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Related Experiment Video

Updated: Jun 16, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

The TargetEd MAnageMent Intervention for Reducing Stroke Risk in Black Men: A 6-Month Prospective Randomized

Martha Sajatovic1,2, Carolyn H Still3, Christopher J Burant3

  • 1Department of Psychiatry and Department of Neurology, Case Western Reserve University School of Medicine, Cleveland, OH, USA.

International Journal of Aging & Human Development
|June 15, 2026
PubMed
Summary

This study on Black men found that the TEAM intervention did not significantly reduce systolic blood pressure (SBP) compared to a waitlist control. However, post-hoc analysis showed SBP reduction in participants with elevated baseline blood pressure.

Keywords:
African American menBlack menhealth disparitiessecondary strokestroke

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Last Updated: Jun 16, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
09:21

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Area of Science:

  • Cardiovascular Health
  • Public Health Interventions
  • Stroke Prevention

Background:

  • Black men have a high risk of stroke and transient ischemic attack (TIA).
  • Lifestyle interventions are crucial for managing stroke risk factors like elevated blood pressure (BP).
  • The TEAM intervention was designed as a group program to reduce stroke risk.

Purpose of the Study:

  • To evaluate the effectiveness of the TEAM intervention in reducing systolic blood pressure (SBP) among Black men with a history of stroke or TIA.
  • To compare the TEAM intervention against a wait-list control group over a 6-month period.

Main Methods:

  • A 6-month randomized controlled trial involving 160 Black men (mean age 61.2 years) with stroke or TIA.
  • Participants were randomized to either the TEAM intervention group (n=78) or a wait-list control group (n=82).
  • The primary outcome was the change in SBP from baseline to 6 months; biomarker data were used for participants with missed visits.

Main Results:

  • Overall, the TEAM intervention did not lead to a statistically significant reduction in SBP compared to the wait-list control.
  • Attrition rate was 53.1% and was similar between the intervention and control arms.
  • Post-hoc analyses revealed significant SBP reductions in participants with elevated baseline BP, both in the overall sample and specifically within the TEAM group.

Conclusions:

  • The TEAM intervention, as implemented, did not significantly reduce SBP in this cohort of Black men with stroke/TIA.
  • Future research should focus on Black men with uncontrolled hypertension and investigate barriers to engagement in risk reduction programs.
  • Targeted interventions for individuals with elevated baseline BP may be more effective in stroke risk reduction.