Effectiveness of a Nurse-Led 4Ms-Based Educational Intervention on Stroke Risk Reduction and Health-Promoting Behaviors Among Older Adults

Effectiveness of a Nurse-Led Educational Intervention Based on the 4Ms Framework for Reducing Stroke Risk and Promoting Health-Promoting Lifestyle Behaviors Among Older Adults: A Randomized Controlled Trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

PACTR

Registry ID

PACTR202606898663018

Enrollment

170

Registered

2026-06-02

Start date

2024-01-03

Completion date

Unknown

Last updated

2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Circulatory System Nervous System Diseases

Interventions

Stroke Prevention Educational Program

Behavioral Educational Preventive Care

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Older adults aged 60 years and above • Presence of one or more modifiable stroke risk factors • Ability to communicate verbally in Arabic • Ability to participate in educational sessions and follow-up assessments • Agreement to participate and provide informed consent

Exclusion criteria

Exclusion criteria: • Severe cognitive impairment or diagnosed dementia • Severe hearing or visual impairment preventing participation • Acute medical instability requiring immediate hospitalization • History of severe psychiatric illness interfering with participation • Participation in another behavioral intervention study during the study period

Design outcomes

Primary

Measure	Time frame
Outcome Name: Revised Framingham Stroke Risk Profile (R-FSRP) Description: Change in Revised Framingham Stroke Risk Profile (R-FSRP) score from baseline to 16 weeks post-intervention to evaluate reduction in estimated 10-year stroke risk among older adults receiving the nurse-led 4Ms-based educational intervention.	—

Secondary

Measure	Time frame
Outcome Type: Secondary Outcome Outcome Name: Stroke Prevention Practices Description: Changes in stroke prevention knowledge and self-reported preventive health practices, including blood pressure monitoring, medication adherence, healthy diet, smoking reduction, and physical activity behaviors following the intervention.;Outcome Name: Stroke Prevention Practices Description: Changes in stroke prevention knowledge and self-reported preventive health practices, including blood pressure monitoring, medication adherence, healthy diet, smoking reduction, and physical activity behaviors following the intervention.	—

Measure

Time frame

Outcome Type: Secondary Outcome Outcome Name: Stroke Prevention Practices Description: Changes in stroke prevention knowledge and self-reported preventive health practices, including blood pressure monitoring, medication adherence, healthy diet, smoking reduction, and physical activity behaviors following the intervention.;Outcome Name: Stroke Prevention Practices Description: Changes in stroke prevention knowledge and self-reported preventive health practices, including blood pressure monitoring, medication adherence, healthy diet, smoking reduction, and physical activity behaviors following the intervention.

—

Countries

Egypt

Contacts

Public ContactRasha Fouad

College of Nursing Alexandria University College of Nursing King Saud bin Abdulaziz University for Health Sciences King Abdullah International Medical Research Center Saudi Arabia

Kamelr@ksau-hs.edu.sa00966563883395

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Sep 19, 2026