ArticleBMC family practice2018
General practitioners' reasoning on risk screening and primary prevention of stroke - a focus group study.
Article in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 22 citations in OpenAlex.
- Performing lifestyle changes and reducing stroke risk: a process evaluation of a stroke prevention intervention.BMJ open · 2026Trial
- Make My Day - Stroke Prevention Grounded in Engaging Everyday Activities in Primary Healthcare - A Single-Blinded Randomised Controlled Trial.Journal of primary care & community healthTrial
- Implementation of Stroke Prevention Intervention Make My Day in Swedish Primary Healthcare.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026Article
- Refining the Make My Day stroke prevention intervention for primary healthcare through co-creation with stakeholders.Research involvement and engagement · 2025Article
- Making predictions under interventions: a case study from the PREDICT-CVD cohort in New Zealand primary care.Frontiers in epidemiology · 2024Article
- Article
- Scars of stroke care emerge as COVID-19 shifts to an endemic in many countries.Journal of medicine and life · 2022Article
- Primary stroke prevention worldwide: translating evidence into action.The Lancet. Public health · 2022Review
- Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.The Lancet. Neurology · 2021 · on this mapArticle
- Engagement in Everyday Activities for Prevention of Stroke: Feasibility of an mHealth-Supported Program for People with TIA.Healthcare (Basel, Switzerland) · 2021Article
- Primary prevention of stroke: randomised controlled pilot trial protocol on engaging everyday activities promoting health.BMJ open · 2019Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBy screening and modifying risk factors, stroke incidence can be reduced. Clinical guidelines states that primary prevention of stroke is a responsibility and task of primary health care, but research shows that this not always the case. The aim of the study was to explore and describe what characterizes GPs' reasoning around risk screening and primary prevention among persons at risk for stroke in primary health care.
methodsA qualitative design based in a grounded theory approach was chosen in order to investigate this unexplored research area. Data collection was done using focus group interviews and data was analysed using a constant comparative method. Twenty-two GPs were interviewed in four focus groups.
resultsFindings showed that GPs perceived difficulties in prioritizing patients with an unhealthy lifestyle and described a lack of systematicity in their procedures, which complicated their clinical decisions concerning patients with stroke risk factors. The results showed a lack of systematic risk screening methods. Time constraints and the reimbursement system were described as hindering the preventive work.
conclusionThere is a need for a more proactive, transparent and systematic approach in the distribution of GPs' time and reimbursement of prevention in primary health care. The findings suggest, by developing new methods and approaches such as digital clinical decision-making tools and by implementing inter-professional team-work, the quality of the primary prevention of stroke could be improved.
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