SINEMA Model of Care to Improve the Health of Stroke Patients in Rural China

Summary

Despite the significant burden of stroke in rural China, secondary prevention of stroke is scarce. The aim of the study is to develop a system-integrated technology-enabled intervention (SINEMA) model for the secondary prevention of stroke in rural China and evaluate the effectiveness of the model compared with usual care. The hypothesis is that trained village doctors, equipped with digital health technology, can provide essential evidence-based care to stroke survivors in rural China.

Conditions

• Stroke

Interventions

BEHAVIORAL

SINEMA intervention

Provider-facing intervention includes the following components: (1) Systematic cascade training for village doctors; (2) monthly follow-up visits with the support of the SINEMA APP; (3) village doctor group activities; (4) performance feedback and incentives. Stroke survivor-facing intervention program includes the following components: (1) Briefing session; (2) monthly follow-up visits and follow-up handout; (3) daily voice message for health education.

Sponsors & Collaborators

• Medical Research Council

  collaborator OTHER_GOV

• Wellcome Trust

  collaborator OTHER

• Economic and Social Research Council, United Kingdom

  collaborator OTHER

• Department for International Development, United Kingdom

  collaborator OTHER_GOV

• Beijing Tiantan Hospital

  collaborator OTHER

• China Mobile Research Institute

  collaborator OTHER

• Xingtai Center for Disease Control and Prevention, China

  collaborator UNKNOWN

• Centers for Disease Control and Prevention, China

  collaborator OTHER_GOV

• Duke University

  collaborator OTHER

• Duke Kunshan University

  lead OTHER

Principal Investigators

• Lijing L. Yan, PhD · Duke Kunshan Unviersity

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2017-06-23

Primary Completion

2018-07-31

Completion

2019-12-31

Countries

• China

Study Locations