Trial of a Secondary Stroke Prevention Program

Development of a Stroke Prevention Program for an Underserved Minority Community

The purpose of this study is to determine whether an outpatient program can reduce the risk of recurrent stroke.

Stroke is a major cause of death and disability. A history of stroke is the strongest predictor of a future stroke. Control of risk factors lowers the risk of future stroke, yet most persons with stroke do not have their risk factors controlled.

In this randomized-controlled trial, we will test whether an outpatient stroke prevention program consisting of group clinics, patient self-management, and telephone care coordination can lower the risk of recurrent stroke by improving patient knowledge, medication adherence, and lifestyle habits. If successful, this program may be adapted to other settings.

Inclusion Criteria:

• ischemic stroke within the past 30 days
• transient ischemic attack within the past 30 days
• person receiving care at VA Long Beach Healthcare System

Exclusion Criteria:

• unable to understand informed consent
• already enrolled in another research study