Stroke Clinical Trial
Official title:
Improving the Delivery of Effective Care to Minorities
This study focuses on causes of under-use of secondary stroke preventive measures demonstrated in randomized clinical trials to be efficacious, but not appropriately utilized in urban, minority populations.
As the population ages and the number of prevalent strokes increases recurrent stroke is
becoming an increasingly important health care burden. National and local data strongly
suggest that this burden falls disproportionately on minority populations, notably Blacks
and Hispanics. This study seeks to determine the factors that contribute to that disparity
and design and implement a novel intervention tailored to alleviate the factors identified.
Specifically it will focus on causes of under-use of stroke preventive measures demonstrated
in randomized clinical trials to be efficacious, but not appropriately utilized in urban,
minority populations.
In the first phase of the study, charts of acute stroke patients in 4 large urban hospitals
that serve the 3 racial/ethnic groups under study (Blacks, Hispanics and non-Hispanic
whites) will be reviewed to determine the magnitude of under-use of these measures.
Simultaneously, a panel of local expert physicians will finalize the proposed criteria for
appropriate attention to risk factor assessment and modification. In the second phase of the
proposed work, we will conduct a randomized trial intervention strategy that will include a
control arm, and a patient educational arm where participants will be enrolled in a Chronic
Disease Self Management Program. The program is designed to teach patients tools for
managing their chronic illness which will empower them to improve their overall health. The
program will be specifically tailored for patients living with asymptomatic chronic
illnesses and will emphasize communication with health care providers. The educational
intervention will be accompanied by a two-phased chart abstraction to measure clinical
markers pre and post intervention. In the final phase of the study, the results of the trial
will be analyzed and the results disseminated
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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