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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/13442

Title: PINGS (Phone-Based Intervention Under Nurse Guidance After Stroke) Interim Results of a Pilot Randomized Controlled Trial
Authors: Sarfo, Fred Stephen
Treiber, Frank
Gebregziabher, Mulugeta
Adamu, Sheila
Patel, Sachin
Nichols, Michelle
Awuah, Dominic
Sakyi, Asumadu
Adu-Darko, Nyantakyi
Singh, Arti
Tagge, Raelle
Jenkins, Carolyn
Ovbiagele, Bruce...et.al
Keywords: lood pressure
Medication adherence
Randomized controlled trial
Issue Date: 2018
Publisher: Stroke
Citation: Stroke. 2018;49:236-239. DOI: 10.1161/STROKEAHA.117.019591.)
Abstract: Background and Purpose—Stroke exacts an immense toll in sub-Saharan Africa where there are few resources, and stroke prevention research is limited. The aim of this study is to test the feasibility and preliminary efficacy of an m-Health technology–enabled, nurse-guided intervention in improving blood pressure (BP) control among Ghanaian stroke patients within 1 month of symptom onset. Methods—We conducted a 2-arm cluster pilot randomized controlled trial involving 60 recent stroke survivors encountered within a single tertiary medical system in Ghana. Subjects in the intervention arm (n=30) received a Blue-toothed UA- 767Plus BT BP device and smartphone for monitoring and reporting BP measurements and medication intake for 3 months compared with standard of care (n=30). Primary outcome measure was systolic BP <140 mm Hg at month 3; secondary outcomes included medication adherence and autonomous self-regulation. Analysis accounting for clustering was made using generalized linear mixed model by intention to treat. Results—Mean±SD age was 55±13 years, 65% male. Systolic BP <140 mm Hg at month 3 was found in 20/30 subjects (66.7%) in the intervention arm versus 14/30 subjects (46.7%) in the control arm (P=0.12). Medication possession ratio scores at month 3 were better in the intervention (0.88±0.40) versus control (0.64±0.45) arm (P=0.03). One subject in control arm died from a recurrent hemorrhagic stroke. Conclusions—It is feasible to conduct an m-Health–based, nurse-guided BP control intervention among recent stroke patients in sub-Saharan Africa. We observed a potential signal of efficacy with the intervention, which will need to be tested in a future large definitive study.
Description: An article published in Stroke. 2018;49:236-239. DOI: 10.1161/STROKEAHA.117.019591.)
URI: http://hdl.handle.net/123456789/13442
Appears in Collections:College of Health Sciences

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