{"doi":"10.1161/strokeaha.123.042618","title":"Effect of an Educational Intervention for Primary Stroke Risk Reduction in Ghana and Nigeria: Pilot Randomized Controlled Trial","abstract":"Background: Using tailored mobile health interventions to improve global vascular risk awareness and control is yet to be investigated for primary stroke prevention in Africa. Methods: This 2-arm pilot randomized controlled trial involved 100 stroke-free adults with at least 2 vascular risk factors for stroke. Eligible participants were assigned randomly to a control arm offering 1-time counseling (n=50) or a 2-month educational intervention arm (n=50) comprising a stroke video and riskometer app aimed at improving stroke risk factor awareness and health-seeking behavioral modification to control total vascular risk. Reduction in total stroke risk score was the primary outcome while feasibility and process measures were secondary outcomes. Results: All enrolled participants completed the 2-month follow-up (retention rate=100%). The mean (SD) age of participants was 59.5 (±12.5) years, 38% were males. The mean change in stroke risk score at 2 months was −11.9% (±14.2) in the intervention arm versus −1.2% (±9.1) in the control arm, P =0.0001. Stroke risk awareness improved by 16.1% (±24.7) in the intervention arm versus 8.9% (±24.7) in the control arm, P =0.08. The intervention arm had 11.1 mm Hg reduction in systolic blood pressure compared with 4.8 mm Hg reduction in the control arm. Conclusions: The intervention demonstrated a positive signal of effect over a 2-month period. A definitive clinical trial with a longer duration of follow-up is warranted on the premise of these promising findings from this pilot randomized clinical trial. Registration: URL: https://www.clinicaltrials.gov ; Unique identifier: NCT05619406.","journal":"Stroke","year":2023,"id":337217,"datarank":0.6559497928148462,"base_score":2.9444389791664403,"endowment":2.9444389791664403,"self_citation_contribution":0.44166584687496613,"citation_network_contribution":0.2142839459398801,"self_endowment_contribution":0.44166584687496613,"citer_contribution":0.2142839459398801,"corpus_percentile":null,"corpus_rank":null,"citation_count":18,"citer_count":12,"citers_with_citation_signal":7,"citers_with_endowment":7,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9463,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT05619406"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":503144,"name":"Joshua Akinyemi","orcid":"0000-0002-0675-2110","position":1,"is_corresponding":false},{"id":503143,"name":"Reginald Obiako","orcid":"0000-0003-1769-8110","position":2,"is_corresponding":false},{"id":363933,"name":"Michelle Nichols","orcid":"0000-0002-2078-9649","position":3,"is_corresponding":false},{"id":503153,"name":"Adekunle Fakunle","orcid":"0000-0001-8391-9394","position":4,"is_corresponding":false},{"id":1041236,"name":"Nathaniel Adusei","orcid":null,"position":5,"is_corresponding":false},{"id":1040728,"name":"Michael Ampofo","orcid":"0000-0001-7136-3966","position":6,"is_corresponding":false},{"id":503158,"name":"Oyedunni Arulogun","orcid":"0000-0002-2173-4682","position":7,"is_corresponding":false},{"id":265990,"name":"Carolyn Jenkins","orcid":"0000-0001-5506-7657","position":8,"is_corresponding":false},{"id":699273,"name":"Onoja Akpa","orcid":"0000-0002-5201-512X","position":9,"is_corresponding":false},{"id":361128,"name":"Benjamin S. Aribisala","orcid":"0000-0002-6290-1707","position":10,"is_corresponding":false},{"id":1068528,"name":"Saheed Abdulrasaq","orcid":"0000-0003-2679-6871","position":11,"is_corresponding":false},{"id":42482,"name":"Rufus Akinyemi","orcid":"0000-0001-5286-428X","position":12,"is_corresponding":false},{"id":369187,"name":"Bruce Ovbiagele","orcid":"0000-0002-9958-0644","position":13,"is_corresponding":false},{"id":42519,"name":"Mayowa Owolabi","orcid":"0000-0003-1146-3070","position":14,"is_corresponding":false},{"id":369186,"name":"Fred Stephen Sarfo","orcid":"0000-0001-7274-5093","position":0,"is_corresponding":true}],"reference_count":14,"raw_metadata":null,"created_at":"2026-07-19T01:10:26.690308Z","pmid":"37139815","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}