A Targeted Self-Management Approach for Reducing Stroke Risk Factors in African American Men Who Have Had a Stroke or Transient Ischemic Attack

American Journal of Health Promotion : AJHP
Martha SajatovicCathy Sila

Abstract

This study compared a novel self-management (TargetEd MAnageMent Intervention [TEAM]) versus treatment as usual (TAU) to reduce stroke risk in African American (AA) men. Six-month prospective randomized controlled trial with outcomes evaluated at baseline, 3 months, and 6 months. Academic health center. Thirty-eight (age < 65) AA men who had a stroke or transient ischemic attack and a Barthel index score of >60 were randomly assigned to TEAM (n = 19) or TAU (n = 19). Self-management training, delivered in 1 individual and 4 group sessions (over 3 months). Blood pressure, glycosylated hemoglobin (HbA1c), lipids, medication adherence, weight, and standardized measures of health behaviors (diet, exercise, smoking, substances), depression, and quality of life. Qualitative assessments evaluated the perspectives of TEAM participants. T tests for paired differences and nonparametric tests. Thematic content qualitative analysis. Mean age was 52.1 (standard deviation [SD] = 7.4) and mean body mass index was 31.4 (SD = 7.4). Compared to TAU, TEAM participants had significantly lower mean systolic blood pressure by 24 weeks, and there was also improvement in HbA1c and high-density lipoprotein cholesterol ( P = .03). Other biomarker and he...Continue Reading

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Citations

Feb 16, 2018·Journal of American College Health : J of ACH·Sharyn PotterMary M Moynihan
May 8, 2018·The Cochrane Database of Systematic Reviews·Bernadeta BridgwoodPriya Modi
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Jun 30, 2021·The Cochrane Database of Systematic Reviews·David H SaundersCoralie English
Nov 24, 2021·The Cochrane Database of Systematic Reviews·Thomas F CrockerAnne Forster

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Methods Mentioned

BETA
pharmacotherapies

Software Mentioned

TEAM

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