PINGS (Phone-Based Intervention Under Nurse Guidance After Stroke) Interim Results of a Pilot Randomized Controlled Trial
dc.contributor.author | Sarfo, Fred Stephen | |
dc.contributor.author | Treiber, Frank | |
dc.contributor.author | Gebregziabher, Mulugeta | |
dc.contributor.author | Adamu, Sheila | |
dc.contributor.author | Patel, Sachin | |
dc.contributor.author | Nichols, Michelle | |
dc.contributor.author | Awuah, Dominic | |
dc.contributor.author | Sakyi, Asumadu | |
dc.contributor.author | Adu-Darko, Nyantakyi | |
dc.contributor.author | Singh, Arti | |
dc.contributor.author | Tagge, Raelle | |
dc.contributor.author | Jenkins, Carolyn | |
dc.contributor.author | Ovbiagele, Bruce...et.al | |
dc.date.accessioned | 2021-02-24T10:48:36Z | |
dc.date.accessioned | 2023-04-19T02:46:31Z | |
dc.date.available | 2021-02-24T10:48:36Z | |
dc.date.available | 2023-04-19T02:46:31Z | |
dc.date.issued | 2018 | |
dc.description | An article published in Stroke. 2018;49:236-239. DOI: 10.1161/STROKEAHA.117.019591.) | en_US |
dc.description.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. | en_US |
dc.description.sponsorship | KNUST | en_US |
dc.identifier.citation | Stroke. 2018;49:236-239. DOI: 10.1161/STROKEAHA.117.019591.) | en_US |
dc.identifier.uri | https://ir.knust.edu.gh/handle/123456789/13442 | |
dc.language.iso | en | en_US |
dc.publisher | Stroke | en_US |
dc.subject | lood pressure | en_US |
dc.subject | Hypertension | en_US |
dc.subject | Medication adherence | en_US |
dc.subject | Randomized controlled trial | en_US |
dc.subject | Survivors | en_US |
dc.title | PINGS (Phone-Based Intervention Under Nurse Guidance After Stroke) Interim Results of a Pilot Randomized Controlled Trial | en_US |
dc.type | Article | en_US |
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