Stroke Research Initiative to Advance Equity

1. Assess patient-centered outcomes (PCOs) amongst stroke survivors and their caregivers in the MedStar Health system longitudinally.

i. Utilize a community advisory board (CAB) of stroke survivors and their caregivers to identify the patient-centered outcome(s) that the CAB determine to be most important and valuable to assess based on their lived experiences.

ii. Collect the chosen PCOs at multiple time points using an electronic survey tool (e.g. Qualtrics, Tonic or RedCap) 2. Evaluate the impact of social determinants of health (SDoH) and experiences of discrimination on the chosen PCOs. 3. Examine whether there are differences in long-term PCOs amongst stroke survivors from different racial and ethnic groups.

2.2 Hypothesis: The investigator hypothesizes that stroke survivors that come from historically marginalized populations, specifically African American and Latinos, will have lower patient-centered outcome scores overall as compared to their Caucasian counterparts. In addition, the investigator hypothesizes that the difference PCO scores between Caucasian and African American and Latino populations will be due in part to experienced discrimination and not SDoH alone.

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This study is active but is not currently recruiting participants.

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Key information

Conditions

Stroke Brain Diseases Cardiovascular Diseases Central Nervous System Diseases Cerebrovascular Disorders Nervous System Diseases Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

MedStar National Rehabilitation Hopsital, Washington D.C., District of Columbia, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Stroke Survivor:

Inclusion criteria

≥ 18 years old
Acute Ischemic Stroke (AIS) or Intracerebral Hemorrhage (ICH) patients that have been cared for in the MedStar Healthcare system
AIS of ICH in the last six weeks
Ability to communicate in English, Spanish, Amharic, Mandarin Chinese or French (most common languages in the greater Washington, DC area)

Exclusion criteria

Transient Ischemic Attack (TIA) or Subarachnoid Hemorrhage (SAH)
Unable to complete required forms
Life expectancy less than 6 months

Caregiver

Inclusion criteria

Age ≥ 18
Self-identify as primary caregiver for the stroke survivor
Ability to communicate in English, Spanish, Amharic, Mandarin Chinese, French

Exclusion criteria

Unable to complete study survey forms
Life expectancy less than 6 months

Treatment and study plan

Primary outcomes

Patient-Centered Outcome Measures

Time frame: 5 years

Assess patient-centered outcomes (PCOs) amongst stroke survivors and their caregivers in the MedStar Health System longitudinally.

Stroke Impact Scale and the Modified Caregiver Strain Index

Secondary outcomes

Social Determinants of Health

Time frame: 5 years

Evaluate the impact of social determinants of health (SDoH) on the chosen PCOs.
Discrimination

Time frame: 5 years

Evaluate the impact of patient-reported experiences of discrimination on the chosen PCOs.

Sponsors and collaborators

Lead sponsor

Medstar Health Research Institute

Other

Registry information

Acronym: STRIVE

Important dates

Study start: 2024
Primary completion: 2026
Study completion: 2026
First posted: Oct 10, 2023
Registry last updated: Apr 2, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

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