Reducing Stroke Risk in African-American Men
Maneno muhimu
Kikemikali
Maelezo
The project is a 6-month prospective Randomized Controlled Trial evaluating the effects of TargEted MAnageMent Intervention (TEAM, N=80) vs. wait-list (WL, N=80) control in African American men who have experienced a stroke or TIA within the past 5 years. TEAM features a nurse-led, person-centered, holistic intervention that takes advantage of existing strengths in AA families/communities. TEAM uses peer educator dyads (PEDs) to provide support and model behaviors. The PED consists of an AA man peer educator (PE) with experience in managing his own stroke risk and a care partner. A care partner is someone who is the family member, friend or other individual of someone who has had a stroke or TIA. A care partner can be associated with a PE but they do not have to be. PEs and care partners will be matched depending on schedules and availability and may not always be members of the same household. The nurse and PED co-deliver TEAM to an AA male patient who has experienced stroke or TIA. Patients are also encouraged to include a family, friend, or other individual important his stroke recovery in the TEAM programming. The intervention is a practical approach suitable for implementation in specialty, primary care or community settings, and has the potential to reverse the unacceptably high morbidity seen in AA men due to stroke-related disorders.
Tarehe
| Imethibitishwa Mwisho: | 04/30/2020 |
| Iliyowasilishwa Kwanza: | 05/14/2020 |
| Uandikishaji uliokadiriwa Uliwasilishwa: | 05/19/2020 |
| Iliyotumwa Kwanza: | 05/25/2020 |
| Sasisho la Mwisho Liliwasilishwa: | 05/19/2020 |
| Sasisho la Mwisho Lilichapishwa: | 05/25/2020 |
| Tarehe halisi ya kuanza kwa masomo: | 06/30/2020 |
| Tarehe ya Kukamilisha Msingi iliyokadiriwa: | 01/30/2024 |
| Tarehe ya Kukamilisha Utafiti: | 01/30/2024 |
Hali au ugonjwa
Uingiliaji / matibabu
Behavioral: TargEted MAnageMent Intervention (TEAM)
Awamu
Vikundi vya Arm
| Mkono | Uingiliaji / matibabu |
|---|---|
| Experimental: Intervention Participants randomized to TEAM intervention for 6 months, then observed for 6 month follow up | |
| Other: Waitlist Participants randomized to waitlist for 6 months, then offered the intervention for 6 months |
Vigezo vya Kustahiki
| Zama zinazostahiki Kujifunza | 18 Years Kwa 18 Years |
| Jinsia Inastahiki Kujifunza | Male |
| Hupokea Wajitolea wa Afya | Ndio |
| Vigezo | Inclusion Criteria for RCT participant: 1. Age range 18 to 90 2. Self-identified African American male 3. Have had a stroke or TIA in the past 5 years based on date of hospital discharge from an acute stroke program or Emergency Room/physician visit for TIA 4. Barthel Index (BI) score of >60 5. Able to participate in group sessions Inclusion Criteria for Care Partner 1. Age range from 18 to 90 2. Able to participate in group sessions Inclusion criteria for peer educator: 1. Age range: from 18 to 90 2. Self-identified African American male 3. Have had a stroke or TIA 4. Able to participate in group sessions Inclusion Criteria for Peer Educator Care Partner 1. Age range: from 18 to 90 2. Able to participate in group sessions 3. Is either a family member, friend or other individual who is important in an enrolled peer educator's stroke recovery OR the family member, friend or other individual of someone who has had a stroke or TIA and is/was important in their stroke recovery Exclusion Criteria for RCT participant 1. Individuals who are unable or unwilling to provide written informed consent 2. Individuals who have had stroke due to sickle-cell disease Exclusion Criteria for Care Partner participant 1. Individuals who are unable or unwilling to provide written informed consent Exclusion Criteria for Peer Educator 1. Individuals who are unable or unwilling to provide written informed consent 2. Individuals who have had stroke due to sickle-cell disease Exclusion Criteria for Peer Educator's Care Partner 1. Individuals who are unable or unwilling to provide written informed consent |
Matokeo
Hatua za Matokeo ya Msingi
1. TEAM vs WL Primary Health Outcome [BL to 6-month follow up]
Hatua za Matokeo ya Sekondari
1. TEAM vs WL Secondary Health Outcome 1 [BL to 6-month follow up]
2. TEAM vs WL Secondary Health Outcome 2 [BL to 6-month follow up]
3. TEAM vs WL Secondary Health Outcome 3 [BL to 6-month follow up]
4. TEAM vs WL Secondary Health Outcome 4 [BL to 6-month follow up]
5. TEAM vs WL Secondary Health Outcome 5 [BL to 6-month follow up]
6. TEAM vs WL Secondary Health Outcome 6 [BL to 6-month follow up]
7. TEAM vs WL Secondary Health Outcome 7 [BL to 6-month follow up]
