Evidence map›Paper›PMID 31870411›Full record

ArticleBMC research notes2019

Stroke secondary prevention, a non-surgical and non-pharmacological consensus definition: results of a Delphi study.

Maggie Lawrence, Eric Asaba, Elaine Duncan, Marie Elf, Gunilla Eriksson, James Faulkner, Susanne Guidetti, Birgitta Johansson, Christina Kruuse, Danielle Lambrick and 4 more

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in BMC research notes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. A scoping review of patient and public involvement in empirical stroke research.International journal of stroke : official journal of the International Stroke Society · 2024
    Article
  4. Article
  5. Review
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  7. Article
  8. Article
  9. Article
  10. Article
  11. Stroke Secondary Prevention: Everyone's Business.Healthcare (Basel, Switzerland) · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 11 institutions in 4 countries.

Maggie LawrenceDepartment of Nursing and Community Health, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, G4 0BA, UK. maggie.lawrence@gcu.ac.uk.ORCID http://orcid.org/0000-0002-1685-4639
Eric AsabaDepartment of Neurobiology, Care Sciences, and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden.
Elaine DuncanDepartment of Psychology, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
Marie ElfSchool of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
Gunilla ErikssonDepartment of Neurobiology, Care Sciences, and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden.
James FaulknerDepartment of Sport, Exercise and Health, University of Winchester, Winchester, UK.
Susanne GuidettiDepartment of Neurobiology, Care Sciences, and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden.
Birgitta JohanssonInstitute of Neuroscience and Physiology, Department of Clinical Neuroscience, University of Gothenburg, Gothenburg, Sweden.
Christina KruuseDepartment of Neurology Stroke Unit and Neurovascular Research Unit, Herlev-Gentofte Hospital, Copenhagen, Denmark.
Danielle LambrickSchool of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.
Caitlin LongmanStroke Association, London, UK.
Lena von KochDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Xu WangLeeds School of Social Sciences, Leeds Beckett University, Leeds, UK.
Olive LennonSchool of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
Karolinska Institutet · SEGlasgow Caledonian University · GBDalarna University · SEGentofte Hospital · DKLeeds Beckett University · GBStroke Association · GBUniversity College Dublin · IEUniversity of Gothenburg · SEUniversity of Southampton · GBUniversity of Winchester · GBUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveEvidence 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.

resultsThe 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.

Indexed as

Behavior TherapyDelphi TechniqueHumansLife StylePatient Education as TopicRisk FactorsRisk Reduction BehaviorSecondary PreventionSelf-ManagementStrokeDelphiSecondary preventionStroke

Identifiers

PMID31870411
PMCPMC6929363
OpenAlexW2996303833

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.