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In This Issue of JAMA Neurology
January 2019


JAMA Neurol. 2019;76(1):3. doi:10.1001/jamaneurol.2018.2966

Despite effective secondary stroke prevention, recurrent stroke remains disproportionally high in certain racial/ethnic minority populations. In a randomized clinical trial, Boden-Albala and coauthors tested the efficacy of a culturally tailored, skills-based educational intervention compared with standard discharge care in a multiethnic cohort of 552 patients (281 women [50.9%]; mean [SD] age, 64.6 [2.9] years) with mild/moderate stroke or transient ischemic attack. At 1-year follow-up, there was a reduction in the intervention arm compared with usual care. In secondary analyses, Hispanic participants experienced a clinically and statistically significant greater mean systolic blood pressure reduction. Skills-based strategies may be an alternative to achieve sustained vascular risk reduction and address racial/ethnic stroke disparities. Editorial perspective is provided by Kim and Thrift.