Reducing Stroke Risk in African-American Men

The project is a 6-month prospective Randomized Controlled Trial evaluating the effects of TargEted MAnageMent Intervention (TEAM, N=80) vs. wait-list (WL, N=80) control in African American men who have experienced a stroke or TIA within the past 5 years.

Inclusion Criteria for RCT participant: 1. Age range 18 to 90 2. Self-identified African American male 3. Have had a stroke or TIA in the past 10 years based on date of hospital discharge from an acute stroke program or Emergency Room/physician visit for TIA 4. Barthel Index (BI) score of \>= 40 5. Able to participate in group sessions Inclusion Criteria for Care Partner 1. Age range from 18 to 90 2. Able to participate in group sessions Inclusion criteria for peer educator: 1. Age range: from 18 to 90 2. Self-identified African American male 3. Have had a stroke or TIA 4. Able to participate in group sessions Inclusion Criteria for Peer Educator Care Partner 1. Age range: from 18 to 90 2. Able to participate in group sessions 3. Is either a family member, friend or other individual who is important in an enrolled peer educator's stroke recovery OR the family member, friend or other individual of someone who has had a stroke or TIA and is/was important in their stroke recovery Exclusion Criteria for RCT participant 1. Individuals who are unable or unwilling to provide written informed consent 2. Individuals who have had stroke due to sickle-cell disease Exclusion Criteria for Care Partner participant 1. Individuals who are unable or unwilling to provide written informed consent Exclusion Criteria for Peer Educator 1. Individuals who are unable or unwilling to provide written informed consent 2. Individuals who have had stroke due to sickle-cell disease Exclusion Criteria for Peer Educator's Care Partner 1\. Individuals who are unable or unwilling to provide written informed consent