TY - JOUR
T1 - Tailored approaches to stroke health education (TASHE)
T2 - Study protocol for a randomized controlled trial
AU - Ravenell, Joseph
AU - Leighton-Herrmann, Ellyn
AU - Abel-Bey, Amparo
AU - DeSorbo, Alexandra
AU - Teresi, Jeanne
AU - Valdez, Lenfis
AU - Gordillo, Madeleine
AU - Gerin, William
AU - Hecht, Michael
AU - Ramirez, Mildred
AU - Noble, James
AU - Cohn, Elizabeth
AU - Jean-Louis, Giardin
AU - Spruill, Tanya
AU - Waddy, Salina
AU - Ogedegbe, Gbenga
AU - Williams, Olajide
N1 - Publisher Copyright:
© Ravenell et al.; licensee BioMed Central.
PY - 2015/4/19
Y1 - 2015/4/19
N2 - Background: Stroke is a leading cause of adult disability and mortality. Intravenous thrombolysis can minimize disability when patients present to the emergency department for treatment within the 3-41/2h of symptom onset. Blacks and Hispanics are more likely to die and suffer disability from stroke than whites, due in part to delayed hospital arrival and ineligibility for intravenous thrombolysis for acute stroke. Low stroke literacy (poor knowledge of stroke symptoms and when to call 911) among Blacks and Hispanics compared to whites may contribute to disparities in acute stroke treatment and outcomes. Improving stroke literacy may be a critical step along the pathway to reducing stroke disparities. The aim of the current study is to test a novel intervention to increase stroke literacy in minority populations in New York City. Design and Methods: In a two-arm cluster randomized trial, we will evaluate the effectiveness of two culturally tailored stroke education films - one in English and one in Spanish - on changing behavioral intent to call 911 for suspected stroke, compared to usual care. These films will target knowledge of stroke symptoms, the range of severity of symptoms and the therapeutic benefit of calling 911, as well as address barriers to timely presentation to the hospital. Given the success of previous church-based programs targeting behavior change in minority populations, this trial will be conducted with 250 congregants across 14 churches (125 intervention; 125 control). Our proposed outcomes are (1) recognition of stroke symptoms and (2) behavioral intent to call 911 for suspected stroke, measured using the Stroke Action Test at the 6-month and 1-year follow-up. Discussion: This is the first randomized trial of a church-placed narrative intervention to improve stroke outcomes in urban Black and Hispanic populations. A film intervention has the potential to make a significant public health impact, as film is a highly scalable and disseminable medium. Since there is at least one church in almost every neighborhood in the USA, churches have the ability and reach to play an important role in the dissemination and translation of stroke prevention programs in minority communities.
AB - Background: Stroke is a leading cause of adult disability and mortality. Intravenous thrombolysis can minimize disability when patients present to the emergency department for treatment within the 3-41/2h of symptom onset. Blacks and Hispanics are more likely to die and suffer disability from stroke than whites, due in part to delayed hospital arrival and ineligibility for intravenous thrombolysis for acute stroke. Low stroke literacy (poor knowledge of stroke symptoms and when to call 911) among Blacks and Hispanics compared to whites may contribute to disparities in acute stroke treatment and outcomes. Improving stroke literacy may be a critical step along the pathway to reducing stroke disparities. The aim of the current study is to test a novel intervention to increase stroke literacy in minority populations in New York City. Design and Methods: In a two-arm cluster randomized trial, we will evaluate the effectiveness of two culturally tailored stroke education films - one in English and one in Spanish - on changing behavioral intent to call 911 for suspected stroke, compared to usual care. These films will target knowledge of stroke symptoms, the range of severity of symptoms and the therapeutic benefit of calling 911, as well as address barriers to timely presentation to the hospital. Given the success of previous church-based programs targeting behavior change in minority populations, this trial will be conducted with 250 congregants across 14 churches (125 intervention; 125 control). Our proposed outcomes are (1) recognition of stroke symptoms and (2) behavioral intent to call 911 for suspected stroke, measured using the Stroke Action Test at the 6-month and 1-year follow-up. Discussion: This is the first randomized trial of a church-placed narrative intervention to improve stroke outcomes in urban Black and Hispanic populations. A film intervention has the potential to make a significant public health impact, as film is a highly scalable and disseminable medium. Since there is at least one church in almost every neighborhood in the USA, churches have the ability and reach to play an important role in the dissemination and translation of stroke prevention programs in minority communities.
KW - Community-based research
KW - Health disparities
KW - Narrative persuasion
KW - Randomized trial
KW - Stroke
KW - Stroke action test
KW - Stroke health education
UR - http://www.scopus.com/inward/record.url?scp=84928607180&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84928607180&partnerID=8YFLogxK
U2 - 10.1186/s13063-015-0703-4
DO - 10.1186/s13063-015-0703-4
M3 - Article
C2 - 25927452
AN - SCOPUS:84928607180
SN - 1745-6215
VL - 16
JO - Trials
JF - Trials
IS - 1
M1 - 176
ER -