Physician-reported readiness to change stroke prevention practices

Larry B. Goldstein, Staurt J. Cohen, David B. Matchar, Arthur J. Bonito, Gregory P. Samsa

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


There are a series of possible impediments to the incorporation of new treatment modalities into clinical practice, and any intervention intended to alter practice must consider physicians' motivation and readiness to change. As part of a national survey in the United States, physicians from a variety of specialties were asked whether they were comfortable with, considering changing or expecting to make changes in their screening and treatment practices for a series of eight hypothetical patients at elevated risk of stroke. Readiness to change varied with the type of patient under consideration and with physician specialty, but not with a series of other physician and practice characteristics. Knowledge of physicians' states of readiness to change in combination with data relating to current practices and potential barriers to implementation should aid in targeting educational efforts and in the development of specific interventions to improve stroke prevention.

Original languageEnglish
Pages (from-to)358-363
Number of pages6
JournalJournal of Stroke and Cerebrovascular Diseases
Issue number5
StatePublished - Sep 1998

Bibliographical note

Funding Information:
Supported by Contract No. 282-91-0028 from the US Agency for Health Care Policy Research (Stroke Prevention PORT).


  • Atrial fibrillation
  • Education
  • Endarterectomy
  • Prevention
  • Stroke

ASJC Scopus subject areas

  • Surgery
  • Rehabilitation
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine


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