Table 4.

Summary of emergent themes from the needs assessment

Interview Topics	Supporting Themes	Indy N = 28	Houston N = 19
Current Provider Roles	Current roles of the provider to prevent a second stroke	81%	94%
	Working with or referring to other professionals or VA programs to prevent a second stroke	54%	66%
	Working with the patient, family, or caregiver to prevent a second stroke	15%	22%
Barriers and Supports to Secondary Stroke Risk Factor Management	Patient adherence/motivation/or set in their ways	85%	83%
	Provider lacks the knowledge or training to assist in secondary stroke risk factor management	8%	22%
	Level of support from the administration (barrier/support)	65%/15%	22%/41%
	Other: factors and characteristics such as poor adherence, decreased motivation, patients not wanting to change, and patients not taking responsibility for their self, depression, cognition, stroke severity, reading/education level, family relationships	42%	56%
	Patient lacks the cognition, education, knowledge, training, comfort to assist with prevention of a second stroke	38%	39%
	Patient transportation	0%	39%
Suggestions on how to Enhance Secondary Stroke Risk Factor Management Throughout the Continuum of Care	Desired resources: staff/provider education, handouts and pamphlets, standard training and discharge list, videos, support groups	93%	70%
	Training about what resources are available in the VA system, how to refer	38%	41%
	Timing of stroke risk factor management is important	30%	41%
	Other: important aspects of care: empowerment and encouragement of the patient, blood pressure machines, increased time with patient specifically for secondary stroke prevention information and training, and time to work with the family.	38%	65%