Bernadette Boden?Albala|Dorothy Farrar Edwards|Stephanie Lynn St. Clair|Jeffrey J. Wing|Stephen Fernandez|M. Chris Gibbons|Amie W. Hsia|Lewis B. Morgenstern|Chelsea S. Kidwell
Methodology for a Community-Based Stroke Preparedness Intervention
Georgetown University Medical Center|University of Wisconsin–Madison|Georgetown University|New York University|Georgetown University Medical Center|University of Wisconsin–Madison|Georgetown University|New York University|Georgetown University Medical Center|University of Wisconsin–Madison|Georgetown University|New York University|Georgetown University Medical Center|University of Wisconsin–Madison|Georgetown University|New York University|Georgetown University Medical Center|University of Wisconsin–Madison|Georgetown University|New York University|Georgetown University Medical Center|University of Wisconsin–Madison|Georgetown University|New York University|Georgetown University Medical Center|University of Wisconsin–Madison|Georgetown University|New York University|Georgetown University Medical Center|University of Wisconsin–Madison|Georgetown University|New York University|Georgetown University Medical Center|University of Wisconsin–Madison|Georgetown University|New York University
background purpose acute stroke education focused stroke symptom recognition lack education stroke preparedness appropriate actions may prevent people seeking immediate care interventions rigorously evaluated preparedness strategies multiethnic community settings methods acute stroke program interventions addressing racial ethnic disparities aspire project multilevel program using communityengaged approach stroke preparedness targeted underserved black communities district columbia intervention aimed decrease acute stroke presentation times increase intravenous tissuetype plasminogen activator utilization acute ischemic stroke results phase 1 included 1 enhancement focus emergency medical services acute stroke 2 hospital collaborations implement enrich acute stroke protocols transition district columbia hospitals toward primary stroke center certification 3 preintervention acute stroke patient data collection 7 acute care district columbia hospitals community advisory committee focus groups surveys identified perceptions barriers emergency stroke care phase 2 included pilot intervention subsequent citywide intervention rollout total 531 community interventions conducted reaching gt10 256 participants 3289 intervention evaluations performed 19 000 preparedness bracelets 14 000 stroke warning magnets distributed phase 3 included evaluation emergency medical services hospital processes acute stroke care yearlong postintervention acute stroke data collection period assess changes intravenous tissuetype plasminogen utilization conclusions report methods feasibility preintervention data collection efforts aspire intervention clinical trial registration url httpwwwclinicaltrialsgov unique identifier nct00724555