SUPPORT TIA
Research type
Research Study
Full title
SUPPORT TIA: Structured follow-Up Pathway to imProve management Of Residual impairmenTs and patients’ quality of life after Transient Ischaemic Attack and minor stroke: Intervention refinement and feasibility study.
IRAS ID
235531
Contact name
Grace Turner
Contact email
Sponsor organisation
University of Birmingham
Duration of Study in the UK
1 years, 6 months, 31 days
Research summary
Background
Mini- strokes (also known as transient ischaemic attacks (TIAs)) and minor strokes are common. In the UK there are 510,000 people who have had a TIA and 300,000 who have had minor stroke. Current long-term management of these conditions focuses on stroke prevention. However, research has found that many TIA/minor stroke patients experience ongoing impairments, for which there are no guidelines or structured pathway of follow-up support. Ongoing impairments after a TIA/minor stroke could potentially reduce people’s quality of life (QoL) and cause economic burden through reduced productivity at work and unplanned health/social care costs.Pilot work identified a demand from TIA/minor stroke patients and stakeholders for a structured pathway of support post-TIA/minor stroke. A preliminary intervention pathway has been informed by the pilot work and comprises: a follow-up appointment to screen for post-TIA/minor stroke impairments and refer patients to appropriate local support services (facilitated by a directory of services). However, further research is required to refine and test the feasibility this intervention pathway.
The proposed research will identify the setting for the intervention pathway and barriers/ facilitators for accessing support services. Future research will test the feasibility and acceptability of the intervention pathway.
Aim
To refine an intervention pathway to improve the management of residual impairments and patients’ quality of life following TIA and minor stroke.Plan of investigation
Stage 1: Qualitative interviews
Interviews with patients and healthcare providers will help to understand the context of potential settings for the follow-up pathway.Stage 2: Survey of support services
Healthcare professionals and TIA/minor stroke patients will be surveyed to barriers/ facilitators for accessing healthcare support services.REC name
North West - Greater Manchester East Research Ethics Committee
REC reference
17/NW/0737
Date of REC Opinion
21 Dec 2017
REC opinion
Favourable Opinion