Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

High-risk stroke patients more likely to get follow-up care after motivational talk

05.08.2011
University of Michigan study shows telephone intervention boosts low follow-up rates among high-risk patients in the nation’s ‘stroke belt’

Even though many Americans learn through community health screenings that they are at high risk for having a stroke, they rarely follow-up with their doctor for care.

But a new University of Michigan study shows high-risk stroke patients are twice as likely to get follow-up care from a primary care doctor if they receive a pep talk over the telephone.

“It is unfortunate that these high-risk patients often have a lower rate of follow-up with their primary care physicians,” says Rajesh Balkrishnan, Ph.D., associate professor in the College of Pharmacy and School of Public Health at the U-M. “They should not ignore their results and seek medical help.”

Stroke is one of the leading causes of death and disability in the United States. But controlling high blood pressure and high cholesterol helps reduce the chance of fatty deposits building up in the arteries that can lead to a stroke.

The U-M study, published in the July-August issue of the Journal of Stroke and Cerebrovascular Diseases, tested the effectiveness of telephone interventions with those who had two or more stroke risk factors.

More than 200 people participated in the study. All participants lived in North Carolina, a state in the ‘stroke belt,’ the southeastern region of the country with the nation’s highest incidence of stroke.

They received either standard information on strokes, such as risk factors, or a telephone call -- a brief intervention known as the Health Belief Model which offers specific health advice and discusses barriers to seeing a primary care physician.

“Patients who had the telephone intervention were twice as likely to visit their primary care physician and discuss stroke screening results,” says Balkrishnan. “Telephone interviewers worked with these patients and reinforced the need for stroke care with a primary care doctor,” he says.

These patients also modified their diet and even talked about seeing stroke specialists, he adds.

Three months after the screening, 56 percent in the intervention group, compared to 38 percent who did not get a call, had visited their primary care doctor specifically to discuss the stroke screening results.

Stroke is the third leading cause of death in the United States. Nearly 800,000 Americans have a stroke each year, and 137,000 die of stroke. Strokes are more common among older people, but there’s evidence of stroke declining in recent decades as more people control high cholesterol and high blood pressure and fewer people smoke.

Additional authors: Roger T. Anderson, Ph.D., Fabian Camacho, M.S., Ala I. Iaconi, B.S., Charles H. Tegeler, M.D.

Reference: “Enhancing the effectiveness of community stroke risk screening: A randomized controlled trial,” Journal of Stroke and Cerebrovascular Diseases, Vol. 20, No. 4., pp. 330-335.

Resources

University of Michigan School of Public Health
http://www.sph.umich.edu/
University of Michigan College of Pharmacy
http://pharmacy.umich.edu/pharmacy/home
University of Michigan Health System Stroke Program
http://www.uofmhealth.org/medical-services/stroke

Imran Hyder | EurekAlert!
Further information:
http://www.umich.edu

More articles from Studies and Analyses:

nachricht New study: How does Europe become a leading player for software and IT services?
03.04.2017 | Fraunhofer-Institut für System- und Innovationsforschung (ISI)

nachricht Reusable carbon nanotubes could be the water filter of the future, says RIT study
30.03.2017 | Rochester Institute of Technology

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Can the immune system be boosted against Staphylococcus aureus by delivery of messenger RNA?

Staphylococcus aureus is a feared pathogen (MRSA, multi-resistant S. aureus) due to frequent resistances against many antibiotics, especially in hospital infections. Researchers at the Paul-Ehrlich-Institut have identified immunological processes that prevent a successful immune response directed against the pathogenic agent. The delivery of bacterial proteins with RNA adjuvant or messenger RNA (mRNA) into immune cells allows the re-direction of the immune response towards an active defense against S. aureus. This could be of significant importance for the development of an effective vaccine. PLOS Pathogens has published these research results online on 25 May 2017.

Staphylococcus aureus (S. aureus) is a bacterium that colonizes by far more than half of the skin and the mucosa of adults, usually without causing infections....

Im Focus: A quantum walk of photons

Physicists from the University of Würzburg are capable of generating identical looking single light particles at the push of a button. Two new studies now demonstrate the potential this method holds.

The quantum computer has fuelled the imagination of scientists for decades: It is based on fundamentally different phenomena than a conventional computer....

Im Focus: Turmoil in sluggish electrons’ existence

An international team of physicists has monitored the scattering behaviour of electrons in a non-conducting material in real-time. Their insights could be beneficial for radiotherapy.

We can refer to electrons in non-conducting materials as ‘sluggish’. Typically, they remain fixed in a location, deep inside an atomic composite. It is hence...

Im Focus: Wafer-thin Magnetic Materials Developed for Future Quantum Technologies

Two-dimensional magnetic structures are regarded as a promising material for new types of data storage, since the magnetic properties of individual molecular building blocks can be investigated and modified. For the first time, researchers have now produced a wafer-thin ferrimagnet, in which molecules with different magnetic centers arrange themselves on a gold surface to form a checkerboard pattern. Scientists at the Swiss Nanoscience Institute at the University of Basel and the Paul Scherrer Institute published their findings in the journal Nature Communications.

Ferrimagnets are composed of two centers which are magnetized at different strengths and point in opposing directions. Two-dimensional, quasi-flat ferrimagnets...

Im Focus: World's thinnest hologram paves path to new 3-D world

Nano-hologram paves way for integration of 3-D holography into everyday electronics

An Australian-Chinese research team has created the world's thinnest hologram, paving the way towards the integration of 3D holography into everyday...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Marine Conservation: IASS Contributes to UN Ocean Conference in New York on 5-9 June

24.05.2017 | Event News

AWK Aachen Machine Tool Colloquium 2017: Internet of Production for Agile Enterprises

23.05.2017 | Event News

Dortmund MST Conference presents Individualized Healthcare Solutions with micro and nanotechnology

22.05.2017 | Event News

 
Latest News

How herpesviruses win the footrace against the immune system

26.05.2017 | Life Sciences

Water forms 'spine of hydration' around DNA, group finds

26.05.2017 | Life Sciences

First Juno science results supported by University of Leicester's Jupiter 'forecast'

26.05.2017 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>