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首页> 外文期刊>Contemporary clinical trials >Peer education for secondary stroke prevention in inner-city minorities: Design and methods of the prevent recurrence of all inner-city strokes through education randomized controlled trial
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Peer education for secondary stroke prevention in inner-city minorities: Design and methods of the prevent recurrence of all inner-city strokes through education randomized controlled trial

机译：内城区少数民族中风预防的同伴教育：通过教育随机对照试验预防所有内城区中风复发的设计和方法

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Background: The highest risk for stroke is among survivors of strokes or transient ischemic attacks (TIA). However, use of proven-effective cardiovascular medications to control stroke risk is suboptimal, particularly among the Black and Latino populations disproportionately impacted by stroke. Methods: A partnership of Harlem and Bronx community representatives, stroke survivors, researchers, clinicians, outreach workers and patient educators used community-based participatory research to conceive and develop the Prevent Recurrence of All Inner-city Strokes through Education (PRAISE) trial. Using data from focus groups with stroke survivors, they tailored a peer-led, community-based chronic disease self-management program to address stroke risk factors. PRAISE will test, in a randomized controlled trial, whether this stroke education intervention improves blood pressure control and a composite outcome of blood pressure control, lipid control, and use of antithrombotic medications. Results: Of the 582 survivors of stroke and TIA enrolled thus far, 81% are Black or Latino and 56% have an annual income less than $15,000. Many (33%) do not have blood pressures in the target range, and most (66%) do not have control of all three major stroke risk factors. Conclusions: Rates of stroke recurrence risk factors remain suboptimal in the high risk, urban, predominantly minority communities studied. With a community-partnered approach, PRAISE has recruited a large number of stroke and TIA survivors to date, and may prove successful in engaging those at highest risk for stroke and reducing disparities in stroke outcomes in inner-city communities.
机译：背景：中风的最高风险是中风或短暂性脑缺血发作（TIA）的幸存者。但是，使用经证明有效的心血管药物来控制中风风险不是最佳选择，尤其是在中风影响最大的黑人和拉丁裔人群中。方法：哈林和布朗克斯社区代表，中风幸存者，研究人员，临床医生，外展工作者和患者教育者的合作伙伴关系，使用基于社区的参与性研究来构思和开发通过教育预防所有城市中风复发的研究。他们利用来自中风幸存者的焦点小组的数据，制定了一个由同行领导，基于社区的慢性病自我管理计划，以解决中风的危险因素。 PRAISE将在一项随机对照试验中测试这种卒中教育干预措施是否可以改善血压控制以及血压控制，脂质控制和使用抗血栓药物的综合疗效。结果：到目前为止，在582名中风和TIA幸存者中，有81％是黑人或拉丁裔，有56％的年收入低于$ 15,000。许多（33％）的血压未达到目标范围，并且大多数（66％）未能控制所有三个主要的中风危险因素。结论：在研究的高风险，城市，主要是少数族裔社区中，中风复发危险因素的发生率仍然不是最理想的。迄今为止，PRAISE通过社区合作的方式招募了大量卒中和TIA幸存者，并可能成功地吸引了罹患卒中风险最高的人群，并减少了市中心社区社区卒中结果的差异。

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