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 The Great Unknown: Risk-Taking Behavior in Adolescents
19.01.2017 | Max-Planck-Institut für Bildungsforschung

nachricht A sudden drop in outdoor temperature increases the risk of respiratory infections
11.01.2017 | University of Gothenburg

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: Traffic jam in empty space

New success for Konstanz physicists in studying the quantum vacuum

An important step towards a completely new experimental access to quantum physics has been made at University of Konstanz. The team of scientists headed by...

Im Focus: How gut bacteria can make us ill

HZI researchers decipher infection mechanisms of Yersinia and immune responses of the host

Yersiniae cause severe intestinal infections. Studies using Yersinia pseudotuberculosis as a model organism aim to elucidate the infection mechanisms of these...

Im Focus: Interfacial Superconductivity: Magnetic and superconducting order revealed simultaneously

Researchers from the University of Hamburg in Germany, in collaboration with colleagues from the University of Aarhus in Denmark, have synthesized a new superconducting material by growing a few layers of an antiferromagnetic transition-metal chalcogenide on a bismuth-based topological insulator, both being non-superconducting materials.

While superconductivity and magnetism are generally believed to be mutually exclusive, surprisingly, in this new material, superconducting correlations...

Im Focus: Studying fundamental particles in materials

Laser-driving of semimetals allows creating novel quasiparticle states within condensed matter systems and switching between different states on ultrafast time scales

Studying properties of fundamental particles in condensed matter systems is a promising approach to quantum field theory. Quasiparticles offer the opportunity...

Im Focus: Designing Architecture with Solar Building Envelopes

Among the general public, solar thermal energy is currently associated with dark blue, rectangular collectors on building roofs. Technologies are needed for aesthetically high quality architecture which offer the architect more room for manoeuvre when it comes to low- and plus-energy buildings. With the “ArKol” project, researchers at Fraunhofer ISE together with partners are currently developing two façade collectors for solar thermal energy generation, which permit a high degree of design flexibility: a strip collector for opaque façade sections and a solar thermal blind for transparent sections. The current state of the two developments will be presented at the BAU 2017 trade fair.

As part of the “ArKol – development of architecturally highly integrated façade collectors with heat pipes” project, Fraunhofer ISE together with its partners...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Sustainable Water use in Agriculture in Eastern Europe and Central Asia

19.01.2017 | Event News

12V, 48V, high-voltage – trends in E/E automotive architecture

10.01.2017 | Event News

2nd Conference on Non-Textual Information on 10 and 11 May 2017 in Hannover

09.01.2017 | Event News

 
Latest News

Helmholtz International Fellow Award for Sarah Amalia Teichmann

20.01.2017 | Awards Funding

An innovative high-performance material: biofibers made from green lacewing silk

20.01.2017 | Materials Sciences

Ion treatments for cardiac arrhythmia — Non-invasive alternative to catheter-based surgery

20.01.2017 | Life Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>