Fred Stephen Sarfo|Frank A. Treiber|Carolyn Jenkins|Sachin Patel|Mulugeta Gebregziabher|Arti Singh|Osei Sarfo?Kantanka|Raelle Saulson|Lambert Appiah|Eunice Oparebea|Bruce Ovbiagele
Phone-based Intervention under Nurse Guidance after Stroke (PINGS): study protocol for a randomized controlled trial
Kwame Nkrumah University of Science and Technology|Technology Applications (United States)|Medical University of South Carolina|Medical University of South Carolina|Technology Applications (United States)|Medical University of South Carolina|Medical University of South Carolina|Kwame Nkrumah University of Science and Technology|Komfo Anokye Teaching Hospital|Technology Applications (United States)|Medical University of South Carolina|Komfo Anokye Teaching Hospital|Komfo Anokye Teaching Hospital|Medical University of South Carolina
hypertension premier modifiable risk factor recurrent stroke subsaharan africa ssa stroke burden escalating little known role behavioral interventions enhancing blood pressure bp control stroke objective test whether mhealth technologyenabled nurseled multilevel integrated approach effective improving bp control among ghanaian stroke patients within 1 month symptom onset compared standard carethis twoarm cluster randomized controlled feasibility pilot trial involve 60 recentstroke survivors using computergenerated sequence patients randomly allocated four clusters 15 patients per physician two clusters intervention arm two control arm patients intervention arm receive simple pillbox bluetoothed ua767plus bt bp device smartphone monitoring reporting bp measurements medication intake nurse guidance 3 months tailored motivational text messages delivered based upon levels adherence medication intake groups followed 6 months compare bp control months 3 6 9 primary outcome measure physicians assessing bp control blinded arms patients allocated secondary outcome measures include medication adherence scores competence autonomous selfregulation scale scores qualitative study planned followup explore lived experiences participants intervention arma feasible preliminarily effective intervention would lead larger definitive efficacyeffectiveness randomized controlled trial powered look clinical events potential reduce strokerelated morbidity mortality low middleincome countryclinicaltrialsgov identifier nct02568137 registered 13 july 2015