi-structured interviews were undertaken with survivors of stroke, caregivers, and GPs to explore their perspectives and views around secondary prevention and perceived barriers to medication adherence. Key themes were identified using a grounded theory approach. Verbatim quotes describing the themes are presented here.
resultsIn total, 28 survivors of stroke, including 14 accompanying caregivers and five GPs, were interviewed. Two key themes were identified. Patient level barriers included ability to self-care, the importance people attach to a stroke event, and knowledge of stroke and medication. Medication level barriers included beliefs about medication and beliefs about how pills work, medication routines, changing medications, and regimen complexity and burden of treatment.
conclusionPatients who have had a stroke are faced with multiple barriers to taking secondary prevention medications in UK general practice. This research suggests that a collaborative approach between caregivers, survivors, and healthcare professionals is needed to address these barriers and facilitate medication-taking behaviour.
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