Verifying Information and Communication Technology and Outcomes Research in Stroke: VICTORS
Stroke is the leading cause of adult disability in the United States and the 4th leading cause of death. Underserved minority populations, including African-Americans, are disproportionately affected by stroke, with prior population-based studies showing higher incidence rates, as well as higher morbidity and mortality in these groups. However, there is insufficient data regarding more detailed aspects of long-term outcomes in stroke survivors, particularly in minority populations. Population- based longitudinal data are specifically needed to better understand and characterize disparities not only in overall outcome, but also in the critical contributors to and components of outcome. This information can then be used to design culturally appropriate interventions aimed at reducing disparities and improving outcomes in stroke.
One critical outcome contributing to disparities in stroke is poor risk factor control. As the single greatest modifiable risk factor, hypertension is an ideal focus for novel interventions and approaches to reduce disparities and improve outcomes post-stroke in African Americans.
VICTORS Stroke Outcomes Study
Study coordinators will identify all stroke patients admitted to one of the 7 acute care hospitals [link to list of hospitals in the “who we are” section] in Washington, DC. Then they will follow a random sample of the ischemic stroke populations to collect outcome measures at baseline, day 90, and year one. Focus groups will be conducted in target wards of 4, 5, 6, and 7 to assess preferences regarding the role of technology-based interventions. Hospitalized stroke patients will also be interviewed. Study coordinators will also demonstrate the acceptance and feasibility of a technology- based stroke risk factor intervention.