In the United States, a stroke occurs approximately 800,000 individuals annually, accounting for a large population of severe long-term disabilities (Centers for Disease Control and Prevention [CDC], 2021). In the United States, 25% of all strokes, approximately 610,000, occur among those individuals who have already had a previous stroke, raising the risks of long-term disability (CDC, 2021). NORD (2020) reports stroke recurrence leads to poorer functional outcomes, quality of life, and increased incidence of mortality. Stroke recurrence affects a large population, so reducing secondary stroke is essential to reduce mortality and disability risks.