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Reducing stroke burden in Uganda

减少乌干达的中风负担

基本信息

批准号：
8990708
负责人：
ELLY T KATABIRA
金额：
$ 16.15万
依托单位：
CASE WESTERN RESERVE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-01 至 2017-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8990708
关键词：
Address Adoption Africa Africa South of the Sahara African African American Antihypertensive Agents Attitude Behavior Blood Pressure Brain Brain Diseases Cardiology Clinical Trials Collaborations Communicable Diseases Communities Country Cross-Sectional Studies Data Diabetes Mellitus Disease Disease Management Early identification Epidemiology Exercise Family Family member Focus Groups Funding Future Grant Health Hypertension Income Individual Industrialization Intervention Intervention Trial Interview Knowledge Life Style Longevity Measures Medical Education Methodology Methods Morbidity - disease rate National Institute of Neurological Disorders and Stroke Neurologic Neurology Nurses Obesity Ohio Participant Patients Pattern Persons Phase Population Population Growth Population Sizes Prevalence Procedures Productivity Public Health Reporting Research Research Infrastructure Research Personnel Risk Risk Factors Risk Reduction Sampling Secondary Prevention Self Management Stroke Stroke prevention Surveys Survivors Testing Training Training and Infrastructure Uganda Universities Work Writing base community setting cost disability disorder prevention evidence base high risk improved mortality nervous system disorder next generation nutrition peer person centered prospective public health priorities public health relevance rapid growth response stroke recovery success tool western diet

项目摘要

DESCRIPTION (provided by applicant): Stroke is a neurological condition with rapidly increasing burden in many low- and middle-income countries. Africa is particularly hard-hit by stroke burden due to rapid population growth, increased lifespan, patterns of industrialization, adoption of harmful western diets, and increased prevalence of risk factors such as hypertension and obesity. In spite of the daunting projections, stroke is often a preventable brain disorder. Early identification and management of risk factors can greatly reduce stroke burden. Written in response to PAR-14-331 "Global Brain and Nervous System Disorders Across the Lifespan", the proposed project will develop a person- centered stroke burden reduction approach that will be practical and effective in Uganda, generalizable to other countries in Sub-Saharan Africa, and will develop research capacity for future efforts in stroke burden reduction. The proposed study includes investigators from Makerere University in Kampala, Uganda, and from Case Western Reserve University, Ohio, U.S.A, who have a successful and established track-record of previous collaboration, including a NINDS-funded Medical Education Partnership Initiative (MEPI) focused on neurological conditions. This proposed 3-phase/3-aim project will; 1.) Conduct a mixed-methods (quantitative + qualitative) assessment of barriers and facilitators to stroke risk reduction in Uganda; 2) Develop a manualized self-management approach (SMA) to reduce primary and secondary stroke risk in Ugandans with multiple risk factors, and 3.) Lay groundwork that establishes a clinical trial infrastructure, adequately trained staff, and data tools/procedures preparatory to implementation of an interventional stroke burden reduction trial. In Phase 1/Aim 1, the investigators will conduct an epidemiological survey in 440 individuals to better understand stroke knowledge and attitudes. A sub-sample qualitative assessment will be conducted, using individual and group- format methodologies. In Phase 2/Aim 2, the study team will adapt a successful SMA initially developed for African-Americans. In Phase 3/Aim 3, the study team will select appropriate measures, train staff in measure implementation, and finalize the SMA for delivery using nurses and Peer Dyads (individuals who have had success in managing stroke risk factors). Finally, in a training/proof-of-concept exercise, the nurses and Peer Dyads will conduct the SMA with the 2 SMA targets (one group of up to 8 individuals at risk for stroke and one group of up to 8 individuals who have had stroke).