Olajide Williams1, Ellyn Leighton-Herrmann2, Alexandra DeSorbo1, Joseph Eimicke1, Amparo Abel-Bey1, Lenfis Valdez1, James Noble1, Madeleine Gordillo1, Joseph Ravenell1, Mildred Ramirez1, Jeanne A Teresi1, Girardin Jean-Louis1, Gbenga Ogedegbe1. 1. From the Department of Neurology (O.W., E.L.-H., A.D., A.A.-B., L.V., J.N., M.G.), Columbia University Medical Center, New York; Research Division (J.P.E., M.R., J.A.T.), The Hebrew Home at Riverdale, Bronx; and Department of Population Health (J.R., G.J.-L., G.O.), NYU School of Medicine, New York. 2. From the Department of Neurology (O.W., E.L.-H., A.D., A.A.-B., L.V., J.N., M.G.), Columbia University Medical Center, New York; Research Division (J.P.E., M.R., J.A.T.), The Hebrew Home at Riverdale, Bronx; and Department of Population Health (J.R., G.J.-L., G.O.), NYU School of Medicine, New York. el2766@cumc.columbia.edu.
Abstract
OBJECTIVE: We assessed the behavioral effect of two 12-minute culturally targeted stroke films on immediately calling 911 for suspected stroke among black and Hispanic participants using a quasi-experimental pretest-posttest design. METHODS: We enrolled 102 adult churchgoers (60 black and 42 Hispanic) into a single viewing of one of the 2 stroke films-a Gospel musical (English) or Telenovela (Spanish). We measured intent to immediately call 911 using the validated 28-item Stroke Action Test in English and Spanish, along with related variables, before and immediately after the intervention. Data were analyzed using repeated-measures analysis of variance. RESULTS: An increase in intent to call 911 was seen immediately following the single viewing. Higher self-efficacy for calling 911 was associated with intent to call 911 among Hispanic but not black participants. A composite measure of barriers to calling 911 was not associated with intent to call 911 in either group. A significant association was found between higher stroke symptom knowledge and intent to call 911 at baseline, but not immediately following the intervention. No sex associations were found; however, being older was associated with greater intent to call 911. The majority of participants would strongly recommend the films to others. One participant appropriately called 911 for a real-life stroke event. CONCLUSIONS: Narrative communication in the form of tailored short films may improve intent to call 911 for stroke among the black and Hispanic population.
OBJECTIVE: We assessed the behavioral effect of two 12-minute culturally targeted stroke films on immediately calling 911 for suspected stroke among black and Hispanic participants using a quasi-experimental pretest-posttest design. METHODS: We enrolled 102 adult churchgoers (60 black and 42 Hispanic) into a single viewing of one of the 2 stroke films-a Gospel musical (English) or Telenovela (Spanish). We measured intent to immediately call 911 using the validated 28-item Stroke Action Test in English and Spanish, along with related variables, before and immediately after the intervention. Data were analyzed using repeated-measures analysis of variance. RESULTS: An increase in intent to call 911 was seen immediately following the single viewing. Higher self-efficacy for calling 911 was associated with intent to call 911 among Hispanic but not black participants. A composite measure of barriers to calling 911 was not associated with intent to call 911 in either group. A significant association was found between higher stroke symptom knowledge and intent to call 911 at baseline, but not immediately following the intervention. No sex associations were found; however, being older was associated with greater intent to call 911. The majority of participants would strongly recommend the films to others. One participant appropriately called 911 for a real-life stroke event. CONCLUSIONS: Narrative communication in the form of tailored short films may improve intent to call 911 for stroke among the black and Hispanic population.
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