PINGS (Phone-Based Intervention Under Nurse Guidance After Stroke) Interim Results of a Pilot Randomized Controlled Trial

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dc.contributor.authorSarfo, Fred Stephen
dc.contributor.authorTreiber, Frank
dc.contributor.authorGebregziabher, Mulugeta
dc.contributor.authorAdamu, Sheila
dc.contributor.authorPatel, Sachin
dc.contributor.authorNichols, Michelle
dc.contributor.authorAwuah, Dominic
dc.contributor.authorSakyi, Asumadu
dc.contributor.authorAdu-Darko, Nyantakyi
dc.contributor.authorSingh, Arti
dc.contributor.authorTagge, Raelle
dc.contributor.authorJenkins, Carolyn
dc.contributor.authorOvbiagele, Bruce...et.al
dc.date.accessioned2021-02-24T10:48:36Z
dc.date.accessioned2023-04-19T02:46:31Z
dc.date.available2021-02-24T10:48:36Z
dc.date.available2023-04-19T02:46:31Z
dc.date.issued2018
dc.descriptionAn article published in Stroke. 2018;49:236-239. DOI: 10.1161/STROKEAHA.117.019591.)en_US
dc.description.abstractBackground and Purpose—Stroke exacts an immense toll in sub-Saharan Africa where there are few resources, and stroke prevention research is limited. The aim of this study is to test the feasibility and preliminary efficacy of an m-Health technology–enabled, nurse-guided intervention in improving blood pressure (BP) control among Ghanaian stroke patients within 1 month of symptom onset. Methods—We conducted a 2-arm cluster pilot randomized controlled trial involving 60 recent stroke survivors encountered within a single tertiary medical system in Ghana. Subjects in the intervention arm (n=30) received a Blue-toothed UA- 767Plus BT BP device and smartphone for monitoring and reporting BP measurements and medication intake for 3 months compared with standard of care (n=30). Primary outcome measure was systolic BP <140 mm Hg at month 3; secondary outcomes included medication adherence and autonomous self-regulation. Analysis accounting for clustering was made using generalized linear mixed model by intention to treat. Results—Mean±SD age was 55±13 years, 65% male. Systolic BP <140 mm Hg at month 3 was found in 20/30 subjects (66.7%) in the intervention arm versus 14/30 subjects (46.7%) in the control arm (P=0.12). Medication possession ratio scores at month 3 were better in the intervention (0.88±0.40) versus control (0.64±0.45) arm (P=0.03). One subject in control arm died from a recurrent hemorrhagic stroke. Conclusions—It is feasible to conduct an m-Health–based, nurse-guided BP control intervention among recent stroke patients in sub-Saharan Africa. We observed a potential signal of efficacy with the intervention, which will need to be tested in a future large definitive study.en_US
dc.description.sponsorshipKNUSTen_US
dc.identifier.citationStroke. 2018;49:236-239. DOI: 10.1161/STROKEAHA.117.019591.)en_US
dc.identifier.urihttps://ir.knust.edu.gh/handle/123456789/13442
dc.language.isoenen_US
dc.publisherStrokeen_US
dc.subjectlood pressureen_US
dc.subjectHypertensionen_US
dc.subjectMedication adherenceen_US
dc.subjectRandomized controlled trialen_US
dc.subjectSurvivorsen_US
dc.titlePINGS (Phone-Based Intervention Under Nurse Guidance After Stroke) Interim Results of a Pilot Randomized Controlled Trialen_US
dc.typeArticleen_US
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