Center for Stroke Disparities Solution - Community Transitions Intervention — CSDS  

Stroke Clinical Trial

Official title: Center for Stroke Disparities Solution (CSDS) Project II: Community Transitions Intervention (CTI)

Status Completed

Clinical Trial Summary

The Stroke CTI study is a 3 arm randomized, controlled trial designed to assess the effectiveness of a nurse practitioner (NP) only and a NP and health coach (HC) community transitions intervention (CTI) in reducing secondary stroke risk by helping patients lower their systolic blood pressure.

Clinical Trial Description

Targeted study participants are Black and Hispanic patients with a history of stroke and a current systolic blood pressure (BP) above JNC7 recommended range (>=140 mmHg) who recently entered home care service. The NP only program will provide a 30 day intervention while the NP/HC team will provide 3 months of support via in-home and telephone encounters for patients randomized to one of these groups. In the first 30 days post-enrollment the NP will focus on medical case management and coordination with primary care providers and specialists, provide self-management coaching, and intervene if gaps in care are identified - all with a focus on BP reduction and preparing the patient for ongoing BP maintenance. As applicable, the HC will pick up the case after 30 days and follow up with the plan of care jointly established by the patient, NP and HC. The focus will be on ongoing self-management coaching, providing preparation support for physician visits, and linking patient to additional community resources, as needed. ;

Related Conditions & MeSH terms

• Hypertension
• Ischemic Attack, Transient
• Stroke
• Transient Ischemic Attack

• NCT number: NCT01918891
• Study type: Interventional
• Source: Visiting Nurse Service of New York
• Status: Completed
• Phase: N/A
• Start date: September 2012
• Completion date: June 2018