N/A Completed N=174 Randomized Double-blind Health Services Research

Adapting Tools to Implement Stroke Risk Management to Veterans

Stroke · Transient Ischemic Attack

Source: ClinicalTrials.gov NCT00355147 ↗

Enrolled (actual)

174

Serious AEs

0.0%

Results posted

Feb 2015

Primary outcomePrimary: Stroke Specific Health Related Quality of Life — 3.80; 3.94; 2.98; 3.04 units on a scale — p=0.69

Summary

The purpose of this study is to develop and evaluate the local adaptation of existing stroke prevention tools into practice. A stroke prevention program is a collection of materials including written materials like pamphlets and brochures, videotapes and training guides for stroke survivors and evidence based guidelines for the doctors that provide care for them. Other tools that may be used in a stroke prevention program include devices that help patients monitor medical symptoms at home like home blood pressure machines or blood sugar monitors and messaging devices that allow reporting symptoms from home to a health care provider. We hypothesized Veterans with stroke who receive the Veteran Stroke Prevention Program would engage in better medication compliance and stroke specific quality of life compared to those who did not receive the program.

Outcome Measures

Outcome	Result	p-value
PRIMARY Stroke Specific Health Related Quality of Life	3.80; 3.94; 2.98; 3.04	0.69
PRIMARY Self-Efficacy to Manage Stroke Symptoms	7.90; 8.08	0.66
SECONDARY Medication (Diabetes) Compliance for Secondary Stroke Prevention Risk Factor Managment	13; 8; 19; 6; 21; 6	0.06
SECONDARY Medication (Statins) for Secondary Stroke Prevention Risk Factor Management	16; 18; 56; 53; 44; 39	0.05
SECONDARY Medication (Hypertension) Compliance for Secondary Stroke Prevention Risk Factor Management	39; 41; 40; 29; 61; 48	0.096

Eligibility Criteria

Inclusion Criteria

Veterans 18 years or older hospitalized with stroke or Transient Ischemic Attack at Indianapolis Veterans Administration Medical Center and Houston Veteran Administration Medical Center;
willing to participate;
access to telephone;
speaks and understands English;
no severe cognitive impairments;
life expectancy of at least 6 mos;
willingness to follow-up in Veterans Administration outpatient care.

Exclusion Criteria

Severe aphasia or cognitive impairment;
active alcohol or substance abuse;
cannot or unwilling to participate;
does not speak or understand English;
life expectancy less than 6 mos;
no access to telephone;
no Veterans Administration outpatient follow-up.

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Data sourced from ClinicalTrials.gov (NCT00355147). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.