Stroke Clinical Trial
Official title:
System-integrated Technology-enabled Model of Care to Improve the Health of Stroke Patients in Rural China
Despite the significant burden of stroke in rural China, secondary prevention of stroke is scarce. The aim of the study is to develop a system-integrated technology-enabled intervention (SINEMA) model for the secondary prevention of stroke in rural China and evaluate the effectiveness of the model compared with usual care. The hypothesis is that trained village doctors, equipped with digital health technology, can provide essential evidence-based care to stroke survivors in rural China.
The SINEMA trial is a cluster-randomized controlled trial to evaluate the effectiveness of
implementation of a system-integrated and technology-enabled model of care to improve the
secondary prevention of stroke in Nanhe County, a rural area of Hebei province, China. Fifty
villages from five townships are stratified randomized in a 1:1 ratio to either the
intervention arm (implementing SINEMA model) or the control arm (usual care).
After a baseline survey, intervention will be implemented in 25 intervention villages,
lasting for 12 months. Follow-up survey will be conducted in the same way in all villages at
12-month after the initial of the study. Process evaluation will be conducted every three
month, and economic evaluation will also be conducted.
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