Abstract TMP103: A Culturally-tailored, Skills-based Intervention to Reduce Vascular Risk in a Multi-ethnic Group of Mild/Moderate Stroke Survivors: An Interim Analysis from the DESERVE Trial

Introduction: Secondary stroke prevention strategies have proven suboptimal in underserved communities and minority populations. Methods: The Discharge Educational Strategies for Reduction of Vascular Events (DESERVE) trial tested the efficacy of an innovative skills-based intervention focused on risk perception, medication adherence, and patient-physician communication (vs. usual care enhanced with educational material [EUC]) on blood pressure (BP) reduction among mild/moderate stroke (NIH Stroke Scale ≤ 15) or TIA patients at 1 year post discharge. Study participants were stratified by interview language (English/Spanish) and randomized to intervention or EUC. BP reduction was the difference between systolic BP at baseline and 1-year post-discharge. We assessed differences in baseline characteristics and mean BP reduction between trial arms, overall and by race/ethnicity. Linear regressions evaluated mean difference in blood pressure reduction between trial arms, adjusting for characteristics that diffe...