ArticleBMJ open2019
The views of public and clinician stakeholders on risk assessment tools for post-stroke dementia: a qualitative study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Exploring the views of key stakeholders on dementia risk prediction in primary care in areas of socioeconomic deprivation: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Clinical prediction rules for cognitive outcomes post-stroke: an updated systematic review and meta-analysis.EClinicalMedicine · 2025Article
- Research investigating patient and carer psychoeducation needs regarding post-stroke cognition: a scoping review.BMJ open · 2025Article
- Communicating the risk of dementia: a scoping review.BMJ neurology open · 2025Article
- Disease-Specific Risk Models for Predicting Dementia: An Umbrella Review.Life (Basel, Switzerland) · 2024Review
- The Acceptability of post-stroke cognitive testing through the lens of the theory of acceptability, a qualitative study.Cerebral circulation - cognition and behavior · 2024Article
- Dementia and comorbidities in primary care: a scoping review.BMC primary care · 2023Article
- Informing Patients with Acute Stroke About their Risk of Dementia: A Survey of UK Healthcare Professionals.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022Article
- How to optimize the design and implementation of risk prediction tools: focus group with patients with IgA nephropathy.BMC medical informatics and decision making · 2020Article
- Impact of Memory Problems Post-stroke on Patients and Their Family Carers: A Qualitative Study.Frontiers in medicine · 2020Article
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Authors and funding
5 authors.
Funding
Abstract
objectiveStroke-survivors are at increased risk of future dementia. Assessment to identify those at high risk of developing a disease using predictive scores has been utilised in different areas of medicine. A number of risk assessment scores for dementia have been developed but none has been recommended for use clinically. The aim of this qualitative study was to assess the acceptability and feasibility of using a risk assessment tool to predict post-stroke dementia.
designQualitative semi-structured interviews were conducted and analysed thematically. The patients and carers were offered interviews at around 6 (baseline) and 12 (follow-up) months post-stroke; clinicians were interviewed once.
settingThe study was conducted in the North-East of England with stroke patients, family carers and healthcare professionals in primary and secondary care.
participantsThirty-nine interviews were conducted (17 clinicians and 15 stroke patients and their carers at baseline. Twelve stroke patients and their carers were interviewed at follow-up, some interviews were conducted in pairs).
resultsBarriers and facilitators to risk assessment were discussed. For the patients and carers the focus for facilitators were based on the outcomes of risk assessment for example assistance with preparation, diagnosis and for reassurance. For clinicians, facilitators were focused on the process that is, familiarity in primary care, resource availability in secondary care and collaborative care. For barriers, both groups focused on the outcome including for example, the anxiety generated from a potential diagnosis of dementia. For the patients/carers a further barrier included concerns about how it may affect their recovery. For clinicians there were concerns about limited interventions and how it would be different from standard care.
conclusionsRisk assessment for dementia post-stroke presents challenges given the ramifications of a potential diagnosis of dementia. Attention needs to be given to how information is communicated and strategies developed to support the patients and carers if risk assessment is used.
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