Olajide Williams|Ellyn Leighton Herrmann Quinn|Jeanne Teresi|Joseph P. Eimicke|Jian Kong|Gbenga Ogedegbe|James M. Noble
Improving Community Stroke Preparedness in the HHS (Hip-Hop Stroke) Randomized Clinical Trial
Hebrew Home|Columbia University Irving Medical Center|Hebrew Home|Columbia University Irving Medical Center|Hebrew Home|Columbia University Irving Medical Center|Hebrew Home|Columbia University Irving Medical Center|Hebrew Home|Columbia University Irving Medical Center|Hebrew Home|Columbia University Irving Medical Center|Hebrew Home|Columbia University Irving Medical Center
background purpose deficiencies stroke preparedness cause major delays stroke thrombolysis particularly among economically disadvantaged minorities evaluated effectiveness stroke preparedness intervention delivered preadolescent urban public school children stroke knowledgepreparedness parents methods recruited 3070 fourth sixth graders 1144 parents 22 schools cluster randomized trial schools randomized hhs hiphop stroke intervention attentional control nutrition classes hhs 3hour culturally tailored theorybased multimedia stroke literacy intervention targeting school children systematically empowers children share stroke information parents main outcome measures stroke knowledgepreparedness children parents using validated surrogates results among children estimated 1 95 confidence interval ci 01 controls 2 95 ci 14 p 009 intervention group demonstrated optimal stroke preparedness perfect scores knowledgepreparedness test baseline increasing 57 95 ci 4469 immediately program intervention group compared 1 95 ci 01 p lt0001 among controls 3month followup 24 95 ci 1533 intervention group retained optimal preparedness compared 2 95 ci 03 p lt0001 controls 3 95 ci 24 parents intervention group could identify 4 letters stroke fast facial droop arm weakness speech disturbance time call 911 acronym baseline increasing 20 immediate posttest 95 ci 1624 17 3month delayed posttest 95 ci 1321 p 00062 significant changes 3 identification among controls four children intervention group called 911 reallife stroke symptoms 1 case overruling parents waitandsee approach conclusions hhs effective intergenerational model increasing stroke preparedness among economically disadvantaged minorities clinical trial registration url httpsclinicaltrialsgov unique identifier nct01497886