Discharge Educational Strategies for Reduction of Vascular Events

ID#: NCT01836354

Age: 18 years - 66+

Gender: All

Healthy Subjects: No

Study Phase: N/A

Recruitment Status: Recruiting

Start Date: August 01, 2012

End Date: December 01, 2018

Contact Information:
Bernadette Boden-Albala, DrPH
212-659-9322
Summary: DESERVE is a discharge education study using health workers to enroll and randomly assign 800 subjects diagnosed with TIA, or mild stroke to either risk factor education or usual care. Those patients assigned to education will receive stroke preparedness education plus risk factor reduction education, and help accessing follow up care with health workers. Those patients assigned to usual care will receive written stroke preparedness education. This protocol will evaluate the effectiveness of this intervention to reduce blood pressure, and individual stroke risk factors and future stroke risk.
Eligibility:

Inclusion Criteria:

- Diagnosed with mild ischemic cerebral infarction or mild intracerebral hemorrhage (NIHSS < 5) or TIA based on a clinical definition of focal neurologic deficits consistent with a single vascular territory of the brain

- Aged greater than 18 years at onset of event

- Resident of NY Metropolitan community in home with land or cell phone.

- Vascular risk factors including HTN history or elevated blood pressure (>130/85 mmHg) at the time of discharge, smoking, diabetes or metabolic syndrome

- Discharge to home

- English or Spanish Speaker

Exclusion Criteria:

- Patients unable to give informed consent

- Discharged to long-term nursing home or requiring 24 hour care.

- A Modified Rankin score > 2 at baseline

- Pre-stroke dementia history.

- Patients with end stage cancer, or other medical conditions resulting in mortality less than 1 year.

- Patient does not speak English or Spanish.
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