Intervention to Enable Stroke Survivors in Los Angeles County Hospitals to "Stay Within the Guidelines" (SUSTAIN)

University of California, Los Angeles (UCLA)

Status

Completed

Conditions

Stroke

Treatments

Behavioral: Care Management

Behavioral: Written Materials

Study type

Interventional

Funder types

Other

Identifiers

NCT00861081

G-08-07-019-01

0875133N (Other Grant/Funding Number)

Details and patient eligibility

About

The purpose of this study is to test a newly developed outpatient care intervention called SUSTAIN (Systematic Use of Stroke Averting Interventions) for improving delivery of stroke preventive services at Los Angeles County hospitals and to measure the costs of running such an intervention.

Full description

Patients randomized to SUSTAIN will participate in group clinics about stroke, given self-management tools about stroke, and will be called by nurse practitioners to coordinate their stroke care. Patients randomized to the control arm will be mailed educational materials about stroke. Subjects in either arm are eligible to receive their usual source of care.

Enrollment

410 patients

Sex

All

Ages

40+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients of LAC+USC, Rancho Los Amigos, Olive View-UCLA, or Harbor-UCLA
Patients who have had an acute transient ischemic attack (TIA) or ischemic stroke or carotid procedure within the last six months
English or Spanish speaking
At least 40 years of age
Capable of giving informed consent (no proxies will be used to obtain consent)
Blood pressure not optimally controlled (>120/80, at least 72 hours post-stroke)

Exclusion criteria

Age 39 years or younger
Hemorrhagic stroke
Patients with severe global disability which would preclude him/her from participating in group clinics
Patients with advanced dementia