Stroke Trials Registry

TOOLS
Adapting Tools to Implement Stroke Risk Management to Veterans

Principal Investigator
Teresa M. Damush, PhD

PI Address
Teresa M. Damush, PhD
Roudebush VA Medical Center
Indianapolis, IN

Contact Address
1st contact: Gloria T. Nicholas, BSN/RN
Phone: 317-988-4388
Email: Gloria.Nicholas@va.gov

2nd Contact: Danielle Sager
Phone: 317-988-2787
Email:
Danielle.Sager@va.gov

Contact Email
Gloria.Nicholas@va.gov

Sponsor

Study Size Planned:	180
Centers Actual:	2
Min Age:	18
Follow-up Duration:	6 Months
ISRCTN#	NCT00355147

Status:
Ongoing.

Purpose:
This study is to help us understand how a stroke prevention program can help improve control of medical conditions that increase the risk of having a stroke.

Interventions:

Stroke Prevention Program
a collection of materials including written materials like pamphlets and brochures, videotapes and training guides for stroke survivors and for the doctors that provide care for them. Other tools that may be used in a stroke prevention program include things that help patients monitor medical symptoms at home like home blood pressure machines or blood sugar monitors and messaging devices that allow reporting symptoms from home to a health care provider.

Location(s):
United States, Indiana
United States, Texas

Year Started: 2009

Design:
Treatment, Randomized, Open Label, Active Control, Single Group Assignment, Efficacy Study, Interventional.

Inclusion Criteria
Hospitalized with stroke or TIA at Indianapolis VAMC and Houston VAMC; willing to participate, access to telephone; speaks and understands English; no severe cognitive impairments; life expectancy of at last 6 mos; willingness to follow-up in VA outpatient care.

Exclusion Criteria
Severe aphasia or cognitive impairment; active alcohol or substance abuse; cannot or unwilling to participate; does not speak or understand English;life expectancy less than 6 mos; no access to telephone; no VA outpatient follow-up

Patient Involvement:
Follow stroke guideline adherent treatment, risk factor behavior self-management at stroke discharge, 3 and 6 months.

Primary Outcome:
Provider based outcomes - guideline adherent treatment, medication management at stroke discharge, 3 and 6 mos. Risk factor screening, examination of CPRS records during hospitalization or following 6 mos. Lifestyle counseling, examination of CPRS record

Secondary Outcome:
Patient demographics, BL; depression symptoms at BL, 3 & 6 mos; other co morbidities at 6 mos

Comments:
Presentations/Publications
Adapting Secondary Stroke Prevention Programs to Local Resources, Structures, and Front Line Inputs. Damush TM, Plue L, Murphy C, Kimmel B, Anderson J, Schmid A, Kent T, Williams LS. Paper presented at the International Stroke Meeting, Feb 17, 2009; San Diego, CA. Poster presented at the National QUERI Meeting, Dec 10, 2009; Phoenix, AZ.

Submitted a manuscript to Implementation Science;
Schmid A, Andersen J, Kent T, Williams L, Damush T. Adapting local inputs and resources for secondary stroke prevention in VHA: Provider barriers and facilitators. Implementation Science, 2009. Under Review.

Source of Information:
NIH Clinical Trials website.

Web Links and Publications:

Effect of atorvastatin in elderly patients with a recent stroke or transient ischemic attack.
Neurology 2009 Feb 24;72(8):688-94

Stroke QUERI

Adapting Tools to Implement Stroke Risk Management to Veterans
ClinicalTrials.gov

This information last updated on: 5/18/2010

Reviewed on: 07/16/2009.

UID: 793