Details

Autor(en) / Beteiligte

• Sarfo, Fred Stephen
• Treiber, Frank
• Gebregziabher, Mulugeta
• Adamu, Sheila
• Nichols, Michelle
• Singh, Arti
• Obese, Vida
• Sarfo-Kantanka, Osei
• Sakyi, Asumadu
• Adu-Darko, Nyantakyi
• Tagge, Raelle
• Agyei-Frimpong, Marian
• Kwarteng, Naomi
• Badu, Elizabeth
• Mensah, Nathaniel
• Ampofo, Michael
• Jenkins, Carolyn
• Ovbiagele, Bruce

Titel

Phone-based intervention for blood pressure control among Ghanaian stroke survivors: A pilot randomized controlled trial

Ist Teil von

• International journal of stroke, 2019-08, Vol.14 (6), p.630-638

Ort / Verlag

London, England: SAGE Publications

Erscheinungsjahr

2019

Quelle

MEDLINE

Beschreibungen/Notizen

• Background The potential of mobile-health (mHealth) technology for the management of hypertension among stroke survivors in Africa remains unexplored. We assessed whether an mHealth technology-enabled, nurse-guided intervention initiated among stroke patients within one month of symptom onset is effective in improving their blood pressure (BP) control. Methods A two-arm pilot cluster randomized controlled trial involving 60 stroke survivors, ≥18 years, with BP ≥140/90 mmHg at screening/enrollment visit at a medical center in Ghana. Participants in the intervention arm (n = 30) received a Blue-toothed BP device and smartphone with an App for monitoring BP measurements and medication intake under nurse guidance for three months after which intervention was withdrawn. Control arm (n = 30) received usual care. Primary outcome measure was proportion with clinic BP < 140/90 mmHg at month 9; secondary outcomes included medication adherence. Findings Mean ± SD age was 55 ± 13 years, 65% males. Two participants on intervention and three in control group were lost to follow-up. At month 9, proportion on the intervention versus controls with BP < 140/90 mmHg was 14/30 (46.7%) versus 12/30 (40.0%), p = 0.79 by intention-to-treat; systolic BP < 140 mmHg was 22/30 (73.3%) versus 13/30 (43.3%), p = 0.035. Mean ± SD medication possession ratio was 0.95 ± 0.16 on intervention versus 0.98 ± 0.24 in the control arm, p = 0.56. Interpretation We demonstrate feasibility and signal of improvement in BP control among stroke survivors in a resource-limited setting via an mHealth intervention. Larger scale studies are warranted. Trial registration NCT02568137. Registered on 13 July 2015 at ClinicalTrials.gov.