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Related Experiment Video

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Hispanic Secondary Stroke Prevention Initiative Design: Study Protocol and Rationale for a Randomized Controlled

Olveen Carrasquillo1, BreAnne Young1, Stuti Dang2

  • 1Division of General Medicine, Miller School of Medicine, University of Miami, Miami, FL, United States.

JMIR Research Protocols
|October 21, 2018
PubMed
Summary
This summary is machine-generated.

Community health workers (CHWs) show promise in reducing stroke risk factors for Hispanic-Latino populations. This trial investigates CHW effectiveness in preventing recurrent strokes through education, navigation, and mHealth support.

Keywords:
HispanicsLatinoscommunity health carecommunity health workershealth care disparitiesmHealthmobile phonesrandomized controlled trialstroke

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Area of Science:

  • Cardiovascular Health
  • Public Health Interventions
  • Health Disparities

Background:

  • Hispanic-Latino populations experience a higher stroke burden and poorer risk factor control.
  • Community health workers (CHWs) are a promising strategy for improving chronic health outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of a CHW intervention for Latino patients at risk of recurrent stroke.

Main Methods:

  • Randomized controlled trial (HiSSPI) involving 300 Latino participants in South Florida with a history of stroke.
  • Intervention arm received CHW support including health education, healthcare navigation, social services, and daily mHealth text messages.
  • Primary outcome: change in systolic blood pressure at 12 months. Secondary outcomes: changes in LDL, HbA1c, and medication adherence.

Main Results:

  • Enrollment occurred from 2015-2018; results publication is anticipated in 2020.

Conclusions:

  • The HiSSPI trial is among the first RCTs to assess CHW-facilitated secondary stroke prevention.
  • This study will provide robust evidence on CHW impact on secondary stroke risk factors in Latino stroke survivors.