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Trials
Published in: Trials 1/2015

Open Access 01-12-2015 | Study protocol

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

Authors: 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

Published in: Trials | Issue 1/2015

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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 − 4½ h 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
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Metadata
Title
Tailored approaches to stroke health education (TASHE): study protocol for a randomized controlled trial
Authors
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
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Trials / Issue 1/2015
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-015-0703-4

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