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Table 2 Key elements of SSP: status in Stages 5 and 6

From: Stroke secondary prevention, a non-surgical and non-pharmacological consensus definition: results of a Delphi study

Key elementsRisk factorsEducationUnderpinning theory/approaches
Consented for inclusion—Stage 5 (n = 24)Physical inactivity, diet, current smoking, hypertension/blood pressure, cholesterol/blood lipidStroke risk factors, signs and symptoms of stroke, action to take if stroke is suspected, importance of adhering to medication prescription, physical activity, diet, smoking cessation, alcohol consumption, stress management, weight management, diabetes management, blood pressure management, medication adherence, emotional health, perceived psychosocial stress, self-management, self-efficacyPsychological theories of wellbeing; patient-centred/person-centredness
Consented for inclusion—Stage 6a (n = 14)Alcohol consumption, psychosocial factorsPrescription medications for stroke, work/life balance, anxiety, depression, goal setting, pacing, establishing networks, self-monitoringBehaviour change, implementation theory, self-management, ‘family’-centredness (caveat: definition of ‘family’ be explained, or terminology changed to represent its inclusive nature)
Consented for exclusion—Stage 6a (n = 3)Waist/hip ratio, blood sugar Family theory e.g. Calgary family assessment and Intervention model
Elements merged/removed after Stage 6a (n = 4) Exercise counselling (removed); stroke education (merged with ‘what is stroke’); goal prioritising (merged with ‘goal setting’Cognitive and emotional models for modification (merged with ‘Behaviour change theories’ to form ‘Cognitive, emotional and behaviour change models’)
Consented for inclusion—Stage 6b (n = 2) What is stroke, problem solving 
Consented for inclusion—Stage 6c (n = 2) Sleep, opportunities to practice new skills