Evidence map›Paper›PMID 27596244›Full record

Trial reportTrials2016

Phone-based Intervention under Nurse Guidance after Stroke (PINGS): study protocol for a randomized controlled trial.

Fred Stephen Sarfo, Frank Treiber, Carolyn Jenkins, Sachin Patel, Mulugeta Gebregziabher, Arti Singh, Osei Sarfo-Kantanka, Raelle Saulson, Lambert Appiah, Eunice Oparebea and 1 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02568137 (Phone-based Intervention Under Nurse Guidance After Stroke), which is not on this map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 4% 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.

NCT02568137 nacompletednot on this mapstarted 2017, after this paper: background citation

Phone-based Intervention Under Nurse Guidance After Stroke

TypeinterventionalSponsorMedical University of South CarolinaRan2017 to 2017Enrolled60ConditionsStroke, HypertensionArmsSmart-phone based technology
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Tele-Rehabilitation after Stroke: An Updated Systematic Review of the Literature.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2018
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Key determinants of long-term post-stroke mortality in Ghana.Journal of the neurological sciences · 2022
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. The dynamics of Poststroke depression among Ghanaians.Journal of the neurological sciences · 2019
    Article
  14. Article
  15. Article
  16. Review
  17. Prevalence, Trajectory, and Predictors of Poststroke Fatigue among Ghanaians.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2019
    Article
  18. Article
  19. Article
  20. Long-Term Outcomes of Stroke in a Ghanaian Outpatient Clinic.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2018
    Article
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

11 authors at 4 institutions in 2 countries.

Fred Stephen SarfoDivision of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, P.M.B., Kumasi, Ghana. Stephensarfo78@gmail.com.
Frank TreiberTechnology Applications Center for Healthful Lifestyles, Medical University of South Carolina, South Carolina, Ghana.
Carolyn JenkinsDepartment of Nursing, Medical University of South Carolina, South Carolina, Ghana.
Sachin PatelTechnology Applications Center for Healthful Lifestyles, Medical University of South Carolina, South Carolina, Ghana.
Mulugeta GebregziabherDepartment of Public Health Sciences, Medical University of South Carolina, South Carolina, Ghana.
Arti SinghDivision of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, P.M.B., Kumasi, Ghana.
Osei Sarfo-KantankaKomfo Anokye Teaching Hospital, Kumasi, Ghana.
Raelle SaulsonTechnology Applications Center for Healthful Lifestyles, Medical University of South Carolina, South Carolina, Ghana.
Lambert AppiahKomfo Anokye Teaching Hospital, Kumasi, Ghana.
Eunice OparebeaKomfo Anokye Teaching Hospital, Kumasi, Ghana.
Bruce OvbiageleDepartment of Neurology, Medical University of South Carolina, South Carolina, Ghana.
Komfo Anokye Teaching Hospital · GHMedical University of South Carolina · USTechnology Applications (United States) · USKwame Nkrumah University of Science and Technology · GH

Funding

Stroke and Cardiovascular Research Training (SCaRT) InstituteD43TW009140 · FIC · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ADANU, RICHARD M K, ALABI, SULYMAN BIODUN · 2011 to 2023
$2.5M
Phone-based Intervention Under Nurse Guidance after Stroke (PINGS)R21NS094033 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI OVBIAGELE, BRUCE · 2015 to 2016
$337k
FIC NIH HHS D43 TW009140NINDS NIH HHS R21 NS094033
6 · The paper itself

Abstract

backgroundHypertension is the premier modifiable risk factor for recurrent stroke. In sub-Saharan Africa (SSA) where the stroke burden is escalating, little is known about the role of behavioral interventions in enhancing blood pressure (BP) control after stroke. Our objective is to test whether an m-Health technology-enabled, nurse-led, multilevel integrated approach is effective in improving BP control among Ghanaian stroke patients within 1 month of symptom onset compared with standard of care.

methodsThis two-arm cluster randomized controlled feasibility pilot trial will involve 60 recent-stroke survivors. Using a computer-generated sequence, patients will be randomly allocated into four clusters of 15 patients each per physician: two clusters in the intervention arm and two in the control arm. Patients in the intervention arm will receive a simple pillbox, a Blue-toothed UA-767Plus BT BP device and smartphone for monitoring and reporting BP measurements and medication intake under nurse guidance for 3 months. Tailored motivational text messages will be delivered based upon levels of adherence to the medication intake. Both groups will be followed up for 6 months to compare BP control at months 3, 6 and 9 as primary outcome measure. Physicians assessing BP control will be blinded to arms into which patients are allocated. Secondary outcome measures will include medication adherence scores and Competence and Autonomous Self-regulation Scale scores. A qualitative study is planned after follow-up to explore the lived experiences of participants in the intervention arm. DISCUSSION: A feasible and preliminarily effective intervention would lead to a larger more definitive efficacy/effectiveness randomized controlled trial powered to look at clinical events, with the potential to reduce stroke-related morbidity and mortality in a low- to middle-income country.

trial registrationClinicalTrials.gov Identifier: NCT02568137 , registered on 13 July 2015.

Indexed as

Nurse's RoleSmartphoneTelemedicineAntihypertensive AgentsBlood PressureClinical ProtocolsFeasibility StudiesFemaleGhanaHumansHypertensionMaleMedication AdherenceMobile ApplicationsMotivationPilot ProjectsAntihypertensive Agents

Identifiers

PMID27596244
PMCPMC5011977
OpenAlexW2515092183

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.