Using intervention mapping to develop and adapt a secondary stroke prevention program in Veterans Health Administration medical centers

Arlene A. Schmid, Jane Andersen, Thomas Kent, Linda S. Williams, Teresa M. Damush

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Secondary stroke prevention is championed by the stroke guidelines; however, it is rarely systematically delivered. We sought to develop a locally tailored, evidence-based secondary stroke prevention program. The purpose of this paper was to apply intervention mapping (IM) to develop our locally tailored stroke prevention program and implementation plan. We completed a needs assessment and the five Steps of IM. The needs assessment included semi-structured interviews of 45 providers; 26 in Indianapolis and 19 in Houston. We queried frontline clinical providers of stroke care using structured interviews on the following topics: current provider practices in secondary stroke risk factor management; barriers and needs to support risk factor management; and suggestions on how to enhance secondary stroke risk factor management throughout the continuum of care. We then describe how we incorporated each of the five Steps of IM to develop locally tailored programs at two sites that will be evaluated through surveys for patient outcomes, and medical records chart abstraction for processes of care.

Original languageEnglish (US)
Article number97
JournalImplementation Science
Volume5
Issue number1
DOIs
StatePublished - Dec 15 2010

ASJC Scopus subject areas

  • Health Policy
  • Health Informatics
  • Public Health, Environmental and Occupational Health

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