Casey L Corches1, A Camille McBride2, Maria Cielito Robles3, Narmeen Rehman4, Sarah Bailey5, Alina Oliver6, Lesli E Skolarus7. 1. Casey L. Corches, Project Manager, Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, United States;, Email: casmcg@med.umich.edu. 2. A. Camille McBride, Research Assistant, Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, United States. 3. Maria Cielito Robles, Research Area Specialist, Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, United States. 4. Narmeen Rehman, Research Assistant, Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, United States. 5. Sarah Bailey, Bridges Into the Future, Flint, MI, United States. 6. Alina Oliver, Bethlehem Temple Church, Flint, MI, United States. 7. Lesli E. Skolarus, Associate Professor, Department of Neurology, University of Michigan Medical School, Ann Arbor, MI, United States.
Abstract
Objective: Acute stroke treatments reduce the likelihood of post-stroke disability, but are vastly underutilized. In this paper, we describe the development, adaptation, and scale-up of the Stroke Ready program - a health behavior theory-based stroke preparedness intervention that addresses underlying behavioral factors that contribute to acute stroke treatment underutilization. Methods: Through a community-based participatory research (CBPR) approach, we conducted needs and determinant assessments, which informed creation and pilot testing of Stroke Ready. Based on these results, we then scaled Stroke Ready to the entire community by greatly expanding the delivery system. Results: The scaled Stroke Ready program is a community-wide stroke preparedness education program consisting of peer-led workshops, print materials, and digital, social, and broadcast media campaigns. Whereas the Stroke Ready pilot workshop was delivered to 101 participants, 5945 participants have received the scaled Stroke Ready peer-led workshop to date. Additionally, we have sent mailers to over 44,000 households and reached approximately 35,000 people through our social media campaign. Conclusion: Strategies including an expanded community advisory board, adaptation of the intervention and community-engaged recruitment facilitated the scale-up of Stroke Ready, which may serve as a model to increase acute stroke treatment rates, particularly in majority African-American communities.
Objective: Acute stroke treatments reduce the likelihood of post-stroke disability, but are vastly underutilized. In this paper, we describe the development, adaptation, and scale-up of the Stroke Ready program - a health behavior theory-based stroke preparedness intervention that addresses underlying behavioral factors that contribute to acute stroke treatment underutilization. Methods: Through a community-based participatory research (CBPR) approach, we conducted needs and determinant assessments, which informed creation and pilot testing of Stroke Ready. Based on these results, we then scaled Stroke Ready to the entire community by greatly expanding the delivery system. Results: The scaled Stroke Ready program is a community-wide stroke preparedness education program consisting of peer-led workshops, print materials, and digital, social, and broadcast media campaigns. Whereas the Stroke Ready pilot workshop was delivered to 101 participants, 5945 participants have received the scaled Stroke Ready peer-led workshop to date. Additionally, we have sent mailers to over 44,000 households and reached approximately 35,000 people through our social media campaign. Conclusion: Strategies including an expanded community advisory board, adaptation of the intervention and community-engaged recruitment facilitated the scale-up of Stroke Ready, which may serve as a model to increase acute stroke treatment rates, particularly in majority African-American communities.
Authors: Amie W Hsia; Dorothy F Edwards; Lewis B Morgenstern; Jeffrey J Wing; Nina C Brown; Regina Coles; Sarah Loftin; Andrea Wein; Sara S Koslosky; Sabiha Fatima; Brisa N Sánchez; Ali Fokar; M Chris Gibbons; Nawar Shara; Annapurni Jayam-Trouth; Chelsea S Kidwell Journal: Stroke Date: 2011-06-30 Impact factor: 7.914
Authors: Margaret Kelly-Hayes; Alexa Beiser; Carlos S Kase; Amy Scaramucci; Ralph B D'Agostino; Philip A Wolf Journal: J Stroke Cerebrovasc Dis Date: 2003 May-Jun Impact factor: 2.136
Authors: Olaniyi James Ekundayo; Jeffrey L Saver; Gregg C Fonarow; Lee H Schwamm; Ying Xian; Xin Zhao; Adrian F Hernandez; Eric D Peterson; Eric M Cheng Journal: Circ Cardiovasc Qual Outcomes Date: 2013-04-29
Authors: Lesli E Skolarus; Devin L Brown; Casey L Corches; Evan Reynolds; Sarah Bailey; Maria Mansour; Maria Cielito Robles; Tia Rice; Mellanie V Springer; James F Burke; Rebecca L Sudore Journal: J Pain Symptom Manage Date: 2021-02-27 Impact factor: 5.576
Authors: Dongchun Tang; Weicong Cai; Wenda Yang; Shangmin Chen; Liping Li Journal: Int J Environ Res Public Health Date: 2022-03-29 Impact factor: 3.390
Authors: Maria Cielito Robles; Mark W Newman; Aalap Doshi; Sarah Bailey; Linde Huang; Soo Ji Choi; Chris Kurien; Beza Merid; Joan Cowdery; Jessica R Golbus; Christopher Huang; Michael P Dorsch; Brahmajee Nallamothu; Lesli E Skolarus Journal: JMIR Form Res Date: 2022-03-28