Evidence map›Paper›PMID 29222227›Full record

Trial reportStroke2018

PINGS (Phone-Based Intervention Under Nurse Guidance After Stroke): Interim Results of a Pilot Randomized Controlled Trial.

Fred Sarfo, Frank Treiber, Mulugeta Gebregziabher, Sheila Adamu, Sachin Patel, Michelle Nichols, Dominic Awuah, Asumadu Sakyi, Nyantakyi Adu-Darko, Arti Singh and 3 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Stroke, 2018. 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 52 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 11 pooled it
6.7field-weighted citation impact, top 2% 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 map

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

52 citing papers in PubMed, 11 syntheses or guidelines pooled it, 94 citations in OpenAlex.

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  11. 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
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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

13 authors at 2 institutions in 1 country.

Fred SarfoFrom the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.). stephensarfo78@gmail.com.
Frank TreiberFrom the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
Mulugeta GebregziabherFrom the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
Sheila AdamuFrom the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
Sachin PatelFrom the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
Michelle NicholsFrom the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
Dominic AwuahFrom the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
Asumadu SakyiFrom the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
Nyantakyi Adu-DarkoFrom the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
Arti SinghFrom the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
Raelle TaggeFrom the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
Jenkins CarolynFrom the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
Bruce OvbiageleFrom the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
Kwame Nkrumah University of Science and Technology · GHKomfo Anokye Teaching Hospital · GH

Funding

Phone-based Intervention Under Nurse Guidance after Stroke (PINGS)R21NS094033 · NINDS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI OVBIAGELE, BRUCE · 2015 to 2016
$337k
NINDS NIH HHS R21 NS094033
6 · The paper itself

Abstract

background and purposeStroke exacts an immense toll in sub-Saharan Africa where there are few resources, and stroke prevention research is limited. The aim of this study is to test the feasibility and preliminary efficacy of an m-Health technology-enabled, nurse-guided intervention in improving blood pressure (BP) control among Ghanaian stroke patients within 1 month of symptom onset.

methodsWe conducted a 2-arm cluster pilot randomized controlled trial involving 60 recent stroke survivors encountered within a single tertiary medical system in Ghana. Subjects in the intervention arm (n=30) received a Blue-toothed UA-767Plus BT BP device and smartphone for monitoring and reporting BP measurements and medication intake for 3 months compared with standard of care (n=30). Primary outcome measure was systolic BP <140 mm Hg at month 3; secondary outcomes included medication adherence and autonomous self-regulation. Analysis accounting for clustering was made using generalized linear mixed model by intention to treat.

resultsMean±SD age was 55±13 years, 65% male. Systolic BP <140 mm Hg at month 3 was found in 20/30 subjects (66.7%) in the intervention arm versus 14/30 subjects (46.7%) in the control arm (

conclusionsIt is feasible to conduct an m-Health-based, nurse-guided BP control intervention among recent stroke patients in sub-Saharan Africa. We observed a potential signal of efficacy with the intervention, which will need to be tested in a future large definitive study. CLINICAL

trial registrationURL: https://www.clinicaltrials.gov. Unique identifier: NCT02568137.

Indexed as

Blood PressureBlood Pressure Monitoring, AmbulatoryIntracranial HemorrhagesSmartphoneStrokeAdultAgedFemaleGhanaHumansMaleMiddle AgedPilot ProjectsStroke RehabilitationSurvivorsblood pressurehypertensionmedication adherencerandomized controlled trialsurvivors

Identifiers

PMID29222227
PMCPMC5742065
OpenAlexW2771820324

What OpenQuestion holds

Textmetadata
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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.