A Community Partnership to Treat Stroke

治疗中风的社区合作伙伴关系

基本信息

批准号：
9221383
负责人：
Lesli Elizabeth Skolarus
金额：
$ 0.16万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-09-01 至 2017-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9221383
关键词：
911 call Activase Adult African American American Area Awareness Behavior Therapy Behavioral Caring Church Clinical Research Communities Development Development Plans Disease Educational Intervention Enrollment Ensure Environment European Family Feasibility Studies Friends Future Goals Health behavior Hospitals Hour Incidence Intervention Investments Ischemic Stroke K-Series Research Career Programs Life Measures Mentors Methodology Michigan Morbidity - disease rate Neurologic Outcome Outcome Assessment Outcome Measure Paper Participant Patients Plasminogen Population Randomized Recruitment Activity Research Personnel Research Project Grants Resources Sample Size Science Scientist Social Network Statistical Data Interpretation Stroke Testing Time Tissues Training United States Universities Work Youth acute stroke base behavior change career career development community based participatory research community organizations community partnership cost design disability education research experience faith-based intervention health disparity improved innovation loved ones meetings mortality multidisciplinary novel peer post stroke programs response satisfaction stroke education stroke symptom stroke therapy stroke treatment success theories young adult

项目摘要

DESCRIPTION (provided by applicant): African Americans suffer a disproportionate number of strokes resulting in greater post-stroke disability and mortality compared to European Americans. Despite the fact that tissue plasminogen activase (tPA), decreases post-stroke morbidity, mortality and is cost saving, it is underutilized especially among African Americans who are up to one-fifth as likely to receive tPA as European Americans. The primary reason for the underutilization of acute stroke treatments is delayed patient presentation to the hospital which would be remedied by increasing prompt 911 calls for stroke. If all patients presented to the hospital immediately over 25% of stroke patients would receive tPA compared with the 1-3% that are currently treated. The long-term goal of this career development award is to promote the candidate's development into a clinical and research leader in behavioral interventions focusing on health disparities of neurologic disease. The aims of this project are 1)To develop and validate theory-based stroke education intervention materials and outcome measures that use simulated stroke patient video vignettes; 2)To assess the feasibility and acceptability of a faith-based, scientific theory-driven, peer-led behavioral intervention to increase stroke awareness and behavioral intent to call 911 among African American youth and adults in Flint, Michigan. This project is based on a partnership with Bridges into the Future, an African American faith-based community group in Flint, Michigan who will help to design and pre test novel intervention materials and outcome assessments. Then a single group repeated measures design feasibility study will be conducted to obtain preliminary evidence for the impact of our adapted intervention and to test the novel stroke outcome measure. The candidate is committed to a career as a rigorously trained clinician scientist and requires additional training in order to accomplish her long-term goal of reducing health disparities in neurologic disease via behavioral interventions. A detailed career development plan will promote the candidate's development of expertise in the science of behavioral interventions, advanced statistical analysis and an interdisciplinary understanding of health disparities. The career development plan consists of a multidisciplinary team of experts in each of these areas who will oversee a range of formal coursework, working meetings and practical experiences in these areas to ensure the candidate's future success. Excellent resources of a top university and a mentoring team with demonstrated success in developing junior investigators in these topic areas makes the University of Michigan an ideal environment for this project.

描述（由申请人提供）：与欧洲裔美国人相比，非裔美国人中风的数量不成比例，导致中风后残疾和死亡率更高。尽管组织纤溶酶原激活酶 (tPA) 可以降低中风后发病率、死亡率并节省成本，但它并未得到充分利用，尤其是在非洲裔美国人中，他们接受 tPA 的可能性高达欧洲裔美国人的五分之一。急性中风治疗未得到充分利用的主要原因是患者到医院的时间延迟，这可以通过增加中风的 911 报警电话来解决。如果所有患者立即到医院就诊，那么超过 25% 的中风患者将接受 tPA，而目前接受治疗的比例为 1-3%。该职业发展奖的长期目标是促进候选人发展成为关注神经系统疾病健康差异的行为干预领域的临床和研究领导者。该项目的目标是 1) 开发和验证基于理论的中风教育干预材料和使用模拟中风患者视频片段的结果测量； 2) 评估基于信仰、科学理论驱动、同伴主导的行为干预的可行性和可接受性，以提高密歇根州弗林特非裔美国青年和成年人的中风意识和拨打 911 的行为意图。该项目基于与密歇根州弗林特非裔美国人信仰社区团体 Bridges into the Future 的合作，该团体将帮助设计和预先测试新颖的干预材料和结果评估。然后将进行单组重复措施设计可行性研究，以获得我们调整的干预措施的影响的初步证据，并测试新的中风结果措施。该候选人致力于成为一名经过严格培训的临床科学家，并需要额外的培训，以实现通过行为干预减少神经系统疾病健康差异的长期目标。详细的职业发展计划将促进候选人在行为干预科学、高级统计分析和对健康差异的跨学科理解方面的专业知识的发展。职业发展计划由各个领域的多学科专家团队组成，他们将监督这些领域的一系列正式课程、工作会议和实践经验，以确保候选人未来的成功。顶尖大学的优秀资源和指导团队在培养这些主题领域的初级研究人员方面取得了成功，使密歇根大学成为该项目的理想环境。

项目成果

期刊论文数量（22）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Deprived of a good stroke outcome.

剥夺了良好的中风结果。

DOI：
10.1161/strokeaha.114.008312
发表时间：
2015
期刊：
Stroke
影响因子：
8.3
作者：
Skolarus,LesliE;Morgenstern,LewisB
通讯作者：
Morgenstern,LewisB

Creating a Novel Video Vignette Stroke Preparedness Outcome Measure Using a Community-Based Participatory Approach.

DOI：
10.1177/1524839914557032
发表时间：
2015-07
期刊：
Health promotion practice
影响因子：
1.9
作者：
Skolarus LE;Murphy JB;Dome M;Zimmerman MA;Bailey S;Fowlkes S;Morgenstern LB
通讯作者：
Morgenstern LB

Stroke awareness among inpatient nursing staff at an academic medical center.

DOI：
10.1161/strokeaha.113.002905
发表时间：
2014-01
期刊：
Stroke
影响因子：
8.3
作者：
Adelman EE;Meurer WJ;Nance DK;Kocan MJ;Maddox KE;Morgenstern LB;Skolarus LE
通讯作者：
Skolarus LE

Medicare payments to the neurology workforce in 2012.

2012 年向神经科工作人员支付的医疗保险费用。

DOI：
10.1212/wnl.0000000000001515
发表时间：
2015
期刊：
Neurology
影响因子：
9.9
作者：
Skolarus,LesliE;Burke,JamesF;Callaghan,BrianC;Becker,Amanda;Kerber,KevinA
通讯作者：
Kerber,KevinA

Differences Between US and UK Adults in Stroke Preparedness: Evidence From Parallel Population-Based Community Surveys.

美国和英国成年人在中风准备方面的差异：来自平行人口社区调查的证据。

DOI：
10.1161/strokeaha.115.009997
发表时间：
2015
期刊：
Stroke
影响因子：
8.3
作者：
Dombrowski,StephanU;Ford,GaryA;Morgenstern,LewisB;White,Martin;Sniehotta,FalkoF;Mackintosh,JoanE;Gellert,Paul;Skolarus,LesliE
通讯作者：
Skolarus,LesliE