TY - JOUR
T1 - Enhancing primary stroke prevention
T2 - a combination approach
AU - Bam, Kiran
AU - Olaiya, Muideen T.
AU - Cadilhac, Dominique A.
AU - Donnan, Geoffrey A.
AU - Murphy, Lisa
AU - Kilkenny, Monique F.
N1 - Funding Information:
KB received the Monash International Tuition Scholarship and Monash Graduate Scholarship support from Monash University (Melbourne, VIC, Australia). DAC received research fellowship support from the National Health and Medical Research Council of Australia (1154273). MFK received fellowship support from the National Heart Foundation of Australia (105737). No specific funding was received for this project.
Publisher Copyright:
© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license
PY - 2022/8
Y1 - 2022/8
N2 - Stroke can be prevented through effective management of risk factors. However, current primary stroke prevention approaches are insufficient and often fragmented. Primary stroke prevention strategies are predominantly targeted at behavioural (eg, smoking cessation and lifestyle modifications) and pharmacological interventions (ie, prevention medications). There is also a need to consider interrelating structural factors that support, or hinder, prevention actions and behaviours of individuals. Without addressing these structural factors, it is impossible to maximise the benefits of behavioural and pharmacological interventions at the population level. We propose a tripartite approach to primary stroke prevention, comprising behavioural, pharmacological, and structural interventions, which is superimposed on the socioecological model. This approach could minimise the current fragmentation and inefficiency of primary stroke prevention.
AB - Stroke can be prevented through effective management of risk factors. However, current primary stroke prevention approaches are insufficient and often fragmented. Primary stroke prevention strategies are predominantly targeted at behavioural (eg, smoking cessation and lifestyle modifications) and pharmacological interventions (ie, prevention medications). There is also a need to consider interrelating structural factors that support, or hinder, prevention actions and behaviours of individuals. Without addressing these structural factors, it is impossible to maximise the benefits of behavioural and pharmacological interventions at the population level. We propose a tripartite approach to primary stroke prevention, comprising behavioural, pharmacological, and structural interventions, which is superimposed on the socioecological model. This approach could minimise the current fragmentation and inefficiency of primary stroke prevention.
UR - http://www.scopus.com/inward/record.url?scp=85134935881&partnerID=8YFLogxK
U2 - 10.1016/S2468-2667(22)00156-6
DO - 10.1016/S2468-2667(22)00156-6
M3 - Review Article
C2 - 35907423
AN - SCOPUS:85134935881
SN - 2468-2667
VL - 7
SP - e721-e724
JO - The Lancet Public Health
JF - The Lancet Public Health
IS - 8
ER -