[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100640279":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":26,"centralContacts":31,"locations":37,"responsibleParty":54,"collaborators":26,"id":56,"slug":26,"hasResults":57,"nctId":58,"briefTitle":59,"officialTitle":60,"acronym":26,"eligibilityCriteria":61,"healthyVolunteers":57,"sex":62,"minAge":63,"maxAge":26,"enrollmentInfo":64,"targetDuration":26,"studyType":67,"phases":68,"briefSummary":70,"conditions":71,"keywords":26,"overallStatus":78,"whyStopped":26,"lastUpdateSubmitDate":79,"lastUpdatePostDateStruct":80,"startDateStruct":83,"completionDateStruct":85,"leadSponsor":87,"locationsCount":88},{"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,"cosmosGeoPoint":43,"geoPoint":48,"contacts":49},"Suqian Hospital Affiliated to Jiangsu Provincial People's Hospital","Suqian","Jiangsu","China",{"type":44,"coordinates":45},"Point",[46,47],118.29583,33.94917,{"lat":47,"lon":46},[50],{"name":51,"role":34,"phone":52,"phoneExt":26,"email":53},"Zhao Jinxiang","15862826785","zhaojinxiang_ntu@163.com",{"type":55,"investigatorFullName":26,"investigatorTitle":26,"investigatorAffiliation":26,"oldNameTitle":26,"oldOrganization":26},"SPONSOR","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":65,"type":66},2510,"ESTIMATED","INTERVENTIONAL",[69],"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.",[72,73,74,75,76,77],"Stroke","Brain Ischemia","Cerebral Hemorrhage","Transient Ischemic Attack","Cardiovascular Diseases","Hypertension","NOT_YET_RECRUITING","2026-05-28",{"date":81,"type":82},"2026-06-05","ACTUAL",{"date":84,"type":66},"2026-06-01",{"date":86,"type":66},"2030-06-30",{"name":5,"class":6},1]