Experiences and attitudes of stroke survivors towards international travel health risks and benefits: A qualitative analysis

Abstract

Introduction

Cardiovascular disease is the leading cause of death in adult international travellers. Improved clinical outcomes of patients following acute stroke provide enhanced opportunities for stroke survivors to fulfil personal goals such as travel. This study aimed to describe the experiences of stroke survivors in relation to international travel health.

Methods

Semi-structured interviews were conducted with stroke survivors attending a rehabilitation programme. Interview data were collected under the headings of travel history, travel pattern, pretravel preparation, transportation, travel accommodation, activities, medications and comorbidities, perceived travel barriers and benefits. Coding and thematic analysis of transcribed interviews were conducted by two researchers.

Results

Twelve patients (five males) were interviewed, with a mean age of 62 ± 7.5 years and a mean of four years since their most recent stroke. Participants represented a range of stroke subtypes and disabilities, and all were able to mobilise independently. Ten participants had travelled since suffering their stroke. The principal themes emerging included: fear and anxiety towards travel; planning and preparation for travel; sources of travel-related support; negative travel experiences; and perceived benefits of travel.

Conclusions

Preparation of stroke patients for travel should include advice on reducing travel fatigue and air travel anxiety. Future studies should investigate the awareness of the travel industry regarding the challenges faced by people affected by stroke.