V-STOP

Data collection ✔ Data Analysis ✔ Publication ✔
Published and Poster Presentation
Jane Anderson, PhD APRN FAANP, Principal Investigator, Lone Star Stroke at Baylor College of Medicine, Director of Program Development and Evaluation for the VA National Telestroke Program (NTSP), investigator with the Michael E. DeBakey VAMC HSR&D Center for Innovations in Quality, Effectiveness and Safety (IQuEST), Associate Professor, Department of Neurolgy
Barbara Kimmel, DrPH MS MSc CCRP, Lone Star Stroke Network Hub Manager and Health Coach Instructor, Department of Neurology, Baylor College of Medicine

Video-Teleconference Self-management TO Prevent Stroke (V-STOP): A pilot study of self-management support for underserved stroke survivors in Texas

Telehealth is a model of care that has enormous potential to connect stroke patients with appropriate healthcare services and eliminate access barriers. The emergence of mobile wireless technology for telehealth delivery using iPads, smartphones, and tablets expands capabilities to reach stroke survivors in their homes.

Video-teleconference Self-management TO Prevent Stroke (V-STOP) is a study designed to test the feasibility of using video-teleconferencing (VT) to deliver self-management support and stroke prevention education to stroke survivors while at home on their smartphone or mobile device. The V-STOP intervention is a 6-week program that consists of 3 self-management support group classes and 3 follow-up clinic visits. The investigators are targeting stroke survivors that live in rural and poor urban areas in Texas.

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Stroke is the leading cause of permanent disability in the US and having a stroke significantly increases the risk of a second stroke, especially with inadequate risk factor management. V-STOP II explores mobile health as a viable approach in the delivery of stroke prevention through self-management support to Texas residents living in rural and poor urban areas. The study is being implemented in three phases.

  • Phase I is focused on establishing a telehealth infrastructure for delivery of V-STOP across Lone Star Stroke (LSS) sites. Phase I was completed in November of 2016.
  • Phase II is focused on establishing the feasibility of mobile health delivery for self-management support and stroke prevention education to underserved stroke survivors in Texas. Phase II was completed in March of 2018.
  • Phase III is currently in process and is focused on establishing preliminary efficacy and recruitment and retention strategies for a larger randomized controlled trial.

Publications

 

Anderson JA, Kimmel B, Sansgiry S, Venkatasubba Rao CP, Ovalle AP, Cerra-Stewart CA, Kent TA (2022) Using mobile video-teleconferencing to deliver secondary stroke prevention interventions: a pilot study, Telemedicine Reports 3:1, 175–183, https://doi.org/10.1089/tmr.2022.0026