Evidence mapPaperPMID 40080521Full record

Trial reportPloS one2025

Structured follow-up pathway to address unmet needs after transient ischaemic attack and minor stroke (SUPPORT TIA): Feasibility study and process evaluation.

Grace M Turner, Melanie Calvert, Robbie Foy, Lou Atkins, Philip Collis, Sarah Tearne, Sue Jowett, Kelly Handley, Jonathan Mant

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Grace M TurnerSchool of Sport, Exercise and Rehabilitation Science, University of Birmingham, Birmingham, United Kingdom.ORCID https://orcid.org/0000-0002-9783-9413
Melanie CalvertSchool of Health Sciences, University of Birmingham, Birmingham, United Kingdom.ORCID https://orcid.org/0000-0002-1856-837X
Robbie FoyLeeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom.
Lou AtkinsCentre for Behaviour Change, University College London, London, United Kingdom.
Philip CollisPatient partner, United Kingdom.
Sarah TearneBirmingham Clinical Trials Unit, University of Birmingham, Birmingham, United Kingdom.
Sue JowettHealth Economics Unit, University of Birmingham, Birmingham, United Kingdom.
Kelly HandleyBirmingham Clinical Trials Unit, University of Birmingham, Birmingham, United Kingdom.
Jonathan MantDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.ORCID https://orcid.org/0000-0002-9531-0268

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCare following transient ischaemic attack (TIA) and minor stroke is variable and often leaves patients feeling abandoned and uncertain. We developed a theoretically-informed, multifaceted intervention which comprised nurse-led, structured follow-up at 4 weeks after TIA/minor stroke to identify and address patient needs. This study evaluated the feasibility and acceptability of both the intervention and procedures to inform a future randomised controlled trial.

methodWe conducted a multicentre, randomised feasibility study with mixed-methods process evaluation (ISRCTN registry reference: ISRCTN39864003). We collected patient reported outcome measures (PROMs) at 1, 12 and 24 weeks and clinical data at baseline and 24 weeks. The process evaluation comprised qualitative interviews with a sub-sample, feedback questionnaires, and observations of intervention delivery.

resultsWe recruited 54 patients over 12 months, achieving 90% of the target sample size (n = 60). PROMs return rates were 94.4% (51/54), 85.2% (46/54) and 71.1% (27/38) at 1, 12, and 24-weeks, respectively. Intervention fidelity was high and the intervention largely aligned with the theoretical underpinnings. The process evaluation illustrated how patients benefitted from the intervention through support they would not have received through usual care. This included direct referral or signposting to support services, information and education, actionable advice, and reassurance about and normalisation of recovery. The trial design was feasible and acceptable for both patients and clinicians.

conclusionNurse-led, structured follow-up after TIA and minor stroke is feasible, acceptable and valued by patients and clinicians. Our intervention can identify and help address unmet needs. A definitive randomised trial to evaluate intervention effectiveness and cost-effectiveness is feasible and acceptable.

Indexed as

AftercareIschemic Attack, TransientStrokeAgedFeasibility StudiesFemaleHumansMaleMiddle AgedPatient Reported Outcome Measures

Identifiers

PMID40080521
PMCPMC11906085

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.