Witness response at acute onset of stroke: a qualitative theory-guided study.

<h4>Background</h4>Delay in calling emergency medical services following stroke limits access to early treatment that can reduce disability. Emergency medical services contact is mostly initiated by stroke witnesses (often relatives), rather than stroke patients. This study explored appr...

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Autores principales:	Stephan U Dombrowski, Falko F Sniehotta, Joan Mackintosh, Martin White, Helen Rodgers, Richard G Thomson, Madeleine J Murtagh, Gary A Ford, Martin P Eccles, Vera Araujo-Soares
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c8c9f600babb4990b67bb9e4137dfc0b
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spelling	oai:doaj.org-article:c8c9f600babb4990b67bb9e4137dfc0b2021-11-18T07:11:46ZWitness response at acute onset of stroke: a qualitative theory-guided study.1932-620310.1371/journal.pone.0039852https://doaj.org/article/c8c9f600babb4990b67bb9e4137dfc0b2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22911691/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Delay in calling emergency medical services following stroke limits access to early treatment that can reduce disability. Emergency medical services contact is mostly initiated by stroke witnesses (often relatives), rather than stroke patients. This study explored appraisal and behavioural factors that are potentially important in influencing witness behaviour in response to stroke.<h4>Methods and findings</h4>Semi-structured interviews with 26 stroke witnesses were transcribed and theory-guided content analysed was undertaken based on the Common Sense Self-Regulation Model (appraisal processes) and Theory Domains Framework (behavioural determinants). Response behaviours were often influenced by heuristics-guided appraisal (i.e. mental rules of thumb). Some witnesses described their responses to the situation as 'automatic' and 'instinctive', rather than products of deliberation. Potential behavioural influences included: environmental context and resources (e.g. time of day), social influence (e.g. prompts from patients) and beliefs about consequences (e.g. 999 accesses rapid help). Findings are based on retrospective accounts and need further verification in prospective studies.<h4>Conclusions</h4>Witnesses play a key role in patient access to emergency medical services. Factors that potentially influence witnesses' responses to stroke were identified and could inform behavioural interventions and future research. Interventions might benefit from linking automatic/instinctive threat perceptions with deliberate appraisal of stroke symptoms, prompting action to call emergency medical services.Stephan U DombrowskiFalko F SniehottaJoan MackintoshMartin WhiteHelen RodgersRichard G ThomsonMadeleine J MurtaghGary A FordMartin P EcclesVera Araujo-SoaresPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 7, p e39852 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Stephan U Dombrowski Falko F Sniehotta Joan Mackintosh Martin White Helen Rodgers Richard G Thomson Madeleine J Murtagh Gary A Ford Martin P Eccles Vera Araujo-Soares Witness response at acute onset of stroke: a qualitative theory-guided study.
description	<h4>Background</h4>Delay in calling emergency medical services following stroke limits access to early treatment that can reduce disability. Emergency medical services contact is mostly initiated by stroke witnesses (often relatives), rather than stroke patients. This study explored appraisal and behavioural factors that are potentially important in influencing witness behaviour in response to stroke.<h4>Methods and findings</h4>Semi-structured interviews with 26 stroke witnesses were transcribed and theory-guided content analysed was undertaken based on the Common Sense Self-Regulation Model (appraisal processes) and Theory Domains Framework (behavioural determinants). Response behaviours were often influenced by heuristics-guided appraisal (i.e. mental rules of thumb). Some witnesses described their responses to the situation as 'automatic' and 'instinctive', rather than products of deliberation. Potential behavioural influences included: environmental context and resources (e.g. time of day), social influence (e.g. prompts from patients) and beliefs about consequences (e.g. 999 accesses rapid help). Findings are based on retrospective accounts and need further verification in prospective studies.<h4>Conclusions</h4>Witnesses play a key role in patient access to emergency medical services. Factors that potentially influence witnesses' responses to stroke were identified and could inform behavioural interventions and future research. Interventions might benefit from linking automatic/instinctive threat perceptions with deliberate appraisal of stroke symptoms, prompting action to call emergency medical services.
format	article
author	Stephan U Dombrowski Falko F Sniehotta Joan Mackintosh Martin White Helen Rodgers Richard G Thomson Madeleine J Murtagh Gary A Ford Martin P Eccles Vera Araujo-Soares
author_facet	Stephan U Dombrowski Falko F Sniehotta Joan Mackintosh Martin White Helen Rodgers Richard G Thomson Madeleine J Murtagh Gary A Ford Martin P Eccles Vera Araujo-Soares
author_sort	Stephan U Dombrowski
title	Witness response at acute onset of stroke: a qualitative theory-guided study.
title_short	Witness response at acute onset of stroke: a qualitative theory-guided study.
title_full	Witness response at acute onset of stroke: a qualitative theory-guided study.
title_fullStr	Witness response at acute onset of stroke: a qualitative theory-guided study.
title_full_unstemmed	Witness response at acute onset of stroke: a qualitative theory-guided study.
title_sort	witness response at acute onset of stroke: a qualitative theory-guided study.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/c8c9f600babb4990b67bb9e4137dfc0b
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Witness response at acute onset of stroke: a qualitative theory-guided study.

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