Delay in seeking medical help following Transient Ischemic Attack (TIA) or "mini-stroke": a qualitative study
Prompt treatment following Transient Ischemic Attack (TIA) can reduce the risk of subsequent stroke and disability. However, many patients delay in making contact with medical services. This study aimed to explore TIA patients' accounts of delay between symptom onset and contacting medical serv...
Gespeichert in:
| Veröffentlicht in: | PloS one 2014-08, Vol.9 (8), p.e104434-e104434 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e104434 |
|---|---|
| container_issue | 8 |
| container_start_page | e104434 |
| container_title | PloS one |
| container_volume | 9 |
| creator | Mc Sharry, Jennifer Baxter, Alison Wallace, Louise M Kenton, Anthony Turner, Andrew French, David P |
| description | Prompt treatment following Transient Ischemic Attack (TIA) can reduce the risk of subsequent stroke and disability. However, many patients delay in making contact with medical services. This study aimed to explore TIA patients' accounts of delay between symptom onset and contacting medical services including how decisions to contact services were made and the factors discussed in relation to delay.
Twenty interviews were conducted with TIA patients in England. Using a previous systematic review as an initial framework, interview data were organised into categories of symptom recognition, presence of others and type of care sought. A thematic analysis was then conducted to explore descriptions of care-seeking relevant to each category.
Delay in contacting medical services varied from less than an hour to eight days. Awareness of typical stroke symptoms could lead to urgent action when more severe TIA symptoms were present but could lead to delay when experienced symptoms were less severe. The role of friends and family varied widely from deciding on and enacting care-seeking decisions to simply providing transport to the GP practice. When family or friends played a greater role, and both made and enacted care-seeking decisions, delays were often shorter, even when patients themselves failed to identify symptoms. Healthcare professionals also impacted on patients' care-seeking with greater delays in seeking further care for the same episode described when patients perceived a lack of urgency during initial healthcare interactions.
This study provides new information on patients' decisions to contact medical services following TIA and identifies overlapping factors that can lead to delay in receiving appropriate treatment. While recognition of symptoms may contribute to delay in contacting medical services, additional factors, including full responsibility being taken by others and initial healthcare interactions, can over-ride or undermine the importance of patients' own identification of TIA. |
| doi_str_mv | 10.1371/journal.pone.0104434 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_1554512795</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A418138407</galeid><doaj_id>oai_doaj_org_article_7b848231ec144095b9c0018fdc5bdda4</doaj_id><sourcerecordid>A418138407</sourcerecordid><originalsourceid>FETCH-LOGICAL-c593t-35fcfc7604ed844a70aa6406de8f0102943366d989b52abea6f2ad0648d8c8a63</originalsourceid><addsrcrecordid>eNptUl1v0zAUjRCIjcI_QGCNl_HQYscfdfaAVI2vSpN4Kc_Wje20bp24i5Oh_nucNZtWNPnB1vW55_ocnyx7T_CM0Dn5sg1924Cf7UNjZ5hgxih7kZ2TguZTkWP68sn5LHsT4xZjTqUQr7OznA8Ukp9n9Tfr4YBcg6K1O9esUW2N0-DRxvo9qoL34e9QXrXQRGebDi2j3tjaabToOtA7dLlaLj6j0KKL2jVuGrs27OzFFQJ024N3HXTuzqLY9ebwNntVgY_23bhPsj8_vq-uf01vfv9cXi9uppoXtJtSXulKzwVm1kjGYI4BBMPCWFklpXnBKBXCFLIoeQ6lBVHlYLBg0kgtQdBJ9vHIu_chqtGpqAjnjJN8XvCEWB4RJsBW7VtXQ3tQAZy6L4R2raDtnPZWzUvJZE6J1YQxXPCy0BgTWRnNS2OAJa6v47S-TO7pZFIL_oT09KZxG7UOd4oRKrGgieByJGjDbW9jp2oXtfUeGhv6-3dzkVOezJlkn_6DPq9uRK0hCXBNFdJcPZCqBSMyjWV4nlCzZ1BpmeF7U6wql-onDezYoNsQY2urR40EqyFRD49RQyjVGMrU9uGpP49NDymk_wAAb93c</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1554512795</pqid></control><display><type>article</type><title>Delay in seeking medical help following Transient Ischemic Attack (TIA) or "mini-stroke": a qualitative study</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Public Library of Science (PLoS)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Mc Sharry, Jennifer ; Baxter, Alison ; Wallace, Louise M ; Kenton, Anthony ; Turner, Andrew ; French, David P</creator><contributor>Ozakinci, Gozde</contributor><creatorcontrib>Mc Sharry, Jennifer ; Baxter, Alison ; Wallace, Louise M ; Kenton, Anthony ; Turner, Andrew ; French, David P ; Ozakinci, Gozde</creatorcontrib><description>Prompt treatment following Transient Ischemic Attack (TIA) can reduce the risk of subsequent stroke and disability. However, many patients delay in making contact with medical services. This study aimed to explore TIA patients' accounts of delay between symptom onset and contacting medical services including how decisions to contact services were made and the factors discussed in relation to delay.
Twenty interviews were conducted with TIA patients in England. Using a previous systematic review as an initial framework, interview data were organised into categories of symptom recognition, presence of others and type of care sought. A thematic analysis was then conducted to explore descriptions of care-seeking relevant to each category.
Delay in contacting medical services varied from less than an hour to eight days. Awareness of typical stroke symptoms could lead to urgent action when more severe TIA symptoms were present but could lead to delay when experienced symptoms were less severe. The role of friends and family varied widely from deciding on and enacting care-seeking decisions to simply providing transport to the GP practice. When family or friends played a greater role, and both made and enacted care-seeking decisions, delays were often shorter, even when patients themselves failed to identify symptoms. Healthcare professionals also impacted on patients' care-seeking with greater delays in seeking further care for the same episode described when patients perceived a lack of urgency during initial healthcare interactions.
This study provides new information on patients' decisions to contact medical services following TIA and identifies overlapping factors that can lead to delay in receiving appropriate treatment. While recognition of symptoms may contribute to delay in contacting medical services, additional factors, including full responsibility being taken by others and initial healthcare interactions, can over-ride or undermine the importance of patients' own identification of TIA.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0104434</identifier><identifier>PMID: 25137185</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aged ; Aged, 80 and over ; Analysis ; Awareness ; Biology and Life Sciences ; Cancer ; Decisions ; Delay ; Delayed Diagnosis ; England ; Female ; Health care ; Health Knowledge, Attitudes, Practice ; Health psychology ; Health risks ; Health services ; Heart attacks ; Hospitals ; Humans ; Illnesses ; Ischemia ; Ischemic Attack, Transient - diagnosis ; Ischemic Attack, Transient - physiopathology ; Ischemic Attack, Transient - psychology ; Lifestyles ; Male ; Medical personnel ; Medicine and Health Sciences ; Middle Aged ; Patient Acceptance of Health Care - psychology ; Patient Acceptance of Health Care - statistics & numerical data ; Patients ; Qualitative Research ; Recognition ; Research and Analysis Methods ; Risk ; Risk reduction ; Stroke ; Studies ; Systematic review ; Time Factors ; Transient ischemic attack</subject><ispartof>PloS one, 2014-08, Vol.9 (8), p.e104434-e104434</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Mc Sharry et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Mc Sharry et al 2014 Mc Sharry et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c593t-35fcfc7604ed844a70aa6406de8f0102943366d989b52abea6f2ad0648d8c8a63</citedby><cites>FETCH-LOGICAL-c593t-35fcfc7604ed844a70aa6406de8f0102943366d989b52abea6f2ad0648d8c8a63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4138063/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4138063/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23865,27923,27924,53790,53792,79371,79372</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25137185$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Ozakinci, Gozde</contributor><creatorcontrib>Mc Sharry, Jennifer</creatorcontrib><creatorcontrib>Baxter, Alison</creatorcontrib><creatorcontrib>Wallace, Louise M</creatorcontrib><creatorcontrib>Kenton, Anthony</creatorcontrib><creatorcontrib>Turner, Andrew</creatorcontrib><creatorcontrib>French, David P</creatorcontrib><title>Delay in seeking medical help following Transient Ischemic Attack (TIA) or "mini-stroke": a qualitative study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Prompt treatment following Transient Ischemic Attack (TIA) can reduce the risk of subsequent stroke and disability. However, many patients delay in making contact with medical services. This study aimed to explore TIA patients' accounts of delay between symptom onset and contacting medical services including how decisions to contact services were made and the factors discussed in relation to delay.
Twenty interviews were conducted with TIA patients in England. Using a previous systematic review as an initial framework, interview data were organised into categories of symptom recognition, presence of others and type of care sought. A thematic analysis was then conducted to explore descriptions of care-seeking relevant to each category.
Delay in contacting medical services varied from less than an hour to eight days. Awareness of typical stroke symptoms could lead to urgent action when more severe TIA symptoms were present but could lead to delay when experienced symptoms were less severe. The role of friends and family varied widely from deciding on and enacting care-seeking decisions to simply providing transport to the GP practice. When family or friends played a greater role, and both made and enacted care-seeking decisions, delays were often shorter, even when patients themselves failed to identify symptoms. Healthcare professionals also impacted on patients' care-seeking with greater delays in seeking further care for the same episode described when patients perceived a lack of urgency during initial healthcare interactions.
This study provides new information on patients' decisions to contact medical services following TIA and identifies overlapping factors that can lead to delay in receiving appropriate treatment. While recognition of symptoms may contribute to delay in contacting medical services, additional factors, including full responsibility being taken by others and initial healthcare interactions, can over-ride or undermine the importance of patients' own identification of TIA.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Awareness</subject><subject>Biology and Life Sciences</subject><subject>Cancer</subject><subject>Decisions</subject><subject>Delay</subject><subject>Delayed Diagnosis</subject><subject>England</subject><subject>Female</subject><subject>Health care</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health psychology</subject><subject>Health risks</subject><subject>Health services</subject><subject>Heart attacks</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Ischemia</subject><subject>Ischemic Attack, Transient - diagnosis</subject><subject>Ischemic Attack, Transient - physiopathology</subject><subject>Ischemic Attack, Transient - psychology</subject><subject>Lifestyles</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Patients</subject><subject>Qualitative Research</subject><subject>Recognition</subject><subject>Research and Analysis Methods</subject><subject>Risk</subject><subject>Risk reduction</subject><subject>Stroke</subject><subject>Studies</subject><subject>Systematic review</subject><subject>Time Factors</subject><subject>Transient ischemic attack</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNptUl1v0zAUjRCIjcI_QGCNl_HQYscfdfaAVI2vSpN4Kc_Wje20bp24i5Oh_nucNZtWNPnB1vW55_ocnyx7T_CM0Dn5sg1924Cf7UNjZ5hgxih7kZ2TguZTkWP68sn5LHsT4xZjTqUQr7OznA8Ukp9n9Tfr4YBcg6K1O9esUW2N0-DRxvo9qoL34e9QXrXQRGebDi2j3tjaabToOtA7dLlaLj6j0KKL2jVuGrs27OzFFQJ024N3HXTuzqLY9ebwNntVgY_23bhPsj8_vq-uf01vfv9cXi9uppoXtJtSXulKzwVm1kjGYI4BBMPCWFklpXnBKBXCFLIoeQ6lBVHlYLBg0kgtQdBJ9vHIu_chqtGpqAjnjJN8XvCEWB4RJsBW7VtXQ3tQAZy6L4R2raDtnPZWzUvJZE6J1YQxXPCy0BgTWRnNS2OAJa6v47S-TO7pZFIL_oT09KZxG7UOd4oRKrGgieByJGjDbW9jp2oXtfUeGhv6-3dzkVOezJlkn_6DPq9uRK0hCXBNFdJcPZCqBSMyjWV4nlCzZ1BpmeF7U6wql-onDezYoNsQY2urR40EqyFRD49RQyjVGMrU9uGpP49NDymk_wAAb93c</recordid><startdate>20140819</startdate><enddate>20140819</enddate><creator>Mc Sharry, Jennifer</creator><creator>Baxter, Alison</creator><creator>Wallace, Louise M</creator><creator>Kenton, Anthony</creator><creator>Turner, Andrew</creator><creator>French, David P</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20140819</creationdate><title>Delay in seeking medical help following Transient Ischemic Attack (TIA) or "mini-stroke": a qualitative study</title><author>Mc Sharry, Jennifer ; Baxter, Alison ; Wallace, Louise M ; Kenton, Anthony ; Turner, Andrew ; French, David P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c593t-35fcfc7604ed844a70aa6406de8f0102943366d989b52abea6f2ad0648d8c8a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis</topic><topic>Awareness</topic><topic>Biology and Life Sciences</topic><topic>Cancer</topic><topic>Decisions</topic><topic>Delay</topic><topic>Delayed Diagnosis</topic><topic>England</topic><topic>Female</topic><topic>Health care</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health psychology</topic><topic>Health risks</topic><topic>Health services</topic><topic>Heart attacks</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Ischemia</topic><topic>Ischemic Attack, Transient - diagnosis</topic><topic>Ischemic Attack, Transient - physiopathology</topic><topic>Ischemic Attack, Transient - psychology</topic><topic>Lifestyles</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medicine and Health Sciences</topic><topic>Middle Aged</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Patients</topic><topic>Qualitative Research</topic><topic>Recognition</topic><topic>Research and Analysis Methods</topic><topic>Risk</topic><topic>Risk reduction</topic><topic>Stroke</topic><topic>Studies</topic><topic>Systematic review</topic><topic>Time Factors</topic><topic>Transient ischemic attack</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mc Sharry, Jennifer</creatorcontrib><creatorcontrib>Baxter, Alison</creatorcontrib><creatorcontrib>Wallace, Louise M</creatorcontrib><creatorcontrib>Kenton, Anthony</creatorcontrib><creatorcontrib>Turner, Andrew</creatorcontrib><creatorcontrib>French, David P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection (ProQuest)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mc Sharry, Jennifer</au><au>Baxter, Alison</au><au>Wallace, Louise M</au><au>Kenton, Anthony</au><au>Turner, Andrew</au><au>French, David P</au><au>Ozakinci, Gozde</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delay in seeking medical help following Transient Ischemic Attack (TIA) or "mini-stroke": a qualitative study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-08-19</date><risdate>2014</risdate><volume>9</volume><issue>8</issue><spage>e104434</spage><epage>e104434</epage><pages>e104434-e104434</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Prompt treatment following Transient Ischemic Attack (TIA) can reduce the risk of subsequent stroke and disability. However, many patients delay in making contact with medical services. This study aimed to explore TIA patients' accounts of delay between symptom onset and contacting medical services including how decisions to contact services were made and the factors discussed in relation to delay.
Twenty interviews were conducted with TIA patients in England. Using a previous systematic review as an initial framework, interview data were organised into categories of symptom recognition, presence of others and type of care sought. A thematic analysis was then conducted to explore descriptions of care-seeking relevant to each category.
Delay in contacting medical services varied from less than an hour to eight days. Awareness of typical stroke symptoms could lead to urgent action when more severe TIA symptoms were present but could lead to delay when experienced symptoms were less severe. The role of friends and family varied widely from deciding on and enacting care-seeking decisions to simply providing transport to the GP practice. When family or friends played a greater role, and both made and enacted care-seeking decisions, delays were often shorter, even when patients themselves failed to identify symptoms. Healthcare professionals also impacted on patients' care-seeking with greater delays in seeking further care for the same episode described when patients perceived a lack of urgency during initial healthcare interactions.
This study provides new information on patients' decisions to contact medical services following TIA and identifies overlapping factors that can lead to delay in receiving appropriate treatment. While recognition of symptoms may contribute to delay in contacting medical services, additional factors, including full responsibility being taken by others and initial healthcare interactions, can over-ride or undermine the importance of patients' own identification of TIA.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25137185</pmid><doi>10.1371/journal.pone.0104434</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2014-08, Vol.9 (8), p.e104434-e104434 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1554512795 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Aged Aged, 80 and over Analysis Awareness Biology and Life Sciences Cancer Decisions Delay Delayed Diagnosis England Female Health care Health Knowledge, Attitudes, Practice Health psychology Health risks Health services Heart attacks Hospitals Humans Illnesses Ischemia Ischemic Attack, Transient - diagnosis Ischemic Attack, Transient - physiopathology Ischemic Attack, Transient - psychology Lifestyles Male Medical personnel Medicine and Health Sciences Middle Aged Patient Acceptance of Health Care - psychology Patient Acceptance of Health Care - statistics & numerical data Patients Qualitative Research Recognition Research and Analysis Methods Risk Risk reduction Stroke Studies Systematic review Time Factors Transient ischemic attack |
| title | Delay in seeking medical help following Transient Ischemic Attack (TIA) or "mini-stroke": a qualitative study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-13T02%3A24%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Delay%20in%20seeking%20medical%20help%20following%20Transient%20Ischemic%20Attack%20(TIA)%20or%20%22mini-stroke%22:%20a%20qualitative%20study&rft.jtitle=PloS%20one&rft.au=Mc%20Sharry,%20Jennifer&rft.date=2014-08-19&rft.volume=9&rft.issue=8&rft.spage=e104434&rft.epage=e104434&rft.pages=e104434-e104434&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0104434&rft_dat=%3Cgale_plos_%3EA418138407%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1554512795&rft_id=info:pmid/25137185&rft_galeid=A418138407&rft_doaj_id=oai_doaj_org_article_7b848231ec144095b9c0018fdc5bdda4&rfr_iscdi=true |