[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100640279":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":26,"centralContacts":31,"locations":37,"responsibleParty":55,"collaborators":26,"id":57,"slug":58,"hasResults":59,"nctId":60,"briefTitle":61,"officialTitle":62,"acronym":26,"eligibilityCriteria":63,"healthyVolunteers":59,"sex":64,"minAge":65,"maxAge":26,"enrollmentInfo":66,"targetDuration":26,"studyType":69,"phases":70,"briefSummary":72,"conditions":73,"keywords":26,"overallStatus":80,"whyStopped":26,"lastUpdateSubmitDate":81,"lastUpdatePostDateStruct":82,"startDateStruct":85,"completionDateStruct":87,"leadSponsor":89,"locationsCount":90},{"fullName":5,"class":6},"Jiangsu Province (Suqian) Hospital","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Telemedicine-Enabled Integrated Care Group","EXPERIMENTAL","Participants receive care from rural doctors using a dedicated digital health support platform, including monthly monitoring, personalized medication adjustment, remote specialist consultation, and structured patient education.",[13],"Behavioral: Digital Health Platform-Supported Integrated Stroke Management",{"label":15,"type":16,"description":17,"interventionNames":18},"Enhanced Usual Care Group","ACTIVE_COMPARATOR","Participants receive enhanced usual care from rural doctors who have received standardized training on stroke prevention and management, without the use of the digital health platform.",[19],"Behavioral: Enhanced Usual Stroke Care",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"BEHAVIORAL","Enhanced Usual Stroke Care","Rural doctors provide monthly face-to-face care based on national guidelines, including symptom monitoring, blood pressure measurement, medication guidance, and patient education. Referrals to tertiary hospitals are made through conventional channels.",[15],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Digital Health Platform-Supported Integrated Stroke Management","Patient electronic health record management AI-powered clinical decision support for medication adjustment based on Chinese stroke guidelines Weekly remote video consultation with neurologists from tertiary hospitals Automated follow-up and medication adherence reminders Structured education and training for both rural doctors and patients",[9],[32],{"name":33,"role":34,"phone":35,"phoneExt":26,"email":36},"Liu Qianghui Director of Suqian Hospital, Jiangsu Provincial People's Hospi","CONTACT","15951598055","jasonlion815@163.com",[38],{"facility":39,"status":26,"city":40,"state":41,"zip":26,"country":42,"countryCode":43,"cosmosGeoPoint":44,"geoPoint":49,"contacts":50},"Suqian Hospital Affiliated to Jiangsu Provincial People's Hospital","Suqian","Jiangsu","China","CN",{"type":45,"coordinates":46},"Point",[47,48],118.29583,33.94917,{"lat":48,"lon":47},[51],{"name":52,"role":34,"phone":53,"phoneExt":26,"email":54},"Zhao Jinxiang","15862826785","zhaojinxiang_ntu@163.com",{"type":56,"investigatorFullName":26,"investigatorTitle":26,"investigatorAffiliation":26,"oldNameTitle":26,"oldOrganization":26},"SPONSOR","100640279","a-cluster-randomized-trial-of-a-telemedicine-enabled-integrated-care-model-for-stroke-prevention-and-management-in-rural-elderly-adults-in-china-100640279",false,"NCT07628283","A Cluster Randomized Trial of a Telemedicine-Enabled Integrated Care Model for Stroke Prevention and Management in Rural Elderly Adults in China","A Prospective, Open-Label, Cluster Randomized Controlled Trial to Evaluate the Efficacy of a Rural Doctor-Led, Telemedicine-Supported Integrated Care Model for Reducing Cardiovascular and Cerebrovascular Events in Elderly Adults at High Risk of Stroke in China","Inclusion Criteria:\n\n1. Aged 65 years or older\n2. Rural residents with household registration or long-term residence (≥6 months\u002Fyear) in the study area\n3. 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\u002FTIA\n4. Willing to receive long-term health management from the assigned village clinic\n5. Written informed consent provided by the participant or their legal representative\n\nExclusion Criteria:\n\n1. Severe dementia or psychiatric disorder that prevents completion of study follow-up and assessments\n2. Life expectancy less than 1 year (e.g., advanced malignancy, end-stage renal disease)\n3. Currently participating in another interventional clinical trial","ALL","65 Years",{"count":67,"type":68},2510,"ESTIMATED","INTERVENTIONAL",[71],"NA","This cluster randomized controlled trial aims to evaluate the effectiveness of a novel telemedicine-enabled integrated care model led by rural doctors in reducing cardiovascular and cerebrovascular events among elderly adults (≥65 years) at high risk of stroke in rural China. A total of 39 village clinics will be randomized to either the intervention group (digital health platform-supported integrated care) or the control group (enhanced usual care). The primary outcome is a composite of cardiovascular death, stroke, and hospitalization for heart failure or acute coronary syndrome at 36 months.",[74,75,76,77,78,79],"Stroke","Brain Ischemia","Cerebral Hemorrhage","Transient Ischemic Attack","Cardiovascular Diseases","Hypertension","NOT_YET_RECRUITING","2026-05-28",{"date":83,"type":84},"2026-06-05","ACTUAL",{"date":86,"type":68},"2026-06-01",{"date":88,"type":68},"2030-06-30",{"name":5,"class":6},1]