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Updated: Jul 11, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Physician-reported readiness to change stroke prevention practices.

L B Goldstein¹, S J Cohen, D B Matchar

¹Center for Clinical Health Policy Research, Duke University, Durham, NC, USA.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association

|September 27, 2007

Summary

Physician readiness to adopt new stroke prevention methods varies by patient type and specialty. Understanding these factors is key to improving stroke care through targeted educational interventions.

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Last Updated: Jul 11, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Area of Science:

Medical Education
Clinical Practice Implementation
Stroke Prevention

Background:

Implementing new treatment modalities into clinical practice faces several impediments.
Physician motivation and readiness to change are critical factors for successful intervention adoption.

Purpose of the Study:

To assess physician readiness to change screening and treatment practices for stroke prevention.
To identify factors influencing physician adoption of new stroke prevention strategies.

Main Methods:

A national survey of physicians across various specialties in the United States was conducted.
Physicians reported their comfort level, consideration of change, and expectation of change for eight hypothetical high-stroke-risk patient scenarios.

Main Results:

Physician readiness to change varied significantly based on the specific patient profile and medical specialty.
No significant variation in readiness to change was observed with other physician or practice characteristics.
Specialty and patient type are key determinants of physician willingness to alter stroke prevention practices.

Conclusions:

Physician readiness to change is a complex issue influenced by patient specifics and specialty.
Targeted educational efforts and interventions are needed to improve stroke prevention, considering physician readiness.
Integrating knowledge of physician readiness with practice data can enhance the effectiveness of stroke prevention initiatives.