Community Engagement for Early Recognition and Immediate Action in Stroke

NCT02301299 | Completed Results

• 1 other identifier: STU00102919
• Study Type: observational
• Target: 1,322
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators plan to develop and adapt a community-partnered intervention using community health promoters ("Stroke Promoters") to deliver messaging regarding stroke symptom awareness and the need for calling 911 after stroke onset. The study investigators will implement this intervention in south side Chicago communities and measure the impact on symptom onset to hospital arrival times and EMS utilization using an interrupted time-series analysis.

Conditions

Ischemic Stroke

Keywords

stroke; barriers; community

Outcome Measures

Primary Outcomes (2)

• Early Arrival After Stroke Onset

  Early hospital arrival was defined as the proportion of stroke patients arriving within three hours from symptom onset to intervention hospital. When symptom onset time was unknown or missing, last well-known time was used as symptom onset time. When both symptom onset time and last well-known time were unknown or missing, that admission was treated as late arrival.

  5 years; January 2013 to December 2017

• Emergency Medical Services (EMS) Utilization for Stroke

  Emergency medical services (EMS) utilization (%) was defined as the proportion of stroke patients arriving to the emergency department by EMS, as opposed to private transport/taxi/other from home/scene. Admissions with Chicago Fire Department (CFD) record confirmed EMS arrival were considered as EMS arrival. All others were considered as non-EMS arrival. The effect size is measures a change in slope: percent of participants per month.

  5 years; January 2013 to December 2017

Secondary Outcomes (1)

• Change in Knowledge and Self-efficacy

  12 months

Study Arms (1)

Community-based Stroke Awareness Program

Neighborhoods in the south side of Chicago surrounding a primary stroke center hospital will be targeted for a community-partnered stroke awareness and action educational campaign. To assess the effectiveness of this intervention, the investigators will monitor early hospital arrival and EMS use for stroke over a 60-month period comparing performance at the primary stroke center hospital using an interrupted time-series analysis.

Behavioral: Community-based Stroke Awareness Program

Interventions

Community-based Stroke Awareness Program BEHAVIORAL

A culturally-adapted stroke awareness and action program will be delivered by trained Stroke Promoters in the targeted neighborhoods in the south side of Chicago. Community Stroke Promoters will be trained on 1) the benefits of early recognition and EMS utilization for stroke (i.e. stroke centers, tPA), 2) culturally-adapted solutions to current barriers (i.e. misperceptions about vulnerability, severity, mistrust, costs), and 3) cues to aid in stroke recognition and immediate action. The intervention will take place at community settings throughout a 1-year period.

Also known as: Community Stroke Promoter Program

Community-based Stroke Awareness Program

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Ischemic stroke patients arriving to the emergency department of a neighborhood primary stroke center in the south side of Chicago who are \> 18 years of age.

You may qualify if:

• Adults 18 years of age or older
• Hispanic, African American, or Caucasian/White
• Reside within the following Chicago Zip Codes: 60617, 60619, 60620, 60621, 60628, 60629, 06032, 60639, or 60649

You may not qualify if:

• \< 18 years old
• Ethnic groups outside our targeted population
• Outside targeted catchment area

Sponsors & Collaborators

• Northwestern University: lead
• Patient-Centered Outcomes Research Institute: collaborator

Study Sites (1)

Northwestern University

Chicago, Illinois, 60611, United States

Location

Related Publications (1)

• Prabhakaran S, Richards CT, Kwon S, Wymore E, Song S, Eisenstein A, Brown J, Kandula NR, Mason M, Beckstrom H, Washington KV, Aggarwal NT. A Community-Engaged Stroke Preparedness Intervention in Chicago. J Am Heart Assoc. 2020 Sep 15;9(18):e016344. doi: 10.1161/JAHA.120.016344. Epub 2020 Sep 6.

  PMID: 32893720 DERIVED

MeSH Terms

Conditions

Ischemic Stroke; Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Results Point of Contact

• Title: Erin Wymore
• Organization: Northwestern University

erin.wymore@northwestern.edu

3125033243

Study Officials

• Shyam Prabhakaran, MD MS

  Northwestern University

  PRINCIPAL INVESTIGATOR

• Neelum T Aggarwal, MD

  Rush University Medical Center

  PRINCIPAL INVESTIGATOR

• Knitasha Washington, DHA FACHE

  Washington Howard and Associates

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Target Duration: 60 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Neurology

Study Record Dates

• First Submitted: November 21, 2014
• First Posted: November 25, 2014
• Study Start: October 1, 2014
• Primary Completion: May 1, 2018
• Study Completion: June 30, 2019
• Last Updated: September 9, 2019
• Results First Posted: September 9, 2019

Record last verified: 2019-07

Locations

US (1)