Adapting Tools to Implement Stroke Risk Management to Veterans (TOOLS)

This study is ongoing, but not recruiting participants.
Sponsor:
Collaborator:
Indiana University
Information provided by (Responsible Party):
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT00355147
First received: July 18, 2006
Last updated: February 19, 2014
Last verified: February 2014

July 18, 2006
February 19, 2014
January 2009
June 2011   (final data collection date for primary outcome measure)
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 records [ Time Frame: One year ] [ Designated as safety issue: No ]
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
Complete list of historical versions of study NCT00355147 on ClinicalTrials.gov Archive Site
Patient demographics, BL; depression symptoms at BL, 3 & 6 mos; other co morbidities at 6 mos. [ Time Frame: One year ] [ Designated as safety issue: No ]
Patient demographics, BL; depression symptoms at BL, 3 & 6 mos; other co morbidities at 6 mos.
Not Provided
Not Provided
 
Adapting Tools to Implement Stroke Risk Management to Veterans
Adapting Tools to Implement Stroke Risk Management to Veterans

The purpose of this study is to evaluate the local adaptation of existing stroke prevention tools into practice. A stroke prevention program is 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 devices 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.

Stroke affects at least 15,000 veterans each year, and this number will likely increase as the veteran population ages. According to the AHA, the prevalence of stroke is expected to double by 2020 with the increased proportion of older adults nationwide. Our preliminary QUERI work indicates that stroke risk factors are often undermanaged in VHS.

This proposed study of a stroke risk factor management program may benefit the VHS in several ways. First, it offers VHS a systematic program for reduction in stroke risk factors leading to better health for our veterans and a reduction in inpatient and outpatient rehabilitation and home health services for these events. Second, the VSPP takes into account the varied resources and services offered in VAMCs across the nation, allowing the program to be tailored both to a given facility and to the individual veteran's needs and readiness to change. Importantly, the program could allow all VA facilities to offer guideline-concurrent stroke risk reduction programs and therefore increase compliance with VA/DoD, AHA, and JCAHO stroke care guidelines and improve their quality of stroke care.

Comparison(s): We will compare two regionally matched facilities on rates of secondary stroke prevention guideline care during the course of the study at the intervention sites.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
  • Ischemic Stroke
  • Transient Ischemic Attack
  • Behavioral: Physician stroke guideline adherence
    Interviewing Providers, conducting Focus Groups
  • Behavioral: Evaluation of stroke self management
    Implementing a Peer/Mentoring Program for Stroke Survivors
Arm 1
None
Interventions:
  • Behavioral: Physician stroke guideline adherence
  • Behavioral: Evaluation of stroke self management

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Active, not recruiting
189
December 2016
June 2011   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Veterans 18 years or older 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 least 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.
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00355147
IAB 05-297, 0608-01B, 1009001684
No
Department of Veterans Affairs
Department of Veterans Affairs
Indiana University
Principal Investigator: Teresa M. Damush, PhD Roudebush VA Medical Center Indianapolis
Department of Veterans Affairs
February 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP