Skip to main content
  • American Heart Association
  • Science Volunteer
  • Warning Signs
  • Advanced Search
  • Donate

  • Home
  • About this Journal
    • Editorial Board
    • General Statistics
    • Author Reprints
    • Commercial Reprints
    • Customer Service and Ordering Information
    • Information for Advertisers
  • All Issues
  • Subjects
    • All Subjects
    • Arrhythmia and Electrophysiology
    • Basic, Translational, and Clinical Research
    • Critical Care and Resuscitation
    • Epidemiology, Lifestyle, and Prevention
    • Genetics
    • Heart Failure and Cardiac Disease
    • Hypertension
    • Imaging and Diagnostic Testing
    • Intervention, Surgery, Transplantation
    • Quality and Outcomes
    • Stroke
    • Vascular Disease
  • Browse Features
    • Editor Picks
    • Blogging Stroke
    • AHA/ASA Guidelines and Statements
    • ISC and Nursing Symposium Abstracts
    • Progress and Innovation Award Recipients
    • Acknowledgment of Reviewers
    • Stroke in Women
    • Outstanding Reviewers 2017
  • Resources
    • Online Submission/Peer Review
    • Instructions for Authors
    • → Article Types
    • → General Preparation Instructions
    • → Research Guidelines
    • → How to Submit a Manuscript
    • → Tips for Submission
    • → Links and Forms
    • → Revised Manuscripts
    • Costs to Authors
    • Journal Policies
    • Wolters Kluwer Author Services
    • Early Career Resources
    • Stroke CME
    • Webinar Series
    • Permissions and Rights Q&A
    • AHA Newsroom
  • AHA Journals
    • AHA Journals Home
    • Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB)
    • Circulation
    • → Circ: Arrhythmia and Electrophysiology
    • → Circ: Genomic and Precision Medicine
    • → Circ: Cardiovascular Imaging
    • → Circ: Cardiovascular Interventions
    • → Circ: Cardiovascular Quality & Outcomes
    • → Circ: Heart Failure
    • Circulation Research
    • Hypertension
    • Stroke
    • Journal of the American Heart Association
  • Facebook
  • Twitter

  • My alerts
  • Sign In
  • Join

  • Advanced search

Header Publisher Menu

  • American Heart Association
  • Science Volunteer
  • Warning Signs
  • Advanced Search
  • Donate

Stroke

  • My alerts
  • Sign In
  • Join

  • Facebook
  • Twitter
  • Home
  • About this Journal
    • Editorial Board
    • General Statistics
    • Author Reprints
    • Commercial Reprints
    • Customer Service and Ordering Information
    • Information for Advertisers
  • All Issues
  • Subjects
    • All Subjects
    • Arrhythmia and Electrophysiology
    • Basic, Translational, and Clinical Research
    • Critical Care and Resuscitation
    • Epidemiology, Lifestyle, and Prevention
    • Genetics
    • Heart Failure and Cardiac Disease
    • Hypertension
    • Imaging and Diagnostic Testing
    • Intervention, Surgery, Transplantation
    • Quality and Outcomes
    • Stroke
    • Vascular Disease
  • Browse Features
    • Editor Picks
    • Blogging Stroke
    • AHA/ASA Guidelines and Statements
    • ISC and Nursing Symposium Abstracts
    • Progress and Innovation Award Recipients
    • Acknowledgment of Reviewers
    • Stroke in Women
    • Outstanding Reviewers 2017
  • Resources
    • Online Submission/Peer Review
    • Instructions for Authors
    • → Article Types
    • → General Preparation Instructions
    • → Research Guidelines
    • → How to Submit a Manuscript
    • → Tips for Submission
    • → Links and Forms
    • → Revised Manuscripts
    • Costs to Authors
    • Journal Policies
    • Wolters Kluwer Author Services
    • Early Career Resources
    • Stroke CME
    • Webinar Series
    • Permissions and Rights Q&A
    • AHA Newsroom
  • AHA Journals
    • AHA Journals Home
    • Arteriosclerosis, Thrombosis, and Vascular Biology (ATVB)
    • Circulation
    • → Circ: Arrhythmia and Electrophysiology
    • → Circ: Genomic and Precision Medicine
    • → Circ: Cardiovascular Imaging
    • → Circ: Cardiovascular Interventions
    • → Circ: Cardiovascular Quality & Outcomes
    • → Circ: Heart Failure
    • Circulation Research
    • Hypertension
    • Stroke
    • Journal of the American Heart Association
Brief Report

PINGS (Phone-Based Intervention Under Nurse Guidance After Stroke)

Interim Results of a Pilot Randomized Controlled Trial

Fred Sarfo, Frank Treiber, Mulugeta Gebregziabher, Sheila Adamu, Sachin Patel, Michelle Nichols, Dominic Awuah, Asumadu Sakyi, Nyantakyi Adu-Darko, Arti Singh, Raelle Tagge, Jenkins Carolyn, Bruce Ovbiagele
Download PDF
https://doi.org/10.1161/STROKEAHA.117.019591
Stroke. 2018;49:236-239
Originally published December 8, 2017
Fred Sarfo
From the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Frank Treiber
From the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Mulugeta Gebregziabher
From the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sheila Adamu
From the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sachin Patel
From the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Michelle Nichols
From the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Dominic Awuah
From the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Asumadu Sakyi
From the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nyantakyi Adu-Darko
From the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Arti Singh
From the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Raelle Tagge
From the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jenkins Carolyn
From the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Bruce Ovbiagele
From the Division of Neurology, Department of Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana (F.S., A.S.); Department of Medicine, Komfo Anokye Teaching Hospital, Kumasi, Ghana (F.S., S.A., D.A., A.S., N.A.-D.); and Department of Neurology, Medical University of South Carolina, Charleston (F.T., M.G., S.P., M.N., R.T., J.C., B.O.).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Tables
  • Supplemental Materials
  • Info & Metrics
Loading

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.


Abstract

Background and Purpose—Stroke exacts an immense toll in sub-Saharan Africa where there are few resources, and stroke prevention research is limited. The aim of this study is to test the feasibility and preliminary efficacy of an m-Health technology–enabled, nurse-guided intervention in improving blood pressure (BP) control among Ghanaian stroke patients within 1 month of symptom onset.

Methods—We conducted a 2-arm cluster pilot randomized controlled trial involving 60 recent stroke survivors encountered within a single tertiary medical system in Ghana. Subjects in the intervention arm (n=30) received a Blue-toothed UA-767Plus BT BP device and smartphone for monitoring and reporting BP measurements and medication intake for 3 months compared with standard of care (n=30). Primary outcome measure was systolic BP <140 mm Hg at month 3; secondary outcomes included medication adherence and autonomous self-regulation. Analysis accounting for clustering was made using generalized linear mixed model by intention to treat.

Results—Mean±SD age was 55±13 years, 65% male. Systolic BP <140 mm Hg at month 3 was found in 20/30 subjects (66.7%) in the intervention arm versus 14/30 subjects (46.7%) in the control arm (P=0.12). Medication possession ratio scores at month 3 were better in the intervention (0.88±0.40) versus control (0.64±0.45) arm (P=0.03). One subject in control arm died from a recurrent hemorrhagic stroke.

Conclusions—It is feasible to conduct an m-Health–based, nurse-guided BP control intervention among recent stroke patients in sub-Saharan Africa. We observed a potential signal of efficacy with the intervention, which will need to be tested in a future large definitive study.

Clinical Trial Registration—URL: https://www.clinicaltrials.gov. Unique identifier: NCT02568137.

  • blood pressure
  • hypertension
  • medication adherence
  • randomized controlled trial
  • survivors
  • Received September 30, 2017.
  • Revision received October 23, 2017.
  • Accepted November 13, 2017.
  • © 2017 American Heart Association, Inc.
View Full Text

American Heart Association Professional?

Log in with your Professional Heart Daily username and password. Not an American Heart Association Professional? Continue below.

Log in using your username and password

Enter your Stroke username.
Enter the password that accompanies your username.
Forgot your user name or password?

Pay Per Article - You may access this article (from the computer you are currently using) for 1 day for US$35.00

Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.

Jump to

  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Sources of Funding
    • Disclosures
    • Footnotes
    • References
  • Figures & Tables
  • Supplemental Materials
  • Info & Metrics
  • eLetters
Back to top
Previous ArticleNext Article

This Issue

Stroke
January 2018, Volume 49, Issue 1
  • Table of Contents
Previous ArticleNext Article

Jump to

  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Sources of Funding
    • Disclosures
    • Footnotes
    • References
  • Figures & Tables
  • Supplemental Materials
  • Info & Metrics

Article Tools

  • Print
  • Citation Tools
    PINGS (Phone-Based Intervention Under Nurse Guidance After Stroke)
    Fred Sarfo, Frank Treiber, Mulugeta Gebregziabher, Sheila Adamu, Sachin Patel, Michelle Nichols, Dominic Awuah, Asumadu Sakyi, Nyantakyi Adu-Darko, Arti Singh, Raelle Tagge, Jenkins Carolyn and Bruce Ovbiagele
    Stroke. 2018;49:236-239, originally published December 8, 2017
    https://doi.org/10.1161/STROKEAHA.117.019591

    Citation Manager Formats

    • BibTeX
    • Bookends
    • EasyBib
    • EndNote (tagged)
    • EndNote 8 (xml)
    • Medlars
    • Mendeley
    • Papers
    • RefWorks Tagged
    • Ref Manager
    • RIS
    • Zotero
  •  Download Powerpoint
  • Article Alerts
    Log in to Email Alerts with your email address.
  • Save to my folders

Share this Article

  • Email

    Thank you for your interest in spreading the word on Stroke.

    NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

    Enter multiple addresses on separate lines or separate them with commas.
    PINGS (Phone-Based Intervention Under Nurse Guidance After Stroke)
    (Your Name) has sent you a message from Stroke
    (Your Name) thought you would like to see the Stroke web site.
  • Share on Social Media
    PINGS (Phone-Based Intervention Under Nurse Guidance After Stroke)
    Fred Sarfo, Frank Treiber, Mulugeta Gebregziabher, Sheila Adamu, Sachin Patel, Michelle Nichols, Dominic Awuah, Asumadu Sakyi, Nyantakyi Adu-Darko, Arti Singh, Raelle Tagge, Jenkins Carolyn and Bruce Ovbiagele
    Stroke. 2018;49:236-239, originally published December 8, 2017
    https://doi.org/10.1161/STROKEAHA.117.019591
    del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo

Related Articles

Cited By...

Subjects

  • Cardiology
    • Etiology
      • Hypertension
        • Hypertension
  • Intervention, Surgery, Transplantation
    • Nursing
    • Treatment
  • Epidemiology, Lifestyle, and Prevention
    • Epidemiology
  • Stroke
    • Cerebrovascular Disease/Stroke

Stroke

  • About Stroke
  • Instructions for Authors
  • Stroke CME
  • Guidelines and Statements
  • Meeting Abstracts
  • Permissions
  • Journal Policies
  • Email Alerts
  • Open Access Information
  • AHA Journals RSS
  • AHA Newsroom

Editorial Office Address:
200 5th Avenue
Suite 1020
Waltham, MA 02451
email: stroke@strokeahajournal.org

Information for:
  • Advertisers
  • Subscribers
  • Subscriber Help
  • Institutions / Librarians
  • Institutional Subscriptions FAQ
  • International Users
American Heart Association Learn and Live
National Center
7272 Greenville Ave.
Dallas, TX 75231

Customer Service

  • 1-800-AHA-USA-1
  • 1-800-242-8721
  • Local Info
  • Contact Us

About Us

Our mission is to build healthier lives, free of cardiovascular diseases and stroke. That single purpose drives all we do. The need for our work is beyond question. Find Out More about the American Heart Association

  • Careers
  • SHOP
  • Latest Heart and Stroke News
  • AHA/ASA Media Newsroom

Our Sites

  • American Heart Association
  • American Stroke Association
  • For Professionals
  • More Sites

Take Action

  • Advocate
  • Donate
  • Planned Giving
  • Volunteer

Online Communities

  • AFib Support
  • Garden Community
  • Patient Support Network
  • Professional Online Network

Follow Us:

  • Follow Circulation on Twitter
  • Visit Circulation on Facebook
  • Follow Circulation on Google Plus
  • Follow Circulation on Instagram
  • Follow Circulation on Pinterest
  • Follow Circulation on YouTube
  • Rss Feeds
  • Privacy Policy
  • Copyright
  • Ethics Policy
  • Conflict of Interest Policy
  • Linking Policy
  • Diversity
  • Careers

©2018 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited. The American Heart Association is a qualified 501(c)(3) tax-exempt organization.
*Red Dress™ DHHS, Go Red™ AHA; National Wear Red Day ® is a registered trademark.

  • PUTTING PATIENTS FIRST National Health Council Standards of Excellence Certification Program
  • BBB Accredited Charity
  • Comodo Secured