Randomized controlled trial of a coordinated care intervention to improve risk factor control after stroke or transient ischemic attack in the safety net: Secondary stroke prevention by Uniting Community and Chronic care model teams Early to End Disparities (SUCCEED)
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- 作者：Amytis Towfighi ; Eric M. Cheng ; Monica Ayala-Rivera ; Heather McCreath…
- 关键词：Community health worker ; Stroke ; Transient ischemic attack ; Intracerebral hemorrhage ; Vascular risk ; Blood pressure ; Coordinated care ; Disparities ; NINDS Common Data Elements ; Biomarkers
- 刊名：BMC Neurology
- 出版年：2017
- 出版时间：December 2017
- 年：2017
- 卷：17
- 期：1
- 全文大小：2008KB
- 刊物主题：Neurology; Neurochemistry; Neurosurgery;
- 出版者：BioMed Central
- ISSN：1471-2377
- 卷排序：17
文摘
BackgroundRecurrent strokes are preventable through awareness and control of risk factors such as hypertension, and through lifestyle changes such as healthier diets, greater physical activity, and smoking cessation. However, vascular risk factor control is frequently poor among stroke survivors, particularly among socio-economically disadvantaged blacks, Latinos and other people of color. The Chronic Care Model (CCM) is an effective framework for multi-component interventions aimed at improving care processes and outcomes for individuals with chronic disease. In addition, community health workers (CHWs) have played an integral role in reducing health disparities; however, their effectiveness in reducing vascular risk among stroke survivors remains unknown. Our objectives are to develop, test, and assess the economic value of a CCM-based intervention using an Advanced Practice Clinician (APC)-CHW team to improve risk factor control after stroke in an under-resourced, racially/ethnically diverse population.