Evidence map›Paper›PMID 32801652›Full record

ArticlePatient preference and adherence2020

A Qualitative Study of Barriers and Facilitators to Adherence to Secondary Prevention Medications Among French Patients Suffering from Stroke and Transient Ischemic Attack.

Marie Viprey, Maïlys Gouillet, Costanza Puppo, Anne Termoz, Claire Della Vecchia, Laurent Derex, Julie Haesebaert, Anne-Marie Schott, Marie Préau

Open access · goldAbstract read
In one paragraph

Article in Patient preference and adherence, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
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

9 authors at 2 institutions in 1 country.

Marie VipreyPublic Health Department, Hospices Civils de Lyon, Lyon, France.ORCID 0000-0002-3281-1970
Maïlys GouilletGRePS, Lyon 2 University, Lyon, France.
Costanza PuppoGRePS, Lyon 2 University, Lyon, France.ORCID 0000-0002-5713-0362
Anne TermozPublic Health Department, Hospices Civils de Lyon, Lyon, France.
Claire Della VecchiaHESPER EA 7425, University of Lyon, University Claude Bernard Lyon 1, Lyon, France.
Laurent DerexHESPER EA 7425, University of Lyon, University Claude Bernard Lyon 1, Lyon, France.
Julie HaesebaertPublic Health Department, Hospices Civils de Lyon, Lyon, France.
Anne-Marie SchottPublic Health Department, Hospices Civils de Lyon, Lyon, France.ORCID 0000-0003-3337-4474
Marie PréauGRePS, Lyon 2 University, Lyon, France.ORCID 0000-0002-6239-1671
Université Claude Bernard Lyon 1 · FRGroupe de Recherche en Psychologie Sociale · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSecondary prevention medications (SPM) reduce the risk of ischemic stroke (IS) and transient ischemic attack (TIA) recurrence. However, approximately one-third of patients are estimated to be non-adherent. This qualitative study aimed to explore barriers and facilitators to adherence to SPM after IS or TIA. PATIENTS AND

methodsThirty-six face-to-face semi-structured interviews were conducted with 14 TIA patients and 22 IS patients who self-administered their treatment 12 months after IS/TIA. A thematic analysis was performed.

resultsMajor facilitators to good adherence to SPM were the fear of stroke recurrence and the high level of trust in the prescribing physician. Barriers included a perceived lack and/or inappropriate timing of information about SPM, practical difficulties of taking some SPM (eg, inadequate packaging) and of implementing routines into their daily life.

conclusionInformation on SPM is inadequate in terms of quantity and timing both during the acute IS/TIA period and over the long term. Providing more tailor-made information at an opportune moment, in particular by promoting discussion with their general practitioner (GP) throughout the course of illness and recovery, is essential to ensure that patients are not left alone in the decision-making process regarding adherence to SPM.

Indexed as

medication adherencequalitative studystroketransient ischemic attack

Identifiers

PMID32801652
PMCPMC7382755
OpenAlexW3042592339

What OpenQuestion holds

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LicenceCC BY-NC
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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.