Ischemic Stroke, Transient Ischemic Attack
Conditions
Keywords
chronic care model, stroke prevention, health services research
Brief summary
The purpose of this study is to determine whether an outpatient program can reduce the risk of recurrent stroke.
Detailed description
Stroke is a major cause of death and disability. A history of stroke is the strongest predictor of a future stroke. Control of risk factors lowers the risk of future stroke, yet most persons with stroke do not have their risk factors controlled. In this randomized-controlled trial, we will test whether an outpatient stroke prevention program consisting of group clinics, patient self-management, and telephone care coordination can lower the risk of recurrent stroke by improving patient knowledge, medication adherence, and lifestyle habits. If successful, this program may be adapted to other settings.
Interventions
OTHERStroke prevention care program
Stroke prevention care program consists of group clinics, telephone coordination of care, and tracking of care through registries in the first 7 months after stroke or TIA presentation. A nurse practitioner will follow algorithms to adjust medications and to motivate patients to improve lifestyle habits.
Sponsors
National Institute of Neurological Disorders and Stroke (NINDS)
Sepulveda Research Corporation
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* ischemic stroke within the past 30 days * transient ischemic attack within the past 30 days * person receiving care at VA Long Beach Healthcare System
Exclusion criteria
* unable to understand informed consent * already enrolled in another research study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Blood pressure control | baseline, 3 months, 7 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| patient perceptions of care quality | baseline, 3 months, 7 months | — |
| medication adherence | baseline, 3 months, 7 months | — |
| control of other stroke risk factors including lipids, smoking, and exercise | baseline, 3 months, 7 months | — |
| Stroke knowledge | baseline, 3 months, 7 months | Open ended questions about the warning signs about stroke. Open ended questions about the risk factors of stroke. These questions evaluate the effectiveness of the didactic portion of the group sessions. |
Countries
United States
Outcome results
None listed