Randomized Controlled Trial of a Multipronged Intervention to Improve Blood Pressure Control among Stroke Survivors in Nigeria

2014 ◽  
Vol 9 (8) ◽  
pp. 1109-1116 ◽  
Author(s):  
Mayowa O. Owolabi ◽  
Rufus O. Akinyemi ◽  
Mulugeta Gebregziabher ◽  
Olanrewaju Olaniyan ◽  
Babatunde L. Salako ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Controlled Trial ◽  
Blood Pressure Control ◽  
Controlled Trial ◽  
Pressure Control ◽  
Stroke Survivors ◽  
Improve Blood Pressure Control ◽  
Randomized Controlled

scholarly journals Video Narratives Intervention Among Stroke Survivors: Feasibility and Acceptability Study of a Randomized Controlled Trial (Preprint)

2019 ◽  
Author(s):  
Jamuna Rani Appalasamy ◽  
Joyce Pauline Joseph ◽  
Siva Seeta Ramaiah ◽  
Anuar Zaini Md Zain ◽  
Kia Fatt Quek ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Controlled Trial ◽  
Patient Education ◽  
Outcome Measures ◽  
Blood Pressure Control ◽  
Controlled Trial ◽  
Pressure Control ◽  
Stroke Survivors ◽  
Randomized Controlled ◽  
Video Viewing

BACKGROUND A large number of stroke survivors worldwide suffer from moderate to severe disability. In Malaysia, long-term uncontrolled stroke risk factors lead to unforeseen rates of recurrent stroke and a growing incidence of stroke occurrence across ages, predominantly among the elderly population. This situation has motivated research efforts focused on tapping into patient education, especially related to patient self-efficacy of understanding and taking medication appropriately. Video narratives integrated with health belief model constructs have demonstrated potential impacts as an aide to patient education efforts. OBJECTIVE The aim of this study was to investigate the feasibility and acceptability of study procedures based on a randomized controlled trial protocol of a video narratives intervention among poststroke patients. We also aimed to obtain preliminary findings of video narratives related to medication understanding and use self-efficacy (MUSE) and blood pressure control. METHODS A parallel group randomized controlled trial including a control group (without video viewing) and an intervention group (with video viewing) was conducted by researchers at a neurology outpatient clinic on poststroke patients (N=54). Baseline data included patients’ sociodemographic characteristics, medical information, and all outcome measures. Measurements of MUSE and blood pressure following the trial were taken during a 3-month follow-up period. Feasibility of the trial was assessed based on recruitment and study completion rates along with patients’ feedback on the burden of the study procedures and outcome measures. Acceptability of the trial was analyzed qualitatively. Statistical analysis was applied to ascertain the preliminary results of video narratives. RESULTS The recruitment rate was 60 out of 117 patients (51.3%). Nevertheless, the dropout rate of 10% was within the acceptable range. Patients were aged between 21 and 74 years. Nearly 50 of the patients (&gt;85%) had adequate health literacy and exposure to stroke education. Most of the patients (&gt;80%) were diagnosed with ischemic stroke, whereby the majority had primary hypertension. The technicalities of randomization and patient approach were carried out with minimal challenge and adequate patient satisfaction. The video contents received good responses with respect to comprehension and simplicity. Moreover, an in-depth phone interview with 8 patients indicated that the video narratives were considered to be useful and inspiring. These findings paralleled the preliminary findings of significant improvement within groups in MUSE (<i>P</i>=.001) and systolic blood pressure control (<i>P</i>=.04). CONCLUSIONS The queries and feedback from each phase in this study have been acknowledged and will be taken forward in the full trial. CLINICALTRIAL Australian New Zealand Clinical Trials Registry ACTRN 12618000174280; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=373554

scholarly journals A Randomized Controlled Trial of an Automated Telephone Intervention to Improve Blood Pressure Control

2013 ◽  
Vol 15 (9) ◽  
pp. 650-654 ◽  
Author(s):  
Teresa N. Harrison ◽  
Timothy S. Ho ◽  
Joel Handler ◽  
Michael H. Kanter ◽  
Ruthie A. Goldberg ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Controlled Trial ◽  
Blood Pressure Control ◽  
Controlled Trial ◽  
Pressure Control ◽  
Telephone Intervention ◽  
Improve Blood Pressure Control ◽  
Randomized Controlled

Phone-based intervention for blood pressure control among Ghanaian stroke survivors: A pilot randomized controlled trial

2018 ◽  
Vol 14 (6) ◽  
pp. 630-638 ◽  
Author(s):  
Fred Stephen Sarfo ◽  
Frank Treiber ◽  
Mulugeta Gebregziabher ◽  
Sheila Adamu ◽  
Michelle Nichols ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Controlled Trial ◽  
Medical Center ◽  
Controlled Trial ◽  
Medication Possession Ratio ◽  
Pressure Control ◽  
Control Group ◽  
Stroke Survivors ◽  
Randomized Controlled ◽  
Mhealth Technology

Background The potential of mobile-health (mHealth) technology for the management of hypertension among stroke survivors in Africa remains unexplored. We assessed whether an mHealth technology-enabled, nurse-guided intervention initiated among stroke patients within one month of symptom onset is effective in improving their blood pressure (BP) control. Methods A two-arm pilot cluster randomized controlled trial involving 60 stroke survivors, ≥18 years, with BP ≥140/90 mmHg at screening/enrollment visit at a medical center in Ghana. Participants in the intervention arm (n = 30) received a Blue-toothed BP device and smartphone with an App for monitoring BP measurements and medication intake under nurse guidance for three months after which intervention was withdrawn. Control arm (n = 30) received usual care. Primary outcome measure was proportion with clinic BP < 140/90 mmHg at month 9; secondary outcomes included medication adherence. Findings Mean ± SD age was 55 ± 13 years, 65% males. Two participants on intervention and three in control group were lost to follow-up. At month 9, proportion on the intervention versus controls with BP < 140/90 mmHg was 14/30 (46.7%) versus 12/30 (40.0%), p = 0.79 by intention-to-treat; systolic BP < 140 mmHg was 22/30 (73.3%) versus 13/30 (43.3%), p = 0.035. Mean ± SD medication possession ratio was 0.95 ± 0.16 on intervention versus 0.98 ± 0.24 in the control arm, p = 0.56. Interpretation We demonstrate feasibility and signal of improvement in BP control among stroke survivors in a resource-limited setting via an mHealth intervention. Larger scale studies are warranted. Trial registration NCT02568137. Registered on 13 July 2015 at ClinicalTrials.gov.

scholarly journals The Effectiveness of Home Blood Pressure on 24-Hour Blood Pressure Control: A Randomized Controlled Trial

2018 ◽  
Vol 32 (2) ◽  
pp. 186-192 ◽  
Author(s):  
Yendelela L Cuffee ◽  
Christopher Sciamanna ◽  
William Gerin ◽  
Erik Lehman ◽  
Lindsay Cover ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Controlled Trial ◽  
Blood Pressure Control ◽  
Controlled Trial ◽  
Pressure Control ◽  
Home Blood Pressure ◽  
Randomized Controlled

scholarly journals Physician–Pharmacist Cooperation Program for Blood Pressure Control in Patients With Hypertension: A Randomized-Controlled Trial

2010 ◽  
Vol 23 (10) ◽  
pp. 1144-1152 ◽  
Author(s):  
Hiroko Tobari ◽  
Takanori Arimoto ◽  
Nobutake Shimojo ◽  
Kiyomi Yuhara ◽  
Hiroyuki Noda ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Randomized Controlled Trial ◽  
Blood Pressure Control ◽  
Controlled Trial ◽  
Pressure Control ◽  
Randomized Controlled
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