beplay苹果手机能用吗研究检查社会决定因素对中风的影响
一项试验测试是否将在休斯敦的德克萨斯大学健康科学中心启动多学科远程医疗干预措施是否有助于改善成人中风幸存者成果的种族差异（休斯顿乌西卫生）国立卫生研究院的国家少数民族健康与健康差异的310万美元赠款。
The study – led byAnjail Z. Sharrief，医学博士，MPH，副教授神经病学与麦戈文医学院一起 - 标志着Cizik School of Nursing at UTHealth Houston,公共卫生学院,休斯顿乌西卫生School of Biomedical Informatics和Uthealth HoustonInstitute for Stroke and Cerebrovascular Disease。
The research team aims to reduce existing racial disparities in blood pressure control and stroke recurrence among stroke survivors by using telemedicine and telemonitoring to target key social determinants of health, such as health care access, food insecurity, housing insecurity, access to transportation, and language preferences.
“There are a lot of gaps in knowledge related to how to best treat patients following stroke. We don’t often enough think about social factors and how they impact outcomes,” Sharrief said. “Essentially, we know that disparities exist, but we don’t know what causes them and how to address them. With this study, we hope to have more information about what causes these disparities and potential ways to address them.”
Hypertension is the most important risk factor for ischemic and hemorrhagic stroke, and reduction in blood pressure after stroke is associated with reduced risk of stroke recurrence. However, for the majority of stroke survivors, hypertension remains poorly controlled early after a stroke. In the U.S., Black and Hispanic stroke survivors are more likely to have poorly controlled risk factors after stroke compared to white stroke survivors.
Sharrief sees promise in telehealth as a means for closing these gaps for several reasons. On the care side, the style of intervention facilitates a multidisciplinary team approach by making it easier for multiple medical providers to get together at the same time and meet with their patient. It also removes certain barriers for patients who may not have reliable access to transportation or who may not be able to pay for parking, among other issues.
Overall, the randomized trial will compare outcomes between two groups of patients – one assigned to participate in the VIRTUAL intervention (Video-based Intervention to Reduce Treatment and Outcome Disparities in Adults Living with Stroke or Transient Ischemic Attack), and the other to standard care.
The VIRTUAL intervention will include post-discharge telehealth visits with a multidisciplinary team, social risk assessments to facilitate social risk-targeted and social risk-informed care, and home blood pressure telemonitoring and management. Patients will be followed by a care team consisting of neurology providers (physician and nurse practitioner), pharmacists, and a social worker. Standard care will include follow-up with a neurologist and primary care provider and pharmacist-assisted blood pressure adjustment.
具体而言，Sharrief将评估远程医疗干预对中风后六个月的血压控制的影响，中风后一年复发性的血管事件以及中风后的健康服务访问和利用，以及种族和种族对这些成果的调节作用。该团队还将确定健康的卫生和成果的额外社会决定因素之间的关系。
研究小组beplay苹果手机能用吗还包括麦戈文医学院教师医学博士Olasimimbo Chiadika，副教授心血管医学;查尔斯·格林（Charles Green），博士，副教授Department of Pediatrics;医学博士肖恩·萨维兹（Sean Savitz），教授兼神经病学主席Frank M. Yatsu；和医学博士Elmer Bernstam, professor of internal medicine who is also The Reynolds and Reynolds Professor in Clinical Informatics at the School of Biomedical Informatics. Team memberMunachi Okpala, DNP，是McGovern医学院的护士从业者。Daphne Hernandez, PhD, the Lee and Joseph Jamail Distinguished Professor in the School of Nursing at Cizik School of Nursing, andJose-Miguel Yamal, PhD，公共卫生学院的生物统计学和数据科学教授也在团队中。Savitz是中风和脑血管疾病研究所的主任，以及Green，Hernandez，Okpala，Yamal和Sharrief是成员。Savitz，Bernstam和Yamal是德克萨斯大学医学博士Anderson Cancer Center Uthealth生物医学科学研究生院的成员。
The researchers will begin recruiting patients for the study in early 2022. They hope to enroll approximately 540 patients.