Improved Risk Factor Control Through a Transitional Care Program for Stroke Survivors
The goal of this clinical trial is to evaluate whether our transitional care program helps stroke survivors better manage their risk factors for stroke to lower the risk of a repeat stroke. The main question it aims to answer is: \- Does the program help participants meet the targets set by the American Heart Association clinical guidelines for control of risk factors associated with stroke? Researchers will compare participants enrolled right after being discharged from the hospital to participants enrolled around 3-5 months after being discharged to examine whether timing differences in enrollment affect the efficacy of the program. Participants will: * Keep track of their medications, their exercise, and their health information using smart devices provided by the study * Answer questions about their health and lifestyle * Meet with our team of healthcare providers
⁃ All Cohorts:
• Age 30 or above
• Evidence of ischemic stroke documented on CT or MRI
• Modified Rankin score of 3 or less
⁃ Early Enrollment:
• Admission for ischemic stroke at a participating site
• Enrolled during their admission for ischemic stroke or within 24 hours of discharge
⁃ Late Enrollment:
• Stroke survivors previously admitted at the participating sites' inpatient stroke unit
• Enrollment date between 1 and 6 months after discharge for inpatient admission for ischemic stroke