Stroke Ready Intervention: Community Engagement to Decrease Prehospital Delay
BackgroundTime‐limited acute stroke treatments are underused, primarily due to prehospital delay. One approach to decreasing prehospital delay is to increase stroke preparedness, the ability to recognize stroke, and the intention to immediately call emergency medical services, through community enga...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-05-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.116.003331 |
| _version_ | 1811275149976010752 |
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| author | Lesli E. Skolarus Marc A. Zimmerman Sarah Bailey Mackenzie Dome Jillian B. Murphy Christina Kobrossi Stephan U. Dombrowski James F. Burke Lewis B. Morgenstern |
| author_facet | Lesli E. Skolarus Marc A. Zimmerman Sarah Bailey Mackenzie Dome Jillian B. Murphy Christina Kobrossi Stephan U. Dombrowski James F. Burke Lewis B. Morgenstern |
| author_sort | Lesli E. Skolarus |
| collection | DOAJ |
| description | BackgroundTime‐limited acute stroke treatments are underused, primarily due to prehospital delay. One approach to decreasing prehospital delay is to increase stroke preparedness, the ability to recognize stroke, and the intention to immediately call emergency medical services, through community engagement with high‐risk communities. Methods and ResultsOur community–academic partnership developed and tested “Stroke Ready,” a peer‐led, workshop‐based, health behavior intervention to increase stroke preparedness among African American youth and adults in Flint, Michigan. Outcomes were measured with a series of 9 stroke and nonstroke 1‐minute video vignettes; after each video, participants selected their intended response (primary outcome) and symptom recognition (secondary outcome), receiving 1 point for each appropriate stroke response and recognition. We assessed differences between baseline and posttest appropriate stroke response, which was defined as intent to call 911 for stroke vignettes and not calling 911 for nonstroke, nonemergent vignettes and recognition of stroke. Outcomes assessments were performed before workshop 1 (baseline), at the conclusion of workshop 2 (immediate post‐test), and 1 month later (delayed post‐test). A total of 101 participants completed the baseline assessment (73 adults and 28 youths), 64 completed the immediate post‐test, and 68 the delayed post‐test. All participants were African American. The median age of adults was 56 (interquartile range 35–65) and of youth was 14 (interquartile range 11–16), 65% of adults were women, and 50% of youths were women. Compared to baseline, appropriate stroke response was improved in the immediate post‐test (4.4 versus 5.2, P<0.01) and was sustained in the delayed post‐test (4.4 versus 5.2, P<0.01). Stroke recognition did not change in the immediate post‐test (5.9 versus 6.0, P=0.34), but increased in the delayed post‐test (5.9 versus 6.2, P=0.04). ConclusionsStroke Ready increased stroke preparedness, a necessary step toward increasing acute stroke treatment rates. Clinical Trial RegistrationURL: https://www.clinicaltrials.gov/. Unique identifier: NCT01499173. |
| first_indexed | 2024-04-12T23:32:55Z |
| format | Article |
| id | doaj.art-97ebab7bdcb141b68a16318527aaf8c8 |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-04-12T23:32:55Z |
| publishDate | 2016-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-97ebab7bdcb141b68a16318527aaf8c82022-12-22T03:12:14ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802016-05-015510.1161/JAHA.116.003331Stroke Ready Intervention: Community Engagement to Decrease Prehospital DelayLesli E. Skolarus0Marc A. Zimmerman1Sarah Bailey2Mackenzie Dome3Jillian B. Murphy4Christina Kobrossi5Stephan U. Dombrowski6James F. Burke7Lewis B. Morgenstern8Stroke Program, University of Michigan Medical School, Ann Arbor, MIDepartment of Health Behavior of Health Education, University of Michigan School of Public Health, Ann Arbor, MIBridges Into the Future, Flint, MIStroke Program, University of Michigan Medical School, Ann Arbor, MIStroke Program, University of Michigan Medical School, Ann Arbor, MIStroke Program, University of Michigan Medical School, Ann Arbor, MIDivision of Psychology, School of Natural Sciences, University of Stirling, UKStroke Program, University of Michigan Medical School, Ann Arbor, MIStroke Program, University of Michigan Medical School, Ann Arbor, MIBackgroundTime‐limited acute stroke treatments are underused, primarily due to prehospital delay. One approach to decreasing prehospital delay is to increase stroke preparedness, the ability to recognize stroke, and the intention to immediately call emergency medical services, through community engagement with high‐risk communities. Methods and ResultsOur community–academic partnership developed and tested “Stroke Ready,” a peer‐led, workshop‐based, health behavior intervention to increase stroke preparedness among African American youth and adults in Flint, Michigan. Outcomes were measured with a series of 9 stroke and nonstroke 1‐minute video vignettes; after each video, participants selected their intended response (primary outcome) and symptom recognition (secondary outcome), receiving 1 point for each appropriate stroke response and recognition. We assessed differences between baseline and posttest appropriate stroke response, which was defined as intent to call 911 for stroke vignettes and not calling 911 for nonstroke, nonemergent vignettes and recognition of stroke. Outcomes assessments were performed before workshop 1 (baseline), at the conclusion of workshop 2 (immediate post‐test), and 1 month later (delayed post‐test). A total of 101 participants completed the baseline assessment (73 adults and 28 youths), 64 completed the immediate post‐test, and 68 the delayed post‐test. All participants were African American. The median age of adults was 56 (interquartile range 35–65) and of youth was 14 (interquartile range 11–16), 65% of adults were women, and 50% of youths were women. Compared to baseline, appropriate stroke response was improved in the immediate post‐test (4.4 versus 5.2, P<0.01) and was sustained in the delayed post‐test (4.4 versus 5.2, P<0.01). Stroke recognition did not change in the immediate post‐test (5.9 versus 6.0, P=0.34), but increased in the delayed post‐test (5.9 versus 6.2, P=0.04). ConclusionsStroke Ready increased stroke preparedness, a necessary step toward increasing acute stroke treatment rates. Clinical Trial RegistrationURL: https://www.clinicaltrials.gov/. Unique identifier: NCT01499173.https://www.ahajournals.org/doi/10.1161/JAHA.116.003331communityoutcomes researchstroke |
| spellingShingle | Lesli E. Skolarus Marc A. Zimmerman Sarah Bailey Mackenzie Dome Jillian B. Murphy Christina Kobrossi Stephan U. Dombrowski James F. Burke Lewis B. Morgenstern Stroke Ready Intervention: Community Engagement to Decrease Prehospital Delay Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease community outcomes research stroke |
| title | Stroke Ready Intervention: Community Engagement to Decrease Prehospital Delay |
| title_full | Stroke Ready Intervention: Community Engagement to Decrease Prehospital Delay |
| title_fullStr | Stroke Ready Intervention: Community Engagement to Decrease Prehospital Delay |
| title_full_unstemmed | Stroke Ready Intervention: Community Engagement to Decrease Prehospital Delay |
| title_short | Stroke Ready Intervention: Community Engagement to Decrease Prehospital Delay |
| title_sort | stroke ready intervention community engagement to decrease prehospital delay |
| topic | community outcomes research stroke |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.116.003331 |
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