Evidence map›Paper›PMID 40844998›Full record

Trial reportPloS one2025

A 6-month, prospective randomized controlled trial of the TargetEd MAnageMent (TEAM) intervention vs. enhanced treatment as usual among Ugandans at risk for stroke.

Mark Kaddumukasa, Martin Kaddumukasa, Scovia Nalugo Mbalinda, Josephine Najjuma, Jane Nakibuuka, Doreen Birungi, Carla Conroy, Joy Yala, Levicatus Mugenyi, Christopher J Burant and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04685408 (A TargEted MAnageMent Intervention for Reducing Stroke Risk Factors in High Risk), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT04685408 nacompletednot on this map

A TargEted MAnageMent Intervention for Reducing Stroke Risk Factors in High Risk

TypeinterventionalSponsorCase Western Reserve UniversityRan2022 to 2024Enrolled276ConditionsStrokeArmsTEAM, ETAU
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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.

Mark KaddumukasaDepartment of Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID https://orcid.org/0000-0001-7390-7330
Martin KaddumukasaDepartment of Medicine, Mulago Hospital, Kampala, Uganda.
Scovia Nalugo MbalindaDepartment of Nursing, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID https://orcid.org/0000-0002-4945-130X
Josephine NajjumaDepartment of Nursing, Mbarara University of Science and Technology, Mbarara, Uganda.
Jane NakibuukaDepartment of Medicine, Mulago Hospital, Kampala, Uganda.
Doreen BirungiDepartment of Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Carla ConroyUniversity Hospitals Cleveland Medical Center, Cleveland, Ohio, United States of America.
Joy YalaUniversity Hospitals Cleveland Medical Center, Cleveland, Ohio, United States of America.
Levicatus MugenyiDepartment of Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Christopher J BurantFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, United States of America.
Shirley MooreVeterans Affairs Northeast Ohio Healthcare System, Geriatric Research Education, and Clinical Center, Cleveland, Ohio, United States of America.
Elly T KatabiraDepartment of Medicine, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Martha SajatovicSchool of Medicine, Case Western Reserve University, Cleveland, Ohio, United States of America.

Funding

A Targeted Self-Management Intervention for Reducing Stroke Risk Factors in High Risk UgandansR01NS118544 · NINDS · CASE WESTERN RESERVE UNIVERSITY · PI KATABIRA, ELLY T, SAJATOVIC, MARTHA X · 2020 to 2025
$3.0M
NINDS NIH HHS R01 NS118544
6 · The paper itself

Abstract

backgroundAmong low and middle-income countries, especially in Sub-Saharan Africa, the stroke burden is severe, with increasing trends in stroke incidence, prevalence, and mortality.

aimsThis 6-month, prospective randomized controlled trial (RCT) compared a novel stroke risk reduction approach (TargetEd manAgeMent Intervention (TEAM)) vs. Enhanced Treatment as Usual (ETAU) in 247 Ugandans at risk for stroke.

methodsParticipants, enrolled across 3 Ugandan sites, were adults with high stroke risk. The primary outcome was a change in systolic blood pressure (SBP) from baseline to 6-month follow-up. Secondary outcomes included changes from baseline to 6 months on diastolic BP (DBP), serum lipids, glycosylated hemoglobin (HbA1c), self-efficacy and stress.

resultsThe mean sample age was 55.4 (±SD = 12.0) with majority being women (n = 168, 68%). In addition to hypertension, the most common risk factors were hyperlipidemia (n = 199, 80.6%) and obesity (n = 98, 39.7%). Overall mean SBP and DBP at baseline were 143.0 (SD = 19.8, range 94.5-206) and 89.3 (SD = 14.0, range 61-136) respectively. In TEAM, SBP significantly improved from 145.7 (±21.5) at baseline to137.4 (±18.1) at 6-months vs. change from 141.9 (±18.4) to 141.1 (±21.9) for ETAU (p = 0.031). There were similar reductions in DBP favoring TEAM (p = .012). Compared to ETAU, TEAM showed improved physical activity (p = .017), self-efficacy (p < .001) and stress (p = .014).

conclusionsThere is a need for effective and practical approaches to reduce stroke burden in Sub-Saharan Africa. Inclusion of the TEAM approach in primary care seems to be a pragmatic and effective way to potentially reduce stroke burden in Uganda.

trial registrationClinicalTrials.gov identifier: NCT04685408, registered on 28 December 2020.

Indexed as

StrokeAdultAgedBlood PressureEast African PeopleFemaleGlycated HemoglobinHumansHyperlipidemiasHypertensionLipidsMaleMiddle AgedProspective StudiesRisk FactorsUgandaGlycated HemoglobinLipids

Identifiers

PMID40844998
PMCPMC12373184

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.