Intervention to Enable Stroke Survivors in Los Angeles County Hospitals to "Stay Within the Guidelines" "SUSTAIN"


Phase N/A Results N/A

Trial Description

The purpose of this study is to test a newly developed outpatient care intervention called SUSTAIN (Systematic Use of Stroke Averting Interventions) for improving delivery of stroke preventive services at Los Angeles County hospitals and to measure the costs of running such an intervention.

Detailed Description

Patients randomized to SUSTAIN will participate in group clinics about stroke, given self-management tools about stroke, and will be called by nurse practitioners to coordinate their stroke care. Patients randomized to the control arm will be mailed educational materials about stroke. Subjects in either arm are eligible to receive their usual source of care.



  • Care Management Behavioral
    Intervention Desc: Over a period of one year, subjects will participate in two regular stroke clinics, three group clinics, obtain self-management tools, and will receive a series of four scheduled telephone calls by nurse practitioners to review information delivered during the group clinics and help with care coordination. Usual care will also be available.
    ARM 1: Kind: Experimental
    Label: 1: Care management
  • Written Materials Behavioral
    Intervention Desc: Educational materials about stroke that will be distributed during the group clinic session will be mailed to these subjects. These materials have been developed by the American Heart Association. Usual care will also be available.
    ARM 1: Kind: Experimental
    Label: 2: Written Materials

Trial Design

  • Allocation: Randomized
  • Masking: Single Blind (Outcomes Assessor)
  • Purpose: Health Services Research
  • Endpoint: Efficacy Study
  • Intervention: Parallel Assignment


Type Measure Time Frame Safety Issue
Primary Blood Pressure Baseline, 3 months and 12 months No
Secondary Lipid levels Baseline, 3 month, 12 month No
Secondary Medication Adherence 8 months No