Blood Pressure, High, Stroke
Conditions
Keywords
Telehealth, Digital Health, Remote Device Monitoring, Health Disparities, Afro-Caribbean
Brief summary
A community-academic partnership composed of a State University of New York (SUNY) Downstate Health Sciences University inter-disciplinary team of scientists (representing public health, medical informatics, vascular neurology/stroke center) and the Digital Equity Community Advisory Board (DECA) will guide our research. This is an NIH R21 pilot study. Our Specific Aims are designed to inform the sample design and research priorities for a larger NIH R01 experimental study and to serve as a platform for similar studies with other health conditions. We propose a mixed-methods study design with the following aims: 1. Assess and build setting, community, and user fit of DESA, leveraging qualitative methods and simulation telehealth encounters between the patient and neurologist. 2. Conduct a 9-month pilot randomized control trial (RCT) of DESA in a Central Brooklyn stroke population to examine the feasibility and preliminary efficacy. We will randomize 50 adults to DESA and 30 to usual care. The primary outcome will be BP control. Secondary outcomes include the number of BP measurements and medication compliance. Our primary hypothesis is that patients randomized to the DESA will significantly reduce systolic blood pressure at 9 months. 3. Examine barriers and facilitators to the adoption and integration of DESA into routine stroke care utilizing key informant interviews and user satisfaction surveys with neurologists and intervention participants.
Interventions
BEHAVIORALDESA
Intervention group is monitored via remote bp monitoring and telehealth device.
Sponsors
State University of New York - Downstate Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* African American or Afro-Caribbean * 18 years or over * Experienced a stroke in the last 6 years * A score between 2 and 4 on the Modified Rankin Scale2 * Has a formal or informal caregiver (e.g., relative, health aide or other) to assist them in activities of daily living * Has a primary care physician at University Hospital of Brooklyn (UHB)
Exclusion criteria
* Mental illness (severe depression) * dementia * Non-English speakers * aphasia * severe dysarthria (slurred speech/impediment)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood Pressure Change | 9 months | Blood Pressure (Systolic and Diastolic) will be recorded by telehealth device daily |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Blood Pressure readings/week | 9 months | Blood Pressure (Systolic and Diastolic) will be recorded by telehealth device daily, so days measured are received from this. |
| Medication Adherence | 9 months | Measured by medication adherence survey, at beginning, midpoint, and endpoint of time frame. |
Countries
United States
Contacts
Primary ContactAimee Afable, PhD, Mph
Outcome results
None listed