Hispanic Secondary Stroke Prevention Initiative Design: Study Protocol and Rationale for a Randomized Controlled Trial

Abstract

BackgroundHispanic-Latino populations face a disproportionate stroke burden and are less likely to have sufficient control over stroke risk factors in comparison with other ethnic populations. A promising approach to improving chronic health outcomes has been the use of community health workers (CHWs).ObjectiveThe objective of this randomized controlled trial is to evaluate the effectiveness of a CHW intervention among Latino patients at risk of recurrent stroke.MethodsThe Hispanic Secondary Stroke Prevention Initiative (HiSSPI) is a randomized clinical trial of 300 Latino participants from South Florida who have experienced a stroke within the last 5 years. Participants randomized into the CHW intervention arm receive health education and assistance with health care navigation and social services through home visits and phone calls. The intervention also includes a mHealth component in which participants also receive daily text messages (short message service). The primary outcome is change in systolic blood pressure at 12 months. Other secondary outcomes include changes in low-density lipoprotein, glycated hemoglobin, and medication adherence.ResultsStudy enrollment began in 2015 and will be completed by the end of 2018. The first results are expected to be submitted for publication in 2020.ConclusionsHiSSPI is one of the first randomized controlled trials to examine CHW-facilitated stroke prevention and will provide rigorous evidence on the impact of CHWs on secondary stroke risk factors among Latino individuals who have had a stroke.Trial RegistrationClinicalTrials.gov NCT02251834; https://clinicaltrials.gov/ct2/show/NCT02251834 (Archived by WebCite at http://www.webcitation.org/72DgMqftq)International Registered Report Identifier (IRRID)RR1-10.2196/11083

Influence of Connected Health Interventions for Adherence to Cardiovascular Disease Prevention: A Scoping Review

“…17,18,20,21,31 The risk factor "dyslipidemia" was considered in some articles. 11,12,16,23,27,29 Finally, Connected Health Interventions to Cardiovascular Disease Prevention Agher et al…”

“…The patients with cardiometabolic disease studied reported that lifestyle-targeting text messaging approaches were feasible and acceptable, and that the text messages were easy to understand (88%) and were sent at an Connected Health Interventions to Cardiovascular Disease Prevention Agher et al 549 appropriate frequency (71%), in appropriate language (88%). Most of the studies used "smartphone health applications (connect)" [8][9][10][11][12]15,16,19,20,22,[24][25][26][27] . "Focus group" (do) and "Education" (read) were used together in two articles.…”