TEAMS-BP (The Enhancement of Social Networks to Augment Management of Stroke-Blood Pressure)

Mass General Brigham

Status: Terminated

Conditions: Hypertension; Stroke, Acute Ischemic

Treatments: Other: Individual Counseling; Other: Social Network Group Counseling

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05258890

2022P000444

5P30AG064199-03 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study aims to compare the efficacy of a social network intervention versus individual hypertension counseling to improve blood pressure control after stroke. The investigators hope to understand whether the involvement of family, friends and other members of individual's social network can help achieve better blood pressure after experiencing a stroke. Participants will be stratified to two groups according to network size (<5 vs 5 or more) and randomized to receive individual hypertension counseling (control) or the social network intervention. The primary outcome of the study will be the absolute reduction in systolic blood pressure at 3 months follow-up. The secondary outcomes will be attainment of a post-stroke hypertension treatment goal and patient-reported physical function.

Enrollment: 64 patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. First acute ischemic stroke defined clinically with support from imaging if necessary
2. 21 years of age or older
3. Within 14 days after stroke
4. History of hypertension or has been newly prescribed blood pressure medications during index admission

Exclusion criteria

1. Prior ischemic or hemorrhagic stroke
2. NIHSS > 21
3. Significant aphasia (Score>1 on the language section of the NIHSS)
4. Medical conditions for which death is likely within 6 months
5. Does not have capacity to consent for the project or participate in survey interview
6. Diagnosis of dementia
7. Patient has no phone or incapable of using text messages
8. Patient has opted out of participating in research noted within MGB Epic EHR system

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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64 participants in 2 patient groups

Social Network Counseling

Experimental group

Description:

The index patient and influential social network members will meet via Zoom 3 times over the course of 3 months with a clinical research nurse for teamwork counseling and blood pressure education.

Treatment:

Other: Social Network Group Counseling

Individual Counseling

Active Comparator group

Description:

The index patient will meet via Zoom 3 times over the course of 3 months with a clinical research nurse for blood pressure education.

Treatment:

Other: Individual Counseling