The results of this study confirm the need for
improvement in risk factor management in secondary
stroke prevention patients. The integration of three simple
admission screening tests into routine SPC assessment and
health promotion planning will identify patients who are
at increased risk of not meeting key risk management
targets. The recognition of the role of cognition, selfefficacy
and self-reported adherence in influencing secondary
stroke prevention outcomes has potential to
identify those patients at highest risk, improve case
management, ensure the best use of resources, and reduce
stroke risk.