Phone-based Interventions under Nurse Guidance after Stroke II (PINGS II)

中风后在护士指导下进行的电话干预 II (PINGS II)

基本信息

  • 批准号:
    10405058
  • 负责人:
  • 金额:
    $ 56.95万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2020
  • 资助国家:
    美国
  • 起止时间:
    2020-04-15 至 2025-03-31
  • 项目状态:
    未结题

项目摘要

PROJECT SUMMARY Global estimates suggest that sub-Saharan Africa (SSA) now has the highest incidence and prevalence of stroke. However, limited system resources, meager patient resources, uncoordinated care, and shortage of clinicians, greatly hamper the capacity of countries in SSA to implement effective measures aimed at controlling key vascular risk factors such as hypertension (HTN) to thwart stroke recurrence in routine clinical practice. In particular, SSA has the highest estimated effect size of HTN for stroke causation worldwide. HTN is often unrecognized, undertreated and uncontrolled in a significant proportion of the adult population in this region due to a clustering of factors including cultural beliefs and misconceptions about hypertension, low self-efficacy, non- adherence to treatment, unavailability of health facilities, health personnel, lack of access to of antihypertensive medications, therapeutic inertia by physicians, and other factors. With the anticipated continued transition from primarily infectious conditions to chronic non-communicable diseases, the burden of stroke in SSA is likely to increase even further over the next several decades. Given all of the aforementioned factors, it is an urgent priority for countries in SSA to develop and test self-management interventions to control hypertension among those at highest risk of adverse outcomes. The overall objective of Phone-based Intervention under Nurse Guidance after Stroke II (PINGS-2) is to deploy a hybrid study design to firstly, demonstrate the efficacy in a randomized controlled trial of a theoretical-model-based, mHealth technology-centered, nurse-led, multi-level integrated approach to substantially improve longer term BP control among 500 recent stroke patients encountered at 10 hospitals in Ghana. Secondly, PINGS II seeks to develop an implementation strategy for routine integration and policy adoption of mhealth for post-stroke BP control in a LMIC setting. We will leverage experience gained from the NIH Global Brain Disorders funded R21 pilot study (NS094033) to test efficacy of a refined, culturally-tailored, and potentially implementable intervention aimed at addressing the premier modifiable risk for stroke & other key variables in an under-resourced system burdened by suboptimal care & outcomes. The primary outcome is blood pressure control at month 12 alongside a host of secondary outcome measures such as medication adherence, self-efficacy, cardiovascular emergency department encounters, quality of life, and mediator outcomes. While it is important to establish the efficacy of a nurse-led, m-health-centered self- management intervention for blood pressure control in LMICs, it equally crucial to simultaneously begin crafting an implementation plan. Hence we will seek to identify context-specific implementation facilitators and barriers, to understand the implementation context, and craft evidence-based implementation strategies for routine use & policy adoption of the PINGS intervention in Ghana through multiple stakeholder engagements.
项目总结

项目成果

期刊论文数量(0)
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会议论文数量(0)
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BRUCE OVBIAGELE其他文献

BRUCE OVBIAGELE的其他文献

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{{ truncateString('BRUCE OVBIAGELE', 18)}}的其他基金

Stroke Minimization through Additive Anti-atherosclerotic Agents in Routine Treatment II Study
通过在常规治疗中添加抗动脉粥样硬化药物来最大限度地减少中风 II 研究
  • 批准号:
    10686912
  • 财政年份:
    2022
  • 资助金额:
    $ 56.95万
  • 项目类别:
Stroke Minimization through Additive Anti-atherosclerotic Agents in Routine Treatment II Study
通过在常规治疗中添加抗动脉粥样硬化药物来最大限度地减少中风 II 研究
  • 批准号:
    10539167
  • 财政年份:
    2022
  • 资助金额:
    $ 56.95万
  • 项目类别:
Training Africans to Lead and Execute Neurological Trials & Studies (TALENTS)
培训非洲人领导和执行神经学试验
  • 批准号:
    10302951
  • 财政年份:
    2021
  • 资助金额:
    $ 56.95万
  • 项目类别:
Health Equity & Actionable Disparities in Stroke: Understanding & Problem-solving (HEADS-UP) Symposium
健康公平
  • 批准号:
    10378532
  • 财政年份:
    2021
  • 资助金额:
    $ 56.95万
  • 项目类别:
Health Equity & Actionable Disparities in Stroke: Understanding & Problem-solving (HEADS-UP) Symposium
健康公平
  • 批准号:
    10583507
  • 财政年份:
    2021
  • 资助金额:
    $ 56.95万
  • 项目类别:
Training Africans to Lead and Execute Neurological Trials & Studies (TALENTS)
培训非洲人领导和执行神经学试验
  • 批准号:
    10483218
  • 财政年份:
    2021
  • 资助金额:
    $ 56.95万
  • 项目类别:
Sub-Saharan Africa Conference on Stroke (SSACS) Conference
撒哈拉以南非洲卒中会议 (SSACS) 会议
  • 批准号:
    10066812
  • 财政年份:
    2020
  • 资助金额:
    $ 56.95万
  • 项目类别:
African Rigorous Innovative Stroke Epidemiological Surveillance (ARISES)
非洲严格创新中风流行病学监测 (ARISES)
  • 批准号:
    10411897
  • 财政年份:
    2020
  • 资助金额:
    $ 56.95万
  • 项目类别:
African Rigorous Innovative Stroke Epidemiological Surveillance (ARISES)
非洲严格创新中风流行病学监测 (ARISES)
  • 批准号:
    10579303
  • 财政年份:
    2020
  • 资助金额:
    $ 56.95万
  • 项目类别:
Phone-based Interventions under Nurse Guidance after Stroke II (PINGS II)
中风后在护士指导下进行的电话干预 II (PINGS II)
  • 批准号:
    10602449
  • 财政年份:
    2020
  • 资助金额:
    $ 56.95万
  • 项目类别:
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