Evidence map›Paper›PMID 26374480›Full record

Trial reportStroke2015

A Multicomponent Behavioral Intervention to Reduce Stroke Risk Factor Behaviors: The Stroke Health and Risk Education Cluster-Randomized Controlled Trial.

Devin L Brown, Kathleen M Conley, Brisa N Sánchez, Kenneth Resnicow, Joan E Cowdery, Emma Sais, Jillian Murphy, Lesli E Skolarus, Lynda D Lisabeth, Lewis B Morgenstern

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Stroke, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 8 pooled it
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01378780 nacompletednot on this map

Stroke Health and Risk Education (SHARE)

TypeinterventionalSponsorUniversity of MichiganRan2011 to 2013Enrolled760ConditionsStroke, HypertensionArmsEducational intervention for diet and physical activity, Educational message on skin cancer awareness
NCT03027791 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Sodium Healthy Living Project

TypeinterventionalSponsorCedars-Sinai Medical CenterRan2017 to 2017Enrolled50ConditionsHypertensionArmsVirtual Reality, Group Sessions
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 8 syntheses or guidelines pooled it, 45 citations in OpenAlex.

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  7. A Systematic Review of Church-Based Health Interventions Among Latinos.Journal of immigrant and minority health · 2020
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  20. Sodium Intake and Target Organ Damage in Hypertension-An Update about the Role of a Real Villain.International journal of environmental research and public health · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Devin L BrownFrom the Department of Neurology, Stroke Program, University of Michigan, Ann Arbor (D.L.B., E.S., J.M., L.E.S., L.D.L., L.B.M.); Program of Health Education, School of Health Promotion and Human Performance, Eastern Michigan University, Ypsilanti (K.M.C., J.E.C.); and Departments of Biostatistics (B.N.S.), Health Behavior and Health Education (K.R.), and Epidemiology (L.D.L., L.B.M.), University of Michigan School of Public Health, Ann Arbor. devinb@umich.edu.
Kathleen M ConleyFrom the Department of Neurology, Stroke Program, University of Michigan, Ann Arbor (D.L.B., E.S., J.M., L.E.S., L.D.L., L.B.M.); Program of Health Education, School of Health Promotion and Human Performance, Eastern Michigan University, Ypsilanti (K.M.C., J.E.C.); and Departments of Biostatistics (B.N.S.), Health Behavior and Health Education (K.R.), and Epidemiology (L.D.L., L.B.M.), University of Michigan School of Public Health, Ann Arbor.
Brisa N SánchezFrom the Department of Neurology, Stroke Program, University of Michigan, Ann Arbor (D.L.B., E.S., J.M., L.E.S., L.D.L., L.B.M.); Program of Health Education, School of Health Promotion and Human Performance, Eastern Michigan University, Ypsilanti (K.M.C., J.E.C.); and Departments of Biostatistics (B.N.S.), Health Behavior and Health Education (K.R.), and Epidemiology (L.D.L., L.B.M.), University of Michigan School of Public Health, Ann Arbor.
Kenneth ResnicowFrom the Department of Neurology, Stroke Program, University of Michigan, Ann Arbor (D.L.B., E.S., J.M., L.E.S., L.D.L., L.B.M.); Program of Health Education, School of Health Promotion and Human Performance, Eastern Michigan University, Ypsilanti (K.M.C., J.E.C.); and Departments of Biostatistics (B.N.S.), Health Behavior and Health Education (K.R.), and Epidemiology (L.D.L., L.B.M.), University of Michigan School of Public Health, Ann Arbor.
Joan E CowderyFrom the Department of Neurology, Stroke Program, University of Michigan, Ann Arbor (D.L.B., E.S., J.M., L.E.S., L.D.L., L.B.M.); Program of Health Education, School of Health Promotion and Human Performance, Eastern Michigan University, Ypsilanti (K.M.C., J.E.C.); and Departments of Biostatistics (B.N.S.), Health Behavior and Health Education (K.R.), and Epidemiology (L.D.L., L.B.M.), University of Michigan School of Public Health, Ann Arbor.
Emma SaisFrom the Department of Neurology, Stroke Program, University of Michigan, Ann Arbor (D.L.B., E.S., J.M., L.E.S., L.D.L., L.B.M.); Program of Health Education, School of Health Promotion and Human Performance, Eastern Michigan University, Ypsilanti (K.M.C., J.E.C.); and Departments of Biostatistics (B.N.S.), Health Behavior and Health Education (K.R.), and Epidemiology (L.D.L., L.B.M.), University of Michigan School of Public Health, Ann Arbor.
Jillian MurphyFrom the Department of Neurology, Stroke Program, University of Michigan, Ann Arbor (D.L.B., E.S., J.M., L.E.S., L.D.L., L.B.M.); Program of Health Education, School of Health Promotion and Human Performance, Eastern Michigan University, Ypsilanti (K.M.C., J.E.C.); and Departments of Biostatistics (B.N.S.), Health Behavior and Health Education (K.R.), and Epidemiology (L.D.L., L.B.M.), University of Michigan School of Public Health, Ann Arbor.
Lesli E SkolarusFrom the Department of Neurology, Stroke Program, University of Michigan, Ann Arbor (D.L.B., E.S., J.M., L.E.S., L.D.L., L.B.M.); Program of Health Education, School of Health Promotion and Human Performance, Eastern Michigan University, Ypsilanti (K.M.C., J.E.C.); and Departments of Biostatistics (B.N.S.), Health Behavior and Health Education (K.R.), and Epidemiology (L.D.L., L.B.M.), University of Michigan School of Public Health, Ann Arbor.
Lynda D LisabethFrom the Department of Neurology, Stroke Program, University of Michigan, Ann Arbor (D.L.B., E.S., J.M., L.E.S., L.D.L., L.B.M.); Program of Health Education, School of Health Promotion and Human Performance, Eastern Michigan University, Ypsilanti (K.M.C., J.E.C.); and Departments of Biostatistics (B.N.S.), Health Behavior and Health Education (K.R.), and Epidemiology (L.D.L., L.B.M.), University of Michigan School of Public Health, Ann Arbor.
Lewis B MorgensternFrom the Department of Neurology, Stroke Program, University of Michigan, Ann Arbor (D.L.B., E.S., J.M., L.E.S., L.D.L., L.B.M.); Program of Health Education, School of Health Promotion and Human Performance, Eastern Michigan University, Ypsilanti (K.M.C., J.E.C.); and Departments of Biostatistics (B.N.S.), Health Behavior and Health Education (K.R.), and Epidemiology (L.D.L., L.B.M.), University of Michigan School of Public Health, Ann Arbor.
Eastern Michigan University · USUniversity of Michigan–Ann Arbor · US

Funding

Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
Stroke Health and Risk Education (SHARE)R01NS062675 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BROWN, DEVIN L, MORGENSTERN, LEWIS B · 2009 to 2013
$3.2M
A Community Partnership to Treat StrokeK23NS073685 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SKOLARUS, LESLI ELIZABETH · 2011 to 2016
$924k
NCATS NIH HHS UL1 TR000433NCATS NIH HHS UL1TR000433NINDS NIH HHS K23 NS073685NINDS NIH HHS R01 NS062675NINDS NIH HHS R01NS062675NINDS NIH HHS R01NS062675-S
6 · The paper itself

Abstract

background and purposeThe Stroke Health and Risk Education Project was a cluster-randomized, faith-based, culturally sensitive, theory-based multicomponent behavioral intervention trial to reduce key stroke risk factor behaviors in Hispanics/Latinos and European Americans.

methodsTen Catholic churches were randomized to intervention or control group. The intervention group received a 1-year multicomponent intervention (with poor adherence) that included self-help materials, tailored newsletters, and motivational interviewing counseling calls. Multilevel modeling, accounting for clustering within subject pairs and parishes, was used to test treatment differences in the average change since baseline (ascertained at 6 and 12 months) in dietary sodium, fruit and vegetable intake, and physical activity, measured using standardized questionnaires. A priori, the trial was considered successful if any one of the 3 outcomes was significant at the 0.05/3 level.

resultsOf 801 subjects who consented, 760 completed baseline data assessments, and of these, 86% completed at least one outcome assessment. The median age was 53 years; 84% subjects were Hispanic/Latino; and 64% subjects were women. The intervention group had a greater increase in fruit and vegetable intake than the control group (0.25 cups per day [95% confidence interval: 0.08, 0.42], P=0.002), a greater decrease in sodium intake (-123.17 mg/d [-194.76, -51.59], P=0.04), but no difference in change in moderate- or greater-intensity physical activity (-27 metabolic equivalent-minutes per week [-526, 471], P=0.56).

conclusionsThis multicomponent behavioral intervention targeting stroke risk factors in predominantly Hispanics/Latinos was effective in increasing fruit and vegetable intake, reaching its primary end point. The intervention also seemed to lower sodium intake. Church-based health promotions can be successful in primary stroke prevention efforts. CLINICAL

trial registrationURL: http://www.clinicaltrials.gov. Unique identifier: NCT01378780.

Indexed as

CatholicismFeeding BehaviorMotor ActivityRisk Reduction BehaviorAdultAgedBehavior TherapyFemaleFruitHealth BehaviorHispanic or LatinoHumansMaleMiddle AgedMotivational InterviewingMultilevel AnalysisSodium, Dietarybehavioral interventionclinical trialhypertensionpreventionrisk factorsstroke

Identifiers

PMID26374480
PMCPMC4589523
OpenAlexW2560747305

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.