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. 2015 Jun 15;2015(6):CD009905. doi: 10.1002/14651858.CD009905.pub2

Kronish 2014.

Methods Study design: RCT
Sampling frame: stroke survivors receiving Visiting Nurse care or clinic‐based care, and community‐dwelling residents
Sampling method: record of diagnosis of stroke or TIA in Visiting Nurse or clinic records, or community residents with self report of stroke. These were randomly assigned to treatment or wait‐list control
Description of the community coalition: The East and Central Harlem Health Outcomes Community Action Board was a community‐academic partnership with a history of working together for a decade or longer. Members included community residents, stroke survivors, and community educators. Little description was provided about coalition structure, processes, or partner members beyond affiliations of study authors with Mt Sinai School of Medicine and Columbia University Medical Center. Community residents were involved in the design of PRAISE, a tailored version of Stanford University's Chronic Disease Self Management Program, and implementation of the intervention as peer educators
Participants Communities: Harlem and Bronx areas of New York
Country: USA
Ages included in assessment: adults
Reasons provided for selection of intervention community: minority populations — African American and Latino — at high risk for recurrent stroke
Intervention community (population size): Harlem and Bronx, population size not reported
Comparison community (population size): Harlem and Bronx, population size not reported
Interventions Name of intervention: PRAISE (Prevent Recurrence of All Inner‐City Strokes Through Education)
Theory: Appreciative Inquiry (Suchman AL 2004)
Aim: "to increase the proportion of stroke and TIA survivors who achieve control of B/P, lipids, and adherence to antithrombotic medication"
Description of costs and resources: no cost data provided. Study authors did state that a week‐long training course was provided to peer educators, and that they were reimbursed for providing the 6 intervention workshops (amount not disclosed)
Components of the intervention: 6 workshops on stroke and risk prevention related to B/P, lipids, and medication
Start date: 2009
Duration: 6 weeks with one 90‐minute session per week
Outcomes Outcomes and measures (follow‐up months): control of 3 stroke risk factors: B/P, lipids (LDL), and medication adherence
Date (year) of pre and post measurements: Between 2009 and 2012, study participants were recruited, baseline measurements were taken, and participants were randomly assigned to treatment or wait‐list control. Intervention duration was 6 weeks. Follow‐up measurements were taken at 6 months
Notes 301 allocated to peer education intervention
299 allocated to wait‐list control
85% f/u at 6 months
Study authors state that more than half of the treatment group participated in at least 50% of the program workshops
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk After baseline measurements, participants were randomly assigned to treatment or wait‐list control
Allocation concealment (selection bias) Low risk Allocation concealed by blinded third party
Baseline outcome measurement similar Low risk No differences noted in baseline outcome measures
Baseline characteristics similar Low risk Baseline characteristics similar
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Blinding not reported
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 85% follow‐up at 6‐month measurement
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Blinding not reported
Protection against contamination Unclear risk Unlikely but not described
Selective reporting (reporting bias) Low risk Primary outcomes were reported