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临床试验/NCT06816238
NCT06816238尚未招募不适用

Smart Education for Major Adverse Cardiovascular Events Prevention and Early Detection

Second Affiliated Hospital, School of Medicine, Zhejiang University0 个研究点目标入组 87,376 人开始时间: 2025年3月1日最近更新:

试验速览

阶段
不适用
状态
尚未招募
发起方
入组人数
87,376
主要终点
MACE Incidence

研究概览

简要总结

With its high incidence, recurrence, disability, and mortality, stroke has become a significant health challenge in society today. However, "stroke can be prevented and treated," and high-risk groups for stroke are the primary beneficiaries of stroke prevention and control measures. Yet, these populations often have low awareness of proper stroke prevention and treatment knowledge. The reasons for this may include limited coverage, lack of accessibility, inadequate relevance, and uneven content quality in traditional health education measures.

To address these issues, innovative intervention strategies are needed to explore more effective health education methods. The occurrence of Major Adverse Cardiovascular Events (MACE), such as stroke, can be reduced by improving the knowledge and practical abilities of high-risk populations regarding scientific stroke prevention and treatment. One such strategy is the use of smartphone-based information software, which can break the constraints of time and space, delivering health education knowledge to a broader audience. To enhance accessibility, key knowledge points can be repeatedly delivered to the target population through one-way push notifications and interactive Q&A, allowing for more engaging and flexible learning. In terms of improving pertinence, it is essential to tailor health education delivery to the individual needs of the educatees, considering factors such as age, education level, and risk factors. Furthermore, the quality of health education content must be authoritative, scientifically accurate, easy to understand, and practically applicable. The content should be based on the latest scientific research and professional medical practice, reviewed by authoritative institutions or experts, and should align with the needs of the educated populations for self-health management. Additionally, human and financial costs should be considered when designing such interventions.

In this study, a large-scale medical model based on a stroke prevention and treatment knowledge base, integrated with an intelligent medical system and interactive Q&A, is employed. This approach ensures content quality while minimizing the need for additional manpower in education and Q&A, making the intervention more cost-effective and scalable for widespread use. The purpose of this study is to explore whether the incidence of MACE in a high-risk stroke population receiving interactive medical model education-based on a stroke prevention and treatment knowledge base-is lower than in a group without such interactive education.

详细描述

With its high incidence, recurrence, disability and mortality, stroke has become an important health challenge facing the society at present. However, "stroke can be prevented and treated," and high-risk groups of stroke are the main beneficiaries of stroke prevention and control and the intervention targets of "health education" measures. Yet, their awareness of correct stroke prevention and treatment knowledge is low. The reasons may be related to the limited coverage, lack of accessibility, lack of pertinence, and uneven content quality of traditional health education measures.

Therefore, we need to adopt innovative intervention strategies to overcome these constraints and explore effective ways of health education. The occurrence of Major Adverse Cardiovascular Events (MACE), such as stroke, can be reduced by improving the knowledge level and practical ability of scientific stroke prevention and treatment in high-risk populations. In this study, the intervention is based on a large medical model using a medical intelligent agent for interactive Q&A. This approach is designed to enhance popularization, accessibility, pertinence, and content quality.

Popularization: The use of smartphone-based information software can break through the limitations of time and space, conveying health education knowledge to a wider audience.

Accessibility: Key knowledge points can be repeatedly delivered to the target audience through one-way pushes of health education content, complemented by interactive Q&A with intelligent medical agents.

Pertinence: Health education content is personalized based on the individual's age, education level, risk factors, and other personal characteristics, ensuring relevance to each educatee.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Single Group
主要目的
Prevention
盲法
None

入排标准

性别
All
接受健康志愿者

入选标准

  • Individuals who meet the definition of a stroke risk group, including those with hypertension, dyslipidemia, diabetes, atrial fibrillation, valvular heart disease, a history of smoking, significant overweight or obesity, physical inactivity, a family history of stroke, or any combination of 8 or more stroke risk factors.
  • Individuals with a history of one or more transient ischemic attacks (TIAs) or a previous stroke.
  • Legal capacity to provide informed consent. Permanent residents of Zhejiang Province with Zhejiang Provincial household registration.
  • Ownership of a smartphone and access to the Alipay app. Voluntary participation and adherence to the principles of informed consent.

排除标准

  • Illiteracy or difficulty with reading/communication. Medical personnel. Inability to complete the study questionnaire due to physical or cognitive limitations.

结局指标

主要结局

MACE Incidence

时间窗: 1 year from enrollment

The occurrence of major adverse cardiovascular events (MACE), including stroke (ischemic or hemorrhagic), myocardial infarction, heart failure, or cardiovascular death, in participants over the 1-year follow-up period. MACE is a composite outcome that captures the broad range of adverse cardiovascular events.

次要结局

  • Hospitalization Due to Cardiovascular Events(1 year from enrollment)
  • Adherence to Stroke Prevention Medications(1 year from enrollment)
  • Thrombolysis Use in Ischemic Stroke(1 year from enrollment)
  • Stroke Incidence(1 year from enrollment)
  • Stroke Prevention and Treatment Knowledge(1 year from enrollment)
  • Blood Pressure Control(1 year from enrollment)
  • Smoking Cessation (for smokers)(1 year from enrollment)
  • Physical Function and Quality of Life (QoL)(1 year from enrollment)
  • Weight Loss (for overweight participants)(1 year from enrollment)
  • Sense of First Aid for Stroke(1 year from enrollment)

研究者

发起方
Second Affiliated Hospital, School of Medicine, Zhejiang University
申办方类型
Other
责任方
Sponsor

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