{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T06:40:59Z","timestamp":1791614459227,"version":"4.3.4"},"reference-count":45,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","license":[{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hypertension is the most important modifiable stroke risk factor, but blood pressure (BP) remains poorly controlled after stroke, especially among Black and Hispanic patients. We tested the feasibility of TASC (Telehealth After Stroke Care), a post-acute stroke care model integrating nurse-supported home BP telemonitoring, tailored infographics, and multidisciplinary team video visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Acute stroke patients with hypertension were randomized at discharge to usual care or usual care with TASC. Usual care patients received video visits with primary care and stroke. TASC included a tablet and monitor to wirelessly transmit BP data to the electronic health record, with telenursing support, tailored infographics to explain BP readings, and pharmacist visits. Outcomes assessment was blinded. Feasibility outcomes included recruitment, randomization, adherence, and retention. Systolic BP from baseline to 3 months after discharge was evaluated using generalized linear modeling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Fifty patients (64\u00b114 years; 36% women\u201a 44% Hispanic, 32% Black, 54% \u2264high school education, 30% private insurance), and 75% of all eligible were enrolled over 6.3 months. Baseline systolic BP was similar in both (TASC n=25, 140\u00b119 mm Hg; usual care n=25, 142\u00b119 mm Hg). At 3 months, adherence to video visits (91% versus 75%,\n                      <jats:italic>P<\/jats:italic>\n                      =0.14) and retention (84% versus 64%,\n                      <jats:italic>P<\/jats:italic>\n                      =0.11) were higher with TASC. Home systolic BP declined by 16\u00b119 mm Hg from baseline in TASC and increased by 3\u00b124 mm Hg in usual care (\n                      <jats:italic>P<\/jats:italic>\n                      =0.01). Among Black patients, systolic BP control (&lt;130 mm Hg) improved from 40% to 100% with TASC versus 14% to 29%, and among Hispanic patients, from 23% to 62% with TASC, versus 33% to 17% in usual care.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Enhancing post-acute stroke care with home BP telemonitoring is feasible to improve hypertension in an underserved setting and should be tested in a definitive randomized clinical trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration:<\/jats:title>\n                    <jats:p>\n                      URL:\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/www.clinicaltrials.gov\">https:\/\/www.clinicaltrials.gov<\/jats:ext-link>\n                      ; Unique identifier: NCT04640519.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/strokeaha.122.041020","type":"journal-article","created":{"date-parts":[[2022,10,31]],"date-time":"2022-10-31T05:00:27Z","timestamp":1667192427000},"page":"3538-3547","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":52,"title":["Telehealth After Stroke Care Pilot Randomized Trial of Home Blood Pressure Telemonitoring in an Underserved Setting"],"prefix":"10.1161","volume":"53","clinical-trial-number":[{"clinical-trial-number":"nct04640519","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4228-7500","authenticated-orcid":true,"given":"Imama A.","family":"Naqvi","sequence":"first","affiliation":[{"name":"Department of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, NY (I.A.N., K.S., S.E.T., O.A.W., 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K.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Schmitt","sequence":"additional","affiliation":[{"name":"NewYork-Presbyterian Hospital, NY (H.L., K.S.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2287-8255","authenticated-orcid":true,"given":"Stephen","family":"Ferrara","sequence":"additional","affiliation":[{"name":"Columbia University School of Nursing, NY (S.F., A.A.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0094-5138","authenticated-orcid":true,"given":"Sarah E.","family":"Tom","sequence":"additional","affiliation":[{"name":"Department of Neurology, Vagelos College of Physicians and Surgeons, Columbia University, NY (I.A.N., K.S., S.E.T., O.A.W., M.S.V.E.)."},{"name":"Department of Epidemiology, Mailman School of Public Health, Columbia University, NY (S.E.T., 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