System-integrated technology-enabled model of care to improve the health of stroke patients in rural China: protocol for SINEMA-a cluster-randomized controlled trial
Enying Gong, Wanbing Gu, Cheng Sun, Elizabeth L Turner, Yun Zhou, Zixiao Li, Janet Prvu Bettger, Brian Oldenburg, Alba Amaya-Burns, Yilong Wang, Li-Qun Xu, Jianmin Yao, Dejin Dong, Zhenli Xu, Chaoyun Li, Mobai Hou, Lijing L Yan
American Heart Journal | MOSBY-ELSEVIER | Published : 2019
BACKGROUND: Despite the significant burden of stroke in rural China, secondary prevention of stroke is suboptimal. This study aims to develop a SINEMA for the secondary prevention of stroke in rural China and to evaluate the effectiveness of the model compared with usual care. METHODS: The SINEMA model is being implemented and evaluated through a 1-year cluster-randomized controlled trial in Nanhe County, Hebei Province in China. Fifty villages from 5 townships are randomized in a 1:1 ratio to either the intervention or the control arm (usual care) with a target to enroll 25 stroke survivors per village. Village doctors in the intervention arm (1) receive systematic cascade training by strok..View full abstract
Awarded by Department for International Development
We would like to thank the independent International Steering Committee members (Yangfeng Wu, Eric Peterson, Craig Anderson, Shenglan Tang) and Advisory group members (Allan Burns, Ninghua Wang, Xie Bin, Jesse Hao, Jixiang Ma, Jixin Sun, Jianxin Zhang, Jinmei Liu) who have provided great advice in designing and implementing the study. The study is jointly funded through the Joint Health System Research Scheme by United Kingdom Medical Research Council, Wellcome Trust, Economic and Social Research Council, and the Department for International Development (grant number: MR/N015967/1). The sponsors have no role in study design, implementation or preparation or approval of the manuscript.