title: The Use of Qualitative Methods in Developing Implementation Strategies in Prevention Research for Stroke Survivors in Nigeria.
abstract: Implementing complex clinical interventions is a key challenge in many global regions. Local communities play a necessary role in enhancing feasibility and strengthening adaptive issues in the design and implementation of stroke interventions in developing countries. Drawing on the knowledge of physicians, patients, and caregivers, the authors employed qualitative methods as a phase 1 strategy to explore the challenges of stroke management and improve the adaptability and efficient delivery of a multimodal preventive intervention for secondary stroke disease in Nigeria. A total of 22 individual interviews were conducted with healthcare professionals, as well as 12 focus groups with patients and caregivers. Findings revealed four operational domains to improve strategies for phase 2 implementation and intervention: (1) barriers influencing optimal adherence in stroke survivors, (2) patient health beliefs and perceptions of patient health beliefs by others, (3) adoption of the "patient report card," and (4) "medical action plan" and family management strategies.
authors.affiliation: Department of Family Medicine and Public Health, University of California, San Diego, CA. shurst@ucsd.edu.
authors.forename: Samantha
authors.initials: S
authors.lastname: Hurst
authors.affiliation: Department of Health Promotion and Education, University of Ibadan, Ibadan, Nigeria.
authors.forename: Oyedunni
authors.initials: O
authors.lastname: Arulogun
authors.affiliation: Department of Medicine, University of Ibadan, Ibadan, Nigeria.
authors.forename: Mayowa O
authors.initials: MO
authors.lastname: Owolabi
authors.affiliation: Department of Medicine, Federal Medical Centre, Abeokuta, Nigeria.
authors.forename: Rufus O
authors.initials: RO
authors.lastname: Akinyemi
authors.affiliation: Department of Medicine, University of Ibadan, Ibadan, Nigeria.
authors.forename: Ezinne
authors.initials: E
authors.lastname: Uvere
authors.affiliation: Department of Neurosciences, Medical University of South Carolina, Charleston, SC.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Warth
authors.affiliation: Department of Medicine, University of Ibadan, Ibadan, Nigeria.
authors.forename: Gregory
authors.initials: G
authors.lastname: Fakunle
authors.affiliation: Department of Neurosciences, Medical University of South Carolina, Charleston, SC.
authors.forename: Bruce
authors.initials: B
authors.lastname: Ovbiagele
mesh_terms: D017028:Caregivers; D019468:Disease Management; D017144:Focus Groups; D006801:Humans; D009549:Nigeria / Q000453:epidemiology; D016730:Program Development / Q000379:methods; D036301:Qualitative Research; D020521:Stroke / Q000401:mortality / Q000517:prevention & control* / Q000523:psychology; D017741:Survivors