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International research priority setting exercises in stroke: A systematic review.
Stephanie Leitch1, Monica Logan1, Lucy Beishon2
1Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.
Summary
Formal priority-setting exercises help focus stroke research. This review found rehabilitation, psychological recovery, and caregiver support are key research themes, though methods and inclusivity need improvement for future studies.
Area of Science:
- Neuroscience and Public Health
- Health Services Research
Background:
- Establishing research priorities is crucial for efficient allocation of stroke research resources.
- Previous stroke research priority-setting exercises exist, but a consolidated understanding of common themes and methodologies is lacking.
Approach:
- A systematic literature search identified 14 published stroke research priority-setting studies from 2000-2021.
- Priorities were extracted, coded, and categorized using thematic analysis, with methodological quality assessed.
- The James Lind Alliance method was the most frequently employed prioritization technique.
Key Points:
- Rehabilitation, psychological recovery, and caregiver support emerged as the most common research priority themes.
- Exercises were predominantly conducted in high-income countries, with under-representation of caregivers.
- Methodological and reporting quality varied, with common limitations in inclusiveness and evaluation.
Conclusions:
- Stroke research priorities are dynamic and context-dependent, with a recurring emphasis on post-stroke life.
- Future priority-setting initiatives should enhance inclusivity, particularly for non-industrialized nations and diverse stroke survivor populations.
