Sarfo et al, 2018, 201916,17
|
RCT followed up for 3 months |
Hospital |
9 |
N = 60 (intervention 30; control 30); 39 (65%) men, 21 (35%) women. Mean age was 55 years. Hospital Stroke patients confirmed by CT scan. NIHSS or alternate stroke severity score unavailable. No comorbidities reported |
To test the feasibility and efficacy of an m-Health technology–enabled, nurse-guided intervention in improving blood pressure (BP) in stroke patients |
Stroke physician and nurse enhanced blood pressure monitoring and tailored motivational text on adherence vs standard care |
Primary: Proportion of participants SBP<140mmhg. Others: medication adherence measures. |
20/30 (66.7%) of experimental intervention achieved target BP vs 14/30 (46.7%), p = (0.12). Greater adherence was noted in the adherence in experimental group vs controls (P = 0.03) Medication possession ratio was 0.95–0.16 on intervention versus 0.98 0.24 in the control arm, p ¼ 0.56. |
Mayowa et al, 201818
|
RCT followed up to 1 year |
Hospital |
7 |
N = 400, intervention 200, 200 control with stroke-onset within one-year |
To test whether a multipronged tailored Hospital-based Risk reduction to Impede Vascular Events interventions improved SBP after recent Stroke. |
Physician-lead risk factor control report card, personalized phone text-messaging, and educational video. |
Primary outcome was mean change in systolic BP (SBP) at 12 months |
At 12 months, there was no significant difference in SBP reduction from baseline in the THRIVES versus control group (P = 0.82). |
Kaddumukasa et al, 201819
|
RCT followed up to 6 months |
Community |
9 |
N = 16, 8 stroke survivors and 8 participants at risk for stroke, mean age = 51.7, females 11 (68.8%) |
Self-management intervention, Targeted management Intervention to reduce modifiable stroke risk factors in Uganda |
Nurse-led and care giver and stroke survivor program to provide Brief one-to-one interview on model behavior and lifestyle classes intended to reduce future stroke risk and monthly telephone calls. |
Change in systolic BP. Others: change in diastolic BP, cholesterol, HDL, LDL, and triglycerides. |
Reduction in blood pressure of (163/98.8 to 147.8/88.0) mmHg at 24 weeks (p = 0.023). Reductions in total cholesterol levels at 24 weeks. (p = 0.001). |