The effects of the emotional processes on TIA; Version Number (1)
Research type
Research Study
Full title
The Effects of the Emotional Processes on Secondary Preventative Behaviours Among Transient Ischaemic Attack (TIA) Individuals.
IRAS ID
262500
Contact name
Clare Cooper
Contact email
Sponsor organisation
University of Aberdeen
Clinicaltrials.gov Identifier
N/A., N/A.
Duration of Study in the UK
0 years, 2 months, 10 days
Research summary
Transient ischemic attack (TIA) is considered a significant predictor of future stroke which carries a high risk of disability (Giles & Rothwell, 2007; Rothwell et al., 2005). For example, one third of TIA survivors are more than likely to experience an ischemic stroke within the following year. Moreover, reports show that from all the patients with a stroke history, fifteen percent of the patients had a TIA before stroke, with stroke outcomes (e.g., severity of permanent disability) being more detrimental for stroke survivors who had a TIA prior to the onset of the ischemic stroke (Hoshino, Mizuno, Shimizu, & Uchiyama, 2013; Stroke association, 2018).\n There are multiple factors facilitating the risk of stroke, such as delay in seeking medical treatment, illness representations, maladaptive coping behaviours and non-adherence to treatment (AlShaikh, Quinn, Dunn, Walters, & Dawson, 2016). Non-adherence to secondary preventative behaviours following TIA is associated with permanent disability caused by ischemic stroke (Jackson, Moshinsky & Begg, 2009), which results in a total societal cost of 8.9 billion pounds per year (Saka et al., 2009). This risk and cost can be significantly reduced by adherence to secondary preventative behaviours (e.g., medication adherence, healthy diet, exercise, quit smoking), (NICE, 2018), as adherence to these behaviours can result in a total 80% reduction in the risk of stroke recurrence. Despite this, such behaviours have been reported to be sub-optimal among stroke and TIA survivors (Chambers et al., 2011), with proximal contributing factors identified to be illness perceptions and the maladaptive emotional processes (i.e., negative emotional representations, maladaptive emotion regulation, anxiety, depression, post-traumatic stress disorder [PTSD], post-traumatic stress symptoms [PTSS]), (Hagger & Orbell, 2003). \nTherefore, this research project aims to investigate the effects of the emotional processes (i.e., negative emotional representations, maladaptive emotion regulation, anxiety, depression, post-traumatic stress disorder [PTSD], post-traumatic stress symptoms [PTSS]), via the mediation of coping strategies (i.e., problem-solving; avoidant), on primary adherence outcomes (i.e., medication adherence) and secondary adherence outcomes (i.e., diet, physical activity, alcohol, smoking), separately. Then, the relationship between the emotional processes and illness outcomes (i.e., recurrence rates of TIA) and quality of life among TIA individuals will be explored. This research study is expected to last approximately 3 months and the participants will complete a postal survey. \n
REC name
North of Scotland Research Ethics Committee 1
REC reference
19/NS/0091
Date of REC Opinion
3 Jun 2019
REC opinion
Favourable Opinion