Tailored Approaches to Stroke Health Education

Tailored Approaches to Stroke Health Education

Patrocinadores

Patrocinador principal: Columbia University

Colaborador: National Institute of Neurological Disorders and Stroke (NINDS)

Fuente Columbia University
Resumen breve

The overarching goal of the proposed intervention is to reduce stroke disparities by overcoming pre-hospital barriers related to emergency stroke treatment and facilitating the appropriate response to acute stroke using a novel culturally-tailored and sustainable approach developed by an experienced transdisciplinary team. Building on our previous work, in which the investigators have identified barriers to increasing stroke literacy and behavioral intent to call 911, the investigators will develop and evaluate the effectiveness of a novel, culturally tailored intervention using storytelling (narrative persuasion) in the form of two professionally produced 12-minute films (in English and Spanish), in minority populations in New York City (NYC). Behavioral intent to call 911 will be assessed immediately after viewing the film, 6 months later, and one year later.

Descripción detallada

Stroke is the leading cause of adult disability and costs U.S. taxpayers >$60 billion annually. Interventions designed to educate patients to seek treatment sooner when a stroke occurs may increase low rates of treatment with thrombolysis (current rates 3% national average). Thrombolysis can increase the odds of minimal to zero disability from stroke if emergency medical system response times and in-hospital response times are optimized (maximum time from symptom onset to intravenous thrombolysis is 4.5 hours). Black and Hispanic Americans have higher stroke incidence compared to Whites and are less likely to receive thrombolysis for acute stroke. The latency to hospital arrival is largely dependent on patients' recognition of stroke symptoms, and immediate presentation to the emergency department. The investigators have found very low stroke literacy rates among Blacks and Hispanics compared to Whites, which may, in part, be responsible for disparities in acute stroke treatment.

Estado general Completed
Fecha de inicio April 16, 2014
Fecha de Terminación December 2019
Fecha de finalización primaria June 8, 2017
Fase N/A
Tipo de estudio Interventional
Resultado primario
Medida Periodo de tiempo
Score on Stroke Action Test Within one hour of stroke education intervention.
Resultado secundario
Medida Periodo de tiempo
Score on Stroke Action Test Within six months of stroke education intervention.
Score on Stroke Action Test Within one year of stroke education intervention.
Inscripción 290
Condición
Intervención

Tipo de intervención: Behavioral

Nombre de intervención: Stroke Education Film Viewing

Descripción: A novel, culturally tailored intervention using storytelling (narrative persuasion) in the form of two professionally produced 12-min films (in English and Spanish), in minority populations in New York City.

Etiqueta de grupo de brazo: Intervention Group

Tipo de intervención: Other

Nombre de intervención: Stroke Education Pamphlet Exposure

Descripción: "Usual Care": Stroke Education pamphlet and brochure distribution.

Etiqueta de grupo de brazo: Usual Care Group

Elegibilidad

Criterios:

Inclusion Criteria:

1. No prior history of stroke;

2. High risk (defined as a history of one or more stroke risk factor (hypertension (HTN), diabetes, tobacco, abdominal obesity, heart disease, high cholesterol);

3. Over age 34 years at onset of intervention (we have selected this age cut off due to the large increase in stroke incidence among minority groups at age 34 );

4. Self-identified as Black or Hispanic; and

5. Member of a church congregation who lives in a household with a telephone.

Exclusion Criteria:

1. Participant is unable to give consent;

2. A modified Rankin score > 4 at baseline;

3. history of dementia; and

4. terminal illness, or other medical illness resulting in mortality < 1 year.

Género: All

Edad mínima: 34 Years

Edad máxima: N/A

Voluntarios Saludables: No

Oficial general
Apellido Papel Afiliación
Olajide. A Williams, MD, MS Principal Investigator Columbia University
Ubicación
Instalaciones:
Columbia University Medical Center, Neurological Institute | New York, New York, 10032, United States
Columbia University Medical Center | New York, New York, 10032, United States
Ubicacion Paises

United States

Fecha de verificación

July 2020

Fiesta responsable

Tipo: Principal Investigator

Afiliación del investigador: Columbia University

Nombre completo del investigador: Olajide Williams

Título del investigador: Chief of Staff of Neurology Associate Professor of Clinical Neurology

Palabras clave
Tiene acceso ampliado No
Condición Examinar
Número de brazos 2
Grupo de brazo

Etiqueta: Intervention Group

Tipo: Experimental

Descripción: Participants will receive education through a novel program called Stroke Education Film Viewing.

Etiqueta: Usual Care Group

Tipo: Other

Descripción: Participants will receive education through Stroke Education Pamphlet Exposure.

Acrónimo TASHE
Datos del paciente No
Información de diseño del estudio

Asignación: Randomized

Modelo de intervención: Parallel Assignment

Propósito primario: Prevention

Enmascaramiento: Single (Participant)

Fuente: ClinicalTrials.gov