Erin F Shufflebarger1, Lauren A Walter2, Toby I Gropen3, Tracy E Madsen4, Mark R Harrigan5, Ronald M Lazar3, Jamie Bice3, Cassidy S Baldwin6, Michael J Lyerly3. 1. Department of Emergency Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL, USA. Electronic address: erinshufflebarger@uabmc.edu. 2. Department of Emergency Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL, USA. 3. Department of Neurology, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL, USA. 4. Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, RI, USA. 5. Department of Neurosurgery, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL, USA. 6. University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL, USA.
Abstract
OBJECTIVES: In the United States, Black individuals have higher stroke incidence and mortality when compared to white individuals and are also at risk of having lower stroke knowledge and awareness. With the need to implement focused interventions to decrease stroke disparities, the objective of this study is to evaluate the feasibility and efficacy of an emergency department-based educational intervention aimed at increasing stroke awareness and preparedness among a disproportionately high-risk group. MATERIALS AND METHODS: Over a three-month timeframe, an emergency department-based, prospective educational intervention was implemented for Black patients in an urban, academic emergency department. All participants received stroke education in the forms of a video, written brochure and verbal counseling. Stroke knowledge was assessed pre-intervention, immediately post-intervention, and at one-month post-intervention. RESULTS: One hundred eighty-five patients were approached for enrollment, of whom 100 participants completed the educational intervention as well as the pre- and immediate post- intervention knowledge assessments. Participants demonstrated increased stroke knowledge from baseline knowledge assessment (5.35 ± 1.97) at both immediate post-intervention (7.66 ± 2.42, p < .0001) and one-month post-intervention assessment (7.21 ± 2.21, p < .0001). CONCLUSIONS: Emergency department-based stroke education can result in improved knowledge among this focused demographic. The emergency department represents a potential site for educational interventions to address disparities in stroke knowledge.
OBJECTIVES: In the United States, Black individuals have higher stroke incidence and mortality when compared to white individuals and are also at risk of having lower stroke knowledge and awareness. With the need to implement focused interventions to decrease stroke disparities, the objective of this study is to evaluate the feasibility and efficacy of an emergency department-based educational intervention aimed at increasing stroke awareness and preparedness among a disproportionately high-risk group. MATERIALS AND METHODS: Over a three-month timeframe, an emergency department-based, prospective educational intervention was implemented for Black patients in an urban, academic emergency department. All participants received stroke education in the forms of a video, written brochure and verbal counseling. Stroke knowledge was assessed pre-intervention, immediately post-intervention, and at one-month post-intervention. RESULTS: One hundred eighty-five patients were approached for enrollment, of whom 100 participants completed the educational intervention as well as the pre- and immediate post- intervention knowledge assessments. Participants demonstrated increased stroke knowledge from baseline knowledge assessment (5.35 ± 1.97) at both immediate post-intervention (7.66 ± 2.42, p < .0001) and one-month post-intervention assessment (7.21 ± 2.21, p < .0001). CONCLUSIONS: Emergency department-based stroke education can result in improved knowledge among this focused demographic. The emergency department represents a potential site for educational interventions to address disparities in stroke knowledge.
Authors: George Howard; Claudia S Moy; Virginia J Howard; Leslie A McClure; Dawn O Kleindorfer; Brett M Kissela; Suzanne E Judd; Fredrick W Unverzagt; Elsayed Z Soliman; Monika M Safford; Mary Cushman; Matthew L Flaherty; Virginia G Wadley Journal: Stroke Date: 2016-06-02 Impact factor: 7.914
Authors: Kurt J Greenlund; Linda J Neff; Zhi-Jie Zheng; Nora L Keenan; Wayne H Giles; Carma A Ayala; Janet B Croft; George A Mensah Journal: Am J Prev Med Date: 2003-11 Impact factor: 5.043
Authors: Quanhe Yang; Xin Tong; Linda Schieb; Adam Vaughan; Cathleen Gillespie; Jennifer L Wiltz; Sallyann Coleman King; Erika Odom; Robert Merritt; Yuling Hong; Mary G George Journal: MMWR Morb Mortal Wkly Rep Date: 2017-09-08 Impact factor: 17.586