Ignite Creation Date:
2024-05-05 @ 11:21 AM
Last Modification Date:
2024-10-26 @ 9:05 AM
Study NCT ID:
NCT00005722
Status:
COMPLETED
Last Update Posted:
2005-06-24
First Post:
2000-05-25
Brief Title:
Stroke Belt Initiative
Sponsor:
National Heart Lung and Blood Institute NHLBI
Organization:
National Heart Lung and Blood Institute NHLBI
Study Overview
Official Title:
None
Status:
COMPLETED
Status Verified Date:
2000-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
For State Health Departments located in Stroke Belt states to assess high risk target audiences needs and identify opportunities for more effective delivery of medical andor educational services to reduce the high rate of stroke mortality experienced in the southeastern United States
Detailed Description:
BACKGROUND
High blood pressure has long been established as the key risk factor for stroke the third leading cause of death in the United States and a significant risk factor for coronary heart disease deaths Cigarette smoking and obesity have also been found to be risk factors for stroke as well as heart disease
Death rates from stroke differ by state In 1980 eleven states had age-adjusted stroke mortality rates that were more than 10 percent higher than the United States average 403 per 100000 Ten of these eleven states all except Indiana were in the South forming a Stroke Belt Floridas northern counties experienced higher stroke mortality rates than its southern counties offering an opportunity for a comparative study
In 1980 with few exceptions each racesex specific stroke death rate in the Stroke Belt states was more than 10 percent above the national average Nonwhite men and women in the Stroke Belt had substantially higher rates than whites in the Stroke Belt and nonwhites elsewhere in the United States However whites in Stroke Belt states also had greater age-adjusted stroke death rates than did whites in other parts of the country
In 1990 the National High Blood Pressure Education Program NHBPEP issued a Request for Proposals for the Stroke Belt Initiative State Health Departments located in states with age-adjusted stroke mortality rates in excess of 10 percent of the national average were encouraged to initiate projects that assessed high risk target audience needs and to identify opportunities for more effective delivery of medical andor educational services to reduce the high rate of stroke mortality experienced in the southeastern United States These states were Alabama Arkansas Georgia Indiana Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee and Virginia In addition the State of Florida was of interest because of differences in county age-adjusted stroke mortality rates--northern counties in the state experienced mortality rates as high or higher than rates in the Stroke Belt states whereas southern counties exhibited rates closer to the national average representing an excellent opportunity for a comparative study
DESIGN NARRATIVE
The Stroke Belt Initiative had two phases In Phase I the pilot phase State Health Departments located in Stroke Belt states assessed high risk target audiences needs and identified opportunities for more effective delivery of medical andor educational services to reduce the high rate of stroke mortality experienced in the southeastern United States This phase lasted for three years from September 1990 through August 1993
In the second phase the State Health Departments used the methods and materials developed in the pilot phase to deliver health education interventions to reduce the overall risk of stroke
High blood pressure has long been established as the key risk factor for stroke the third leading cause of death in the United States and a significant risk factor for coronary heart disease deaths Cigarette smoking and obesity have also been found to be risk factors for stroke as well as heart disease
Death rates from stroke differ by state In 1980 eleven states had age-adjusted stroke mortality rates that were more than 10 percent higher than the United States average 403 per 100000 Ten of these eleven states all except Indiana were in the South forming a Stroke Belt Floridas northern counties experienced higher stroke mortality rates than its southern counties offering an opportunity for a comparative study
In 1980 with few exceptions each racesex specific stroke death rate in the Stroke Belt states was more than 10 percent above the national average Nonwhite men and women in the Stroke Belt had substantially higher rates than whites in the Stroke Belt and nonwhites elsewhere in the United States However whites in Stroke Belt states also had greater age-adjusted stroke death rates than did whites in other parts of the country
In 1990 the National High Blood Pressure Education Program NHBPEP issued a Request for Proposals for the Stroke Belt Initiative State Health Departments located in states with age-adjusted stroke mortality rates in excess of 10 percent of the national average were encouraged to initiate projects that assessed high risk target audience needs and to identify opportunities for more effective delivery of medical andor educational services to reduce the high rate of stroke mortality experienced in the southeastern United States These states were Alabama Arkansas Georgia Indiana Kentucky Louisiana Mississippi North Carolina South Carolina Tennessee and Virginia In addition the State of Florida was of interest because of differences in county age-adjusted stroke mortality rates--northern counties in the state experienced mortality rates as high or higher than rates in the Stroke Belt states whereas southern counties exhibited rates closer to the national average representing an excellent opportunity for a comparative study
DESIGN NARRATIVE
The Stroke Belt Initiative had two phases In Phase I the pilot phase State Health Departments located in Stroke Belt states assessed high risk target audiences needs and identified opportunities for more effective delivery of medical andor educational services to reduce the high rate of stroke mortality experienced in the southeastern United States This phase lasted for three years from September 1990 through August 1993
In the second phase the State Health Departments used the methods and materials developed in the pilot phase to deliver health education interventions to reduce the overall risk of stroke
Study Oversight
Has Oversight DMC:
Is a FDA Regulated Drug?:
Is a FDA Regulated Device?:
Is an Unapproved Device?:
Is a PPSD?:
Is a US Export?:
Is an FDA AA801 Violation?: