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Table 2 Key elements of SSP: status in Stages 5 and 6

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

Key elements

Risk factors

Education

Underpinning theory/approaches

Consented for inclusion—Stage 5 (n = 24)

Physical inactivity, diet, current smoking, hypertension/blood pressure, cholesterol/blood lipid

Stroke risk factors, signs and symptoms of stroke, action to take if stroke is suspected, importance of adhering to medication prescription, physical activity, diet, smoking cessation, alcohol consumption, stress management, weight management, diabetes management, blood pressure management, medication adherence, emotional health, perceived psychosocial stress, self-management, self-efficacy

Psychological theories of wellbeing; patient-centred/person-centredness

Consented for inclusion—Stage 6a (n = 14)

Alcohol consumption, psychosocial factors

Prescription medications for stroke, work/life balance, anxiety, depression, goal setting, pacing, establishing networks, self-monitoring

Behaviour change, implementation theory, self-management, ‘family’-centredness (caveat: definition of ‘family’ be explained, or terminology changed to represent its inclusive nature)

Consented for exclusion—Stage 6a (n = 3)

Waist/hip ratio, blood sugar

 

Family theory e.g. Calgary family assessment and Intervention model

Elements merged/removed after Stage 6a (n = 4)

 

Exercise counselling (removed); stroke education (merged with ‘what is stroke’); goal prioritising (merged with ‘goal setting’

Cognitive and emotional models for modification (merged with ‘Behaviour change theories’ to form ‘Cognitive, emotional and behaviour change models’)

Consented for inclusion—Stage 6b (n = 2)

 

What is stroke, problem solving

 

Consented for inclusion—Stage 6c (n = 2)

 

Sleep, opportunities to practice new skills

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