Status:

COMPLETED

The Effectiveness of Personalized Stroke Risk Communication

Lead Sponsor:

Durham VA Medical Center

Conditions:

Cardiovascular Disease

Stroke

Eligibility:

All Genders

55+ years

Phase:

NA

Brief Summary

The goal of this research is to improve communication to Veterans. The investigators want to improve how doctors and nurses talk to patients about the risk of heart attack and stroke. The investigator...

Detailed Description

Background: In 2005, over 17,000 patients were treated for stroke within the VA with a cost of almost $315 million. Prevention of stroke through reduction of established risk factors is an essential ...

Eligibility Criteria

Inclusion

  • Enrolled in a Durham VA Primary Care Clinic for at least one year
  • Age ≥ 55 years old
  • Diagnosis ICD 401.0, 401.1, or 401.9 on outpatient electronic encounter forms in the prior year
  • Received a prescription for hypertensive medication (ACE inhibitors, beta blockers, calcium channel blockers, diuretics, alpha1 blockers, and/or central alpha2 agonists) in the previous year
  • Inadequate BP control based on an average of prior 12-month clinic BP measurements
  • Have a baseline EKG within the last 5 years to evaluate the presence of left ventricular hypertrophy.

Exclusion

  • Hospitalized at the DVAMC for a myocardial infarction (MI), coronary artery revascularization, or diagnosis of metastatic cancer in the past 6 months
  • Prior history of stroke
  • Active diagnosis of psychosis or dementia documented in medical record
  • Participating in another chronic disease self-management study
  • Resident of a nursing home
  • Does not have access to a telephone
  • Refusal to provide informed consent

Key Trial Info

Start Date :

September 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2009

Estimated Enrollment :

90 Patients enrolled

Trial Details

Trial ID

NCT01178060

Start Date

September 1 2008

End Date

December 1 2009

Last Update

August 23 2010

Active Locations (1)

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1

Durham VA Medical Center

Durham, North Carolina, United States, 27705