The Effectiveness of Personalized Stroke Risk Communication

Completed · Not applicable

Conditions studied: Cardiovascular Disease, Stroke

In brief

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 investigators will give everyone in the study information about the risk for heart attack or stroke. The investigators will also provide information on how to reduce this risk. This information will be given in one of two ways. The investigators want to see which way of giving information works better for veterans. The investigators also want to assess the impact of personalized stroke risk communication to patients at risk for stroke on patient knowledge, beliefs, and preferences for risk reduction behaviors and evaluate the impact of personalized risk communication on medication adherence and blood pressure. The investigators plan to enroll approximately 100 veterans for this study. All veterans will be from the Durham VA Primary Care Clinics. The investigators will ask everyone to be in the study for 3 months.

Key facts

Study ID

NCT01178060

Run by

Durham VA Medical Center

People needed

90

Starts

2008-09-01

Expected to finish

2009-12-01

Last updated by the study team

2010-08-23

Who can join

Age: 55 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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.

You may not qualify if…

• 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

Where it is running

• Durham VA Medical Center — Durham, North Carolina, United States

Full record on ClinicalTrials.gov

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