Hip Hop Stroke: Study Protocol for a Randomized Controlled Trial to Address Stroke Literacy

Olajide Williams, Ellyn Leighton-Herrmann, Alexandra DeSorbo, Mindy Hecht, Monique Hedmann, Saima Huq, William Gerin, Vernon Chinchilli, Gbenga Ogedegbe, James Noble, Olajide Williams, Ellyn Leighton-Herrmann, Alexandra DeSorbo, Mindy Hecht, Monique Hedmann, Saima Huq, William Gerin, Vernon Chinchilli, Gbenga Ogedegbe, James Noble

Abstract

Objective: Stroke is the fifth leading cause of death and the leading cause of serious long-term adult disability in the US. Acute stroke treatments with intravenous thrombolysis and endovascular therapy are proven to reduce disability, however a critical limitation on their effectiveness is the narrow time window for administration, which is 4.5 hours and 6 hours respectively from the onset of symptoms. Our overarching goal is to reduce pre-hospital delays to acute stroke treatments in economically disadvantaged minority communities where the greatest delays exist, using Hip Hop Stroke.

Methods: Hip Hop Stroke (HHS) is a school-based, child-mediated, culturally-tailored stroke communication multimedia intervention developed using validated models of behavior change and designed to improve stroke literacy (knowledge of stroke symptoms, the urgent need to call 911, and prevention measures) of 4th, 5th and 6th grade students and their parents residing in poor urban communities. Children in the intervention arm will receive the HHS intervention, while those in the attentional control arm will receive standardized nutrition education based on the USDA's MyPyramid program. Children will be trained and motivated to share stroke information with their parents or other adult caregiver. Both children and parents will complete a stroke knowledge assessment at baseline, immediately following the program, and at 3-months post-program. The primary outcome is the effect of the child mediation on parental stroke literacy.

Conclusion: Stroke literate children, a captive audience in school systems, may represent a viable channel for spreading stroke information into households of poor urban communities where mass media stroke campaigns have shown the lowest penetration. These children may also call 911 when witnessing a stroke in their homes or communities. The HHS program may highlight the potential role of children in the chain of stroke recovery as a strategy for reducing prehospital delays to acute stroke treatment.

Keywords: Child-mediated communication; Health communication; Health disparities; Randomized trial; Stroke; Stroke health education.

Conflict of interest statement

Conflict of Interest

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
Sample Hip Hop Stroke media. A: “Keep Your Brain Healthy”: Animated feature showing the FAST mnemonic; B: Hip Hop Stroke Comic book; C: “Clotbuster” video game; D: “Stroke Ain’t No Joke”: Animated feature.
Figure 2
Figure 2
Theoretical underpinnings of Hip Hop Stroke.

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Source: PubMed

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