Tailored approaches to stroke health education (TASHE): Study protocol for a randomized controlled trial

Joseph Ravenell, Ellyn Leighton-Herrmann, Amparo Abel-Bey, Alexandra DeSorbo, Jeanne Teresi, Lenfis Valdez, Madeleine Gordillo, William Gerin, Michael Hecht, Mildred Ramirez, James Noble, Elizabeth Cohn, Giardin Jean-Louis, Tanya Spruill, Salina Waddy, Gbenga Ogedegbe, Olajide Williams

Research output: Contribution to journalArticle

Abstract

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. Trial registration: NCT01909271; July 22, 2013

Original languageEnglish (US)
Article number176
JournalTrials
Volume16
Issue number1
DOIs
StatePublished - Apr 19 2015

Fingerprint

Health Education
Randomized Controlled Trials
Stroke
Hispanic Americans
Population
Behavioral Symptoms
Aptitude
Emergency Treatment
Hospital Emergency Service

Keywords

  • Community-based research
  • Health disparities
  • Narrative persuasion
  • Randomized trial
  • Stroke
  • Stroke action test
  • Stroke health education

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Pharmacology (medical)

Cite this

Ravenell, J., Leighton-Herrmann, E., Abel-Bey, A., DeSorbo, A., Teresi, J., Valdez, L., ... Williams, O. (2015). Tailored approaches to stroke health education (TASHE): Study protocol for a randomized controlled trial. Trials, 16(1), [176]. https://doi.org/10.1186/s13063-015-0703-4

Tailored approaches to stroke health education (TASHE) : Study protocol for a randomized controlled trial. / Ravenell, Joseph; Leighton-Herrmann, Ellyn; Abel-Bey, Amparo; DeSorbo, Alexandra; Teresi, Jeanne; Valdez, Lenfis; Gordillo, Madeleine; Gerin, William; Hecht, Michael; Ramirez, Mildred; Noble, James; Cohn, Elizabeth; Jean-Louis, Giardin; Spruill, Tanya; Waddy, Salina; Ogedegbe, Gbenga; Williams, Olajide.

In: Trials, Vol. 16, No. 1, 176, 19.04.2015.

Research output: Contribution to journalArticle

Ravenell, J, Leighton-Herrmann, E, Abel-Bey, A, DeSorbo, A, Teresi, J, Valdez, L, Gordillo, M, Gerin, W, Hecht, M, Ramirez, M, Noble, J, Cohn, E, Jean-Louis, G, Spruill, T, Waddy, S, Ogedegbe, G & Williams, O 2015, 'Tailored approaches to stroke health education (TASHE): Study protocol for a randomized controlled trial', Trials, vol. 16, no. 1, 176. https://doi.org/10.1186/s13063-015-0703-4
Ravenell J, Leighton-Herrmann E, Abel-Bey A, DeSorbo A, Teresi J, Valdez L et al. Tailored approaches to stroke health education (TASHE): Study protocol for a randomized controlled trial. Trials. 2015 Apr 19;16(1). 176. https://doi.org/10.1186/s13063-015-0703-4
Ravenell, Joseph ; Leighton-Herrmann, Ellyn ; Abel-Bey, Amparo ; DeSorbo, Alexandra ; Teresi, Jeanne ; Valdez, Lenfis ; Gordillo, Madeleine ; Gerin, William ; Hecht, Michael ; Ramirez, Mildred ; Noble, James ; Cohn, Elizabeth ; Jean-Louis, Giardin ; Spruill, Tanya ; Waddy, Salina ; Ogedegbe, Gbenga ; Williams, Olajide. / Tailored approaches to stroke health education (TASHE) : Study protocol for a randomized controlled trial. In: Trials. 2015 ; Vol. 16, No. 1.
@article{38ebca96dbbb466eb5bcc53ffa49de2b,
title = "Tailored approaches to stroke health education (TASHE): Study protocol for a randomized controlled trial",
abstract = "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. Trial registration: NCT01909271; July 22, 2013",
keywords = "Community-based research, Health disparities, Narrative persuasion, Randomized trial, Stroke, Stroke action test, Stroke health education",
author = "Joseph Ravenell and Ellyn Leighton-Herrmann and Amparo Abel-Bey and Alexandra DeSorbo and Jeanne Teresi and Lenfis Valdez and Madeleine Gordillo and William Gerin and Michael Hecht and Mildred Ramirez and James Noble and Elizabeth Cohn and Giardin Jean-Louis and Tanya Spruill and Salina Waddy and Gbenga Ogedegbe and Olajide Williams",
year = "2015",
month = "4",
day = "19",
doi = "10.1186/s13063-015-0703-4",
language = "English (US)",
volume = "16",
journal = "Trials",
issn = "1745-6215",
publisher = "BioMed Central",
number = "1",

}

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

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. Trial registration: NCT01909271; July 22, 2013

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. Trial registration: NCT01909271; July 22, 2013

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

VL - 16

JO - Trials

JF - Trials

SN - 1745-6215

IS - 1

M1 - 176

ER -