Patient Education in TIA clinics
Research type
Research Study
Full title
Information provided in an outpatient setting for persons who have a new diagnosis of a Transient Ischaemic Attack/Minor Stroke (TIAMS) including secondary prevention and response to future symptoms.
IRAS ID
225224
Contact name
Andrew Wilson
Contact email
Sponsor organisation
University of Leicester
Duration of Study in the UK
0 years, 3 months, 23 days
Research summary
The focus of this study is to identify the healthcare provided in an outpatient setting for persons who have a new clinical diagnosis of a Transient Ischemic Attack or minor stroke (TIAMS). We will use this information to suggest improvements to services. There is a high risk of having a stroke following a TIAMS. The problem this study is addressing is that of inadequate prevention of recurrent TIA or patients going on to have a stroke. This means that patients do not engage in activities which would be of benefit to them – including taking prescribed medication, increasing activity levels and stopping smoking and may not respond urgently to future symptoms.
This study aims to identify what information is given to persons who have had a TIAMS in an outpatient clinic, who it is given by and how. This study will use an ethnographic study (observation) to observe 20 clinician-patient interactions within 4 clinics across the East Midlands. Following this, there will be a patient interview to identify the information obtained and retained from the clinician-patient interactions. Of particular interest, is information or educational interventions which enable patients to seek medical assistance for any future symptoms of a TIA/stroke and advice about prevention of a further stroke or TIA . In addition, we wish to gain an understanding of how the patient received the information – what was understood, what information is retained and what they understand about the management. Finally, it is intended to identify the clinician’s perspective of the TIA clinician-patient interaction and their anticipated outcomes for a patient. In addition, to understand how information is communicated between secondary and primary care to facilitate continuity of care/hand over of management.
It is intended to undertake this study part time over 3 months as per the researcher’s research time allowance. A further 4 months is proposed to analyse data and complete the final report. This education work delivered within a Master of Research, intends to provide a basis for a larger study to develop an intervention to improve practice and management of TIAMS. Furthermore, if feasible, to apply for additional financial support to undertake a larger scale study.
REC name
East Midlands - Derby Research Ethics Committee
REC reference
17/EM/0244
Date of REC Opinion
16 Aug 2017
REC opinion
Further Information Favourable Opinion