NCT03923790

Stroke Telemedicine Outpatient Prevention Program for Blood Pressure Reduction

Stroke Telemedicine Outpatient Program (STOP) for Blood Pressure Reduction

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 83 (actual)
• Sponsor: The University of Texas Health Science Center, Houston · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this pilot trial is to compare post-stroke care blood pressure (BP) treatment using an interdisciplinary telehealth model \[called the Stroke Telemedicine Outpatient Program (STOP) for Blood Pressure Reduction\] to usual care in stroke patients at risk for uncontrolled BP. The intervention will address general and stroke-related factors associated with racial disparities in BP control. We will assess feasibility of implementation of the trial and will use the measures and outcomes assessed in the pilot to examine knowledge gaps.

Conditions

• Stroke Prevention
• Blood Pressure
• Telemedicine
• Psychosocial Impairment

Interventions

Type	Name	Description
BEHAVIORAL	Educational Packet	The patient will receive an educational packet.
BEHAVIORAL	Phone call at 72 hours by discharge nurse navigator	Patients will receive a phone call at 72 hours by the discharge nurse navigator (standard of care) to assure that they have received their medications and follow-up appointments
BEHAVIORAL	Telehealth visit at 7 days, 1 month, 3 months, and 5 months after discharge	A stroke prevention trained nurse practitioner or MD or social worker will review the participant's hospital records and depression, dietary, and sleep apnea screens,will reinforce the care plan based on patient-specific needs.They will counsel patients on salt reduction, the Mediterranean diet, and the importance of diet and exercise for stroke prevention.Along with the pharmacist they will also review the BP data to determine the need for medication adjustment and will discuss the side effects and interactions.The social worker will assess the need for medication assistance and other resources. The care plan will be shared with primary care providers (PCP)and patients will be referred to a PCP if they do not have one. The social worker will also will assist uninsured patients in applying for Texas County Indigent Care programs.
BEHAVIORAL	Educational messages every other week	The messages will be sent to the participants cellular phones and will contain one of the following: a reminder to monitor BP, information from about lifestyle and diet for BP reduction, or a message from the pharmacist about medication adherence
DIAGNOSTIC_TEST	BP monitoring by QardioARM with periodic transmission of BP data	Participants will be prompted to transmit BP logs through the telemonitoring device every 2 weeks until average BP is \< 130/80, then monthly thereafter. Uncontrolled BP will prompt a call from the pharmacist to discuss medication adherence and the need for further titration.

Timeline

• Start date: 2019-03-04
• Primary completion: 2021-10-14
• Completion: 2021-10-14
• First posted: 2019-04-23
• Last updated: 2022-11-09
• Results posted: 2022-11-09

Locations

1 site across 1 country: United States

Regulatory

• FDA-regulated device study