Barriers and Facilitators in Secondary Stroke Prevention Among Older Adults: An International Systematic Review of Randomized Controlled Trials

Myrto Pyrrou, Anna Tsiakiri, Konstantinos Vadikolias, Hariklia Proios, José María Ramírez Moreno · 2025

Read Barriers and Facilitators in Secondary Stroke Prevention Among Older Adults: An International Systematic Review of Randomized Controlled Trials by Myrto Pyrrou, Anna Tsiakiri, Konstantinos Vadikolias, Hariklia Proios, José María Ramírez Moreno (2025) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-12733088.txt.

Description

Myrto Pyrrou and co-authors review stroke prevention trials in a 2025 paper on older adults. After a first stroke, steady prevention is the core of recovery, yet many patients drift from their plans. The team gathered randomized trials of programs meant to keep prevention on track past age sixty.

Seventeen trials with about seventeen thousand people qualified. Programs that combined medicine management with teaching, exercise, brain rehab, and digital support improved adherence, risk control, and quality of life most reliably. Drugs alone gave weak or short-lived gains. Low motivation, fading memory, and tech hurdles were common barriers. Personal teaching and team-based follow-up helped most. The authors urge programs built around the patient's daily life, not just prescriptions.

Catalog record

CREATORMyrto Pyrrou, Anna Tsiakiri, Konstantinos Vadikolias, Hariklia Proios, José María Ramírez Moreno
YEAR2025
COLLECTIONPAPERS
FORMATTXT
FILE SIZE75 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC12733088

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