Rural Telemedicine-Enabled Care to Prevent Stroke in Older Adults in China

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This cluster randomized trial compares a digital health platform–driven care pathway with enhanced usual care across 39 village clinics in rural China. Elderly participants at high risk of stroke are followed for 36 months to measure a composite outcome of cardiovascular death, stroke, and hospitalization for heart problems. The intervention provides decision support, remote specialist consultations, follow-up reminders, and performance feedback to rural clinicians. The study aims to improve risk factor control, treatment adherence, and overall cardiovascular health. Enrollment targets 2,510 participants with outcomes assessed over three years.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. Aged 65 years or older
2. Rural residents with household registration or long-term residence (≥6 months/year) in the study area
3. High risk of stroke as defined by the National Health Commission's "8+2" stroke risk screening tool: ≥3 risk factors OR history of stroke/TIA
4. Willing to receive long-term health management from the assigned village clinic
5. Written informed consent provided by the participant or their legal representative

Exclusion Criteria:

1. Severe dementia or psychiatric disorder that prevents completion of study follow-up and assessments
2. Life expectancy less than 1 year (e.g., advanced malignancy, end-stage renal disease)
3. Currently participating in another interventional clinical trial

Where it's running

• Jiangsu Province （Suqian）Hospital
  Suqian, Jiangsu, China Recruiting
• Suqian Hospital Affiliated to Jiangsu Provincial People's Hospital
  Suqian, Jiangsu, China Recruiting

Study contacts

• Study coordinator: Liu Qianghui Director of Suqian Hospital, Jiangsu Provincial People's Hospi
• Email: jasonlion815@163.com
• Phone: 15951598055

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.