Infographic. Developing home-based cardiac rehabilitation for people post-transient ischaemic attack (TIA) and ischaemic stroke

Abstract

Introduction
The value of cardiac rehabilitation (CR) after a transient ischaemic attack (TIA) or ‘minor’ stroke is untested despite these conditions sharing similar pathology and risk factors to coronary heart disease.1 Following a TIA and/or minor stroke, patients are at significant risk of further vascular events, particularly within the acute period.2

Aim
We therefore wanted to develop and test the feasibility of conducting a randomised controlled trial of a novel home-based rehabilitation programme,3 4 The Healthy Brain Rehabilitation Manual, with a pedometer and telephone follow-up from a health professional, for patients with a first TIA or minor stroke of atherosclerotic origin, using the core components of home-based CR.

Methods
The methodology that we used to develop this intervention included two systematic reviews5 6 of the literature, qualitative research and feasibility,3 and pilot studies4 of the intervention, following the Medical Research Council (MRC) guidelines for developing complex health service interventions.

Results
Systematic review 1
We found four studies of secondary prevention lifestyle interventions initiated within 90 days after TIA or minor stroke. Evidence regarding the effectiveness of these interventions was limited. In conclusion, evidence of the effectiveness of early post-TIA secondary prevention lifestyle interventions is limited.

Systematic review 2
Eleven studies of home-based CR were included; 20 different behaviour change techniques (BCTs) were identified.5 The most frequently used BCTs were social support (unspecified, 11 studies) and goal setting (behaviour, 10 studies).

Citation

Heron, N., Kee, F., Mant, J., Cupples, M. E., & Donnelly, M. (2020). Infographic. Developing home-based cardiac rehabilitation for people post-transient ischaemic attack (TIA) and ischaemic stroke. British Journal of Sports Medicine, 54(8), 487-488. https://doi.org/10.1136/bjsports-2019-100864

• Journal Article Type: Article
• Online Publication Date: Oct 24, 2019
• Publication Date: 2020-04
• Deposit Date: Jun 19, 2023
• Journal: British Journal of Sports Medicine
• Print ISSN: 0306-3674
• Electronic ISSN: 1473-0480
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• Volume: 54
• Issue: 8
• Pages: 487-488
• DOI: https://doi.org/10.1136/bjsports-2019-100864
• Keywords: Physical Therapy, Sports Therapy and Rehabilitation; Orthopedics and Sports Medicine; General Medicine