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dc.contributor.authorIzuka, NJen_US
dc.contributor.authorAlexander, MAWen_US
dc.contributor.authorBalasooriya-Smeekens, Cen_US
dc.contributor.authorMant, Jen_US
dc.contributor.authorDe Simoni, Aen_US
dc.date.accessioned2017-05-15T09:50:18Z
dc.date.available2017-02-28en_US
dc.date.issued2017-09-01en_US
dc.date.submitted2017-03-01T18:28:16.966Z
dc.identifier.urihttp://qmro.qmul.ac.uk/xmlui/handle/123456789/23091
dc.description.abstractBackground: Secondary prevention medications reduce risk of stroke recurrence, yet many people do not receive recommended treatment, nor take medications optimally. Objective: Exploring how patients report making use of practitioners' advice on secondary prevention medicines on an online forum and what feedback was received from other participants. Methods: Thematic analysis of the archive of Talkstroke (2004-2011), UK. Posts including any secondary prevention medication terms, General Practitioner (GP) and their replies were identified. Results: Fifity participants talked about practitioners' advice on secondary prevention medications in 43 discussion threads. Patients consulted practitioners for reassurance and dealing with side effects. Practitioners' advice varied from altering to maintaining current treatment. Three main themes emerged from the use of practitioners' advice: patients following advice (reassured, happy when side effects made tolerable, or still retaining anxiety about treatment); patients not following advice (admitting adherence on-off or stopping medications as side effects still not tolerable); asking other participants for feedback on advice received. Practitioners' advice was disregarded mainly when related to dealing with statin side effects, after one or two consultations. Themes for feedback involved sharing experience, directing back to practitioners, or to external evidence. Conclusions: Side effects of secondary prevention medications and statins in particular, cause anxiety and resentment in some patients, and their concerns are not always addressed by practitioners. Practitioners could consider more proactive strategies to manage such side effects. Forum feedback was appropriate and supportive of the practitioners' advice received. Our findings from peer-to-peer online conversations confirm and widen previous research.en_US
dc.description.sponsorshipNIHR Academic Clinical Lectureship.en_US
dc.format.extent612 - 620en_US
dc.languageengen_US
dc.language.isoenen_US
dc.relation.ispartofFam Practen_US
dc.rightsCreative Commons Attribution Non-Commercial License
dc.rightsThis is a pre-copyedited, author-produced version of an article accepted for publication in Family Practice following peer review. The version of record Nkeonye J Izuka, Matthew A W Alexander, Chantal Balasooriya-Smeekens, Jonathan Mant, Anna De Simoni; How do stroke survivors and their carers use practitioners’ advice on secondary prevention medications? Qualitative study of an online forum. Fam Pract 2017 is available online at: https://academic.oup.com/fampra/article-lookup/doi/10.1093/fampra/cmx023 doi: 10.1093/fampra/cmx023
dc.subjectmedication adherenceen_US
dc.subjectGeneral Practitionersen_US
dc.subjectinterneten_US
dc.subjectprimary health careen_US
dc.subjectsecondary preventionen_US
dc.subjectstrokeen_US
dc.subjectCaregiversen_US
dc.subjectCommunicationen_US
dc.subjectFeedbacken_US
dc.subjectFemaleen_US
dc.subjectGeneral Practitionersen_US
dc.subjectHumansen_US
dc.subjectInterneten_US
dc.subjectMaleen_US
dc.subjectMiddle Ageden_US
dc.subjectQualitative Researchen_US
dc.subjectSecondary Preventionen_US
dc.subjectStrokeen_US
dc.subjectSurveys and Questionnairesen_US
dc.subjectSurvivorsen_US
dc.titleHow do stroke survivors and their carers use practitioners' advice on secondary prevention medications? Qualitative study of an online forum.en_US
dc.typeArticle
dc.rights.holder© The Author 2017.
dc.identifier.doi10.1093/fampra/cmx023en_US
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/28398553en_US
pubs.issue5en_US
pubs.notesNot knownen_US
pubs.publication-statusPublisheden_US
pubs.volume34en_US


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