Evaluation of a decision aid prototype for stroke survivors (v1)
Research type
Research Study
Full title
Evaluating the acceptability and usability of a decision aid prototype to improve secondary prevention after stroke
IRAS ID
215662
Contact name
Talya Porat
Contact email
Sponsor organisation
King's College London
Duration of Study in the UK
0 years, 5 months, 0 days
Research summary
This research aims to evaluate the usability and acceptability of a decision aid that has been informed by stakeholders to facilitate patient-centred communication on effective treatments for secondary stroke prevention and motivate the patient to adhere to the selected treatments thereby reducing the risk of recurrence.
We involved stakeholders to identify and prioritise needs and co-produce solutions to improve long-term management and outcomes for stroke patients. Based on their feedback it was decided to focus on a decision aid that addresses secondary prevention after stroke by improving management of multiple risk factors.
Stroke survivors are at a high risk of a recurrent stroke, which is likely to be more disabling and fatal than a first in a lifetime stroke. National stroke guidelines identify clinical conditions (hypertension, hyperlipidaemia, atrial fibrillation, diabetes and obesity) and lifestyle factors (smoking, physical inactivity, unhealthy diet and excess alcohol consumption) as significant modifiable risk factors that should be targeted for secondary prevention of stroke. However, these risk factors are currently not well managed nor controlled.
The decision aid is designed to be used during the clinical consultation in primary care and to be integrated with the GP’s electronic health records system. It displays the proposed treatments for the patient in order of effectiveness and their relative benefit. This will be used as a baseline for communication and shared decision making between the clinician and patient, aiming to agree on a management plan, which is aligned with the patient’s preferences and which will motivate him/her to adopt healthier behaviours. We have reviewed the literature and we are not aware of any decision aid that was developed for primary care to improve secondary stroke prevention by facilitating shared decision making and integrating behaviour change techniques. The decision aid will be evaluated for its usability and acceptability with stroke patients and GPs.
REC name
East of England - Cambridgeshire and Hertfordshire Research Ethics Committee
REC reference
17/EE/0161
Date of REC Opinion
4 May 2017
REC opinion
Further Information Favourable Opinion