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Title

Effect of a Coordinated Community and Chronic Care Model Team Intervention vs. Usual Care on Systolic Blood Pressure in Patients with Stroke or Transient Ischemic Attack: The SUCCEED Randomized Clinical Trial (JAMA Network Open)

Publication Topics

California Health Interview Survey; 2011 California Health Interview Survey (CHIS 2011); 2012 California Health Interview Survey (CHIS 2012); African-American; Hispanic/Latino; Chronic Condition Prevalence; Access to Health Care; Safety Net Providers

Publication Type

CHIS Journal Article

Publication Date

2021-02-15T08:00:00Z

Author 1

<a onclick="OpenPopUpPage('http:\u002f\u002faskchisne.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=1867\u0026RootFolder=*', RefreshPage); return false;" href="http://askchisne.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=1867&amp;RootFolder=*">Amytis Towfighi</a>

Author 2

<a onclick="OpenPopUpPage('http:\u002f\u002faskchisne.ucla.edu\u002f_layouts\u002flistform.aspx?PageType=4\u0026ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}\u0026ID=151\u0026RootFolder=*', RefreshPage); return false;" href="http://askchisne.ucla.edu/_layouts/listform.aspx?PageType=4&amp;ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&amp;ID=151&amp;RootFolder=*">et al</a>

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Abstract

Summary: Few stroke survivors meet recommended cardiovascular goals, particularly among racial/ethnic minority populations, such as Black or Hispanic individuals, or socioeconomically disadvantaged populations. This study's purpose is to determine if a chronic care model-based, community health worker (CHW), advanced practice clinician (APC; including nurse practitioners or physician assistants), and physician team intervention improves risk factor control after stroke in a safety-net setting (i.e., health care setting where all individuals receive care, regardless of health insurance status or ability to pay).

Findings: In this randomized clinical trial that included 487 adults with recent stroke or transient ischemic attack, there was no difference between usual care and the multifaceted team-based intervention in blood pressure control at 12 months.

This randomized clinical trial of a complex multilevel, multimodal intervention did not find vascular risk factor improvements beyond that of usual care; however, further studies may consider testing the SUCCEED intervention with modifications to enhance implementation and participant engagement.

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Article 1

Journal Article: Effect of a Coordinated Community and Chronic Care Model Team Intervention vs. Usual Care on Systolic Blood Pressure in Patients with Stroke or Transient Ischemic Attack: The SUCCEED Randomized Clinical Trial

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Press Release

Related Link 1

California Health Interview Survey (CHIS)

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Created at 3/19/2021 12:01 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 3/19/2021 4:28 PM by i:0#.f|uclachissqlmembershipprovider|celeste