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Viding numbers on AA men’s risk for stroke was also recommended: “You know, 80 of people who have a mini stroke, have a major stroke. I mean that’s a serious number right there and doctors don’t tell us that information. (Respondent P6) Scared Straight: Some of the men and their CPs felt that providers needed to be more aggressive in imparting information about stroke risk factors by: “Scaring us into doing the right thing and not doing the wrong thing. Show pictures of lungs of someone who smokes. Don’t sugar coat it!” (Respondent P8) Information on Medications: Encouraging physicians to provide more information on medications was a common recommendation: “The way I think you can help is when you prescribe medicines, explain what it is and what it’s supposed to do. Don’t just give them a whole bunch of pills and send them home and say take these. So what if I don’t take them, what’s it supposed to change?” (Respondent P5) Although verbal provider explanations about medications were important, there was agreement for the need to provide written information as well: “There needs to be a pamphlet that lists every single medication; what can go wrong, what can Pan-RAS-IN-1 solubility happen, what’s the symptoms?” (Respondent P3)Top Stroke Rehabil. Author manuscript; available in PMC 2016 June 01.Blixen et al.PageDISCUSSIONAA men and their CPs suggested 1,1-Dimethylbiguanide hydrochloride web facilitators to address the perceived barriers to post-stroke recovery that they had identified previously.16 They then made many practical for implementing these facilitators into strategies that would address post-stroke care and prevention practices. The men made it clear that there are many things they can do themselves to improve their health and reduce stroke risk. Across the set of helpful behaviors they emphasized the importance of taking responsibility for one’s health behaviors, including keeping medical appointments and knowing the ingredients and preparation style of foods they consume. Participants appreciated the support of family and friends, but felt that the healthcare system and health providers could do more to connect stroke survivors to available resources and to support and communicate with families in managing their lives after stroke. Based on our findings, we concur with previously published recommendations that interventions seeking to improve the health and illness self-management of racial and ethnic minorities should include a focus on health knowledge and problem-solving skills and on working with patients to identify their self-perceived best strategies for healthy living.24,25 Additionally, hearing “real life” stories from others who had experienced a stroke was an inspiring and affirming experience for our participants. They felt that involving AA stroke survivors as peer educators in post-stroke care could inspire others to take a more positive approach to their own recovery. According to Dennis,26 peers can be effective in empowering and motivating people with chronic diseases and, as someone who “has been there,” are able to normalize the illness experience, promote hope and belief in the possibility of recovery, and increase feelings of empowerment and self-esteem. Many of our key findings parallel those of prior qualitative work investigating hypertension management among AA.24,25 Participants in our study felt that knowing the causes of stroke was important for them to be able to take health care actions. Similarly, Obedegbe 25 found that knowing more about hypertension and h.Viding numbers on AA men’s risk for stroke was also recommended: “You know, 80 of people who have a mini stroke, have a major stroke. I mean that’s a serious number right there and doctors don’t tell us that information. (Respondent P6) Scared Straight: Some of the men and their CPs felt that providers needed to be more aggressive in imparting information about stroke risk factors by: “Scaring us into doing the right thing and not doing the wrong thing. Show pictures of lungs of someone who smokes. Don’t sugar coat it!” (Respondent P8) Information on Medications: Encouraging physicians to provide more information on medications was a common recommendation: “The way I think you can help is when you prescribe medicines, explain what it is and what it’s supposed to do. Don’t just give them a whole bunch of pills and send them home and say take these. So what if I don’t take them, what’s it supposed to change?” (Respondent P5) Although verbal provider explanations about medications were important, there was agreement for the need to provide written information as well: “There needs to be a pamphlet that lists every single medication; what can go wrong, what can happen, what’s the symptoms?” (Respondent P3)Top Stroke Rehabil. Author manuscript; available in PMC 2016 June 01.Blixen et al.PageDISCUSSIONAA men and their CPs suggested facilitators to address the perceived barriers to post-stroke recovery that they had identified previously.16 They then made many practical for implementing these facilitators into strategies that would address post-stroke care and prevention practices. The men made it clear that there are many things they can do themselves to improve their health and reduce stroke risk. Across the set of helpful behaviors they emphasized the importance of taking responsibility for one’s health behaviors, including keeping medical appointments and knowing the ingredients and preparation style of foods they consume. Participants appreciated the support of family and friends, but felt that the healthcare system and health providers could do more to connect stroke survivors to available resources and to support and communicate with families in managing their lives after stroke. Based on our findings, we concur with previously published recommendations that interventions seeking to improve the health and illness self-management of racial and ethnic minorities should include a focus on health knowledge and problem-solving skills and on working with patients to identify their self-perceived best strategies for healthy living.24,25 Additionally, hearing “real life” stories from others who had experienced a stroke was an inspiring and affirming experience for our participants. They felt that involving AA stroke survivors as peer educators in post-stroke care could inspire others to take a more positive approach to their own recovery. According to Dennis,26 peers can be effective in empowering and motivating people with chronic diseases and, as someone who “has been there,” are able to normalize the illness experience, promote hope and belief in the possibility of recovery, and increase feelings of empowerment and self-esteem. Many of our key findings parallel those of prior qualitative work investigating hypertension management among AA.24,25 Participants in our study felt that knowing the causes of stroke was important for them to be able to take health care actions. Similarly, Obedegbe 25 found that knowing more about hypertension and h.

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Author: heme -oxygenase