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SDOH-Homecare Intervention Focus Team (SHIFT) Trial to Improve Stroke Outcomes — SHIFT  

Stroke Clinical Trial

Official title:
The SDOH-Homecare Intervention Focus Team (SHIFT) Trial to Mitigate Structural Racism in Stroke Outcomes and Build Community Capacity (The SHIFT Trial)

Clinical Trial Summary

Primary Goal: To test the hypothesis that among AA and Hispanic stroke patients 18-75 years with ≥3 SDOH risk factors, SHIFT will improve: (1) functional outcomes as measured by the SIS (Primary Outcome), (2) physiological outcomes as measured by changes in blood pressure and cognition, (secondary outcomes) and (3) epigenetic allostatic load biomarkers (exploratory outcome) such as DNA methylation (DNAm) and telomere length, at 6 months and 1-year post-stroke, compared with usual care (UC).

Clinical Trial Description

Structural Racism and Discrimination (SRD) produces adverse Social Determinants of Health (SDOH), which have been shown increase stroke risk in a dose dependent manner. The SDOH-Homecare Intervention Focus Team (SHIFT) trial is a Phase 3, randomized, blinded outcome trial that tests the hypothesis that a homecare intervention shortly after discharge from an acute stroke unit by a team comprising a community health worker (CHW), a community social worker (CSW) and a community nurse (CN) can improve health outcomes among Black and Hispanic stroke patients compared with UC. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT06397937
Study type Interventional
Source Columbia University
Contact Olajide Williams, MD
Phone (212) 305-1710
Email ow11@cumc.columbia.edu
Status Not yet recruiting
Phase N/A
Start date June 1, 2024
Completion date January 31, 2029
View Details
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