Phone-based Intervention under Nurse Guidance after Stroke (PINGS): Concept for Lowering Blood Pressure after Stroke in Sub-Saharan Africa
Identifieur interne : 001E73 ( Pmc/Corpus ); précédent : 001E72; suivant : 001E74Phone-based Intervention under Nurse Guidance after Stroke (PINGS): Concept for Lowering Blood Pressure after Stroke in Sub-Saharan Africa
Auteurs : Bruce OvbiageleSource :
- Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association [ 1052-3057 ] ; 2014.
Abstract
Over the last four decades, rates of stroke occurrence in low-and middle-income countries (LMIC) have roughly doubled, whereas they have substantively decreased in high income countries (HIC). The majority of these LMIC are in Sub-Saharan Africa (SSA) where the burden of stroke will probably continue to rise over the next few decades due to an ongoing epidemiological transition. Moreover, SSA is circumstantially distinct: socioeconomic obstacles, cultural barriers, under-diagnosis, uncoordinated care, and shortage of physicians impede the ability of SSA countries to implement CVD prevention among people with DM in a timely and sustainable manner. Reducing the burden of stroke in SSA may necessitate an initial emphasis on high-risk individuals motivated to improve their health, multidisciplinary care coordination initiatives with clinical decision support, evidence-based interventions tailored for cultural relevance, task shifting from physicians to nurses and other health providers, use of novel patient-accessible tools, and a multi-level approach that incorporates individual- and system- level components.
This article proposes a theory-based integrated blood pressure self-management intervention called Phone-based Intervention under Nurse Guidance after Stroke (PINGS) that could be tested among hospitalized stroke patients with poorly controlled HTN encountered in SSA. PINGS would comprise the implementation of nurse-run BP control clinics and administration of health technology (personalized phone text messaging and home telemonitoring), aimed at boosting patient self-efficacy and intrinsic motivation for sustained adherence to antihypertensive medications.
Url:
DOI: 10.1016/j.jstrokecerebrovasdis.2014.08.011
PubMed: 25440360
PubMed Central: 4277714
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PMC:4277714Le document en format XML
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<front><div type="abstract" xml:lang="en"><p id="P1">Over the last four decades, rates of stroke occurrence in low-and middle-income countries (LMIC) have roughly doubled, whereas they have substantively decreased in high income countries (HIC). The majority of these LMIC are in Sub-Saharan Africa (SSA) where the burden of stroke will probably continue to rise over the next few decades due to an ongoing epidemiological transition. Moreover, SSA is circumstantially distinct: socioeconomic obstacles, cultural barriers, under-diagnosis, uncoordinated care, and shortage of physicians impede the ability of SSA countries to implement CVD prevention among people with DM in a timely and sustainable manner. Reducing the burden of stroke in SSA may necessitate an initial emphasis on high-risk individuals motivated to improve their health, multidisciplinary care coordination initiatives with clinical decision support, evidence-based interventions tailored for cultural relevance, task shifting from physicians to nurses and other health providers, use of novel patient-accessible tools, and a multi-level approach that incorporates individual- and system- level components.</p>
<p id="P2">This article proposes a theory-based integrated blood pressure self-management intervention called Phone-based Intervention under Nurse Guidance after Stroke (PINGS) that could be tested among hospitalized stroke patients with poorly controlled HTN encountered in SSA. PINGS would comprise the implementation of nurse-run BP control clinics and administration of health technology (personalized phone text messaging and home telemonitoring), aimed at boosting patient self-efficacy and intrinsic motivation for sustained adherence to antihypertensive medications.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9111633</journal-id>
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<journal-id journal-id-type="nlm-ta">J Stroke Cerebrovasc Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">J Stroke Cerebrovasc Dis</journal-id>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Phone-based Intervention under Nurse Guidance after Stroke (PINGS): Concept for Lowering Blood Pressure after Stroke in Sub-Saharan Africa</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Ovbiagele</surname>
<given-names>Bruce</given-names>
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<degrees>MD, MSc, MAS</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<aff id="A1"><label>1</label>
Department of Neurology and Neurosurgery, Medical University of South Carolina, Charleston, South Carolina</aff>
<author-notes><corresp id="CR1"><italic>Correspondence to:</italic>
Bruce Ovbiagele, MD, MSc, MAS Department of Neurosciences, Medical University of South Carolina 96 Jonathan Lucas St. CSB 301 • MSC 606 Charleston, SC 29425-6160 Phone: 843-792-1414 Fax: 858-657-6788 <email>Ovibes@musc.edu</email>
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<pub-date pub-type="nihms-submitted"><day>27</day>
<month>11</month>
<year>2014</year>
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<pub-date pub-type="epub"><day>24</day>
<month>10</month>
<year>2014</year>
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<pub-date pub-type="ppub"><month>1</month>
<year>2015</year>
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<pub-date pub-type="pmc-release"><day>01</day>
<month>1</month>
<year>2016</year>
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<volume>24</volume>
<issue>1</issue>
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<lpage>9</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.jstrokecerebrovasdis.2014.08.011</pmc-comment>
<permissions><copyright-statement>© 2014 by National Stroke Association. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
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<abstract><p id="P1">Over the last four decades, rates of stroke occurrence in low-and middle-income countries (LMIC) have roughly doubled, whereas they have substantively decreased in high income countries (HIC). The majority of these LMIC are in Sub-Saharan Africa (SSA) where the burden of stroke will probably continue to rise over the next few decades due to an ongoing epidemiological transition. Moreover, SSA is circumstantially distinct: socioeconomic obstacles, cultural barriers, under-diagnosis, uncoordinated care, and shortage of physicians impede the ability of SSA countries to implement CVD prevention among people with DM in a timely and sustainable manner. Reducing the burden of stroke in SSA may necessitate an initial emphasis on high-risk individuals motivated to improve their health, multidisciplinary care coordination initiatives with clinical decision support, evidence-based interventions tailored for cultural relevance, task shifting from physicians to nurses and other health providers, use of novel patient-accessible tools, and a multi-level approach that incorporates individual- and system- level components.</p>
<p id="P2">This article proposes a theory-based integrated blood pressure self-management intervention called Phone-based Intervention under Nurse Guidance after Stroke (PINGS) that could be tested among hospitalized stroke patients with poorly controlled HTN encountered in SSA. PINGS would comprise the implementation of nurse-run BP control clinics and administration of health technology (personalized phone text messaging and home telemonitoring), aimed at boosting patient self-efficacy and intrinsic motivation for sustained adherence to antihypertensive medications.</p>
</abstract>
<kwd-group><kwd>Secondary Prevention</kwd>
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<kwd>Vascular Events</kwd>
<kwd>Africa</kwd>
<kwd>Hypertension</kwd>
<kwd>Mobile health</kwd>
<kwd>Nurses</kwd>
<kwd>Task shifting</kwd>
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