Evidence map›Paper›PMID 25927452›Full record

Trial reportTrials2015

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

Joseph Ravenell, Ellyn Leighton-Herrmann, Amparo Abel-Bey, Alexandra DeSorbo, Jeanne Teresi, Lenfis Valdez, Madeleine Gordillo, William Gerin, Michael Hecht, Mildred Ramirez and 7 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01909271 (Tailored Approaches to Stroke Health Education), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01909271 nacompletednot on this map

Tailored Approaches to Stroke Health Education

TypeinterventionalSponsorColumbia UniversityRan2014 to 2019Enrolled290ConditionsStrokeArmsStroke Education Film Viewing, Stroke Education Pamphlet Exposure
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 1 country.

Joseph RavenellDepartment of Population Health, NYU School of Medicine, 227 E. 30th Street NY, New York, NY, 1001, USA. Joseph.Ravenell@nyumc.org.
Ellyn Leighton-HerrmannDepartment of Neurology, Columbia University Medical Center, 710 West 168th Street, New York, NY, 10032, USA. el2766@columbia.edu.
Amparo Abel-BeyDepartment of Neurology, Columbia University Medical Center, 710 West 168th Street, New York, NY, 10032, USA. aca2134@columbia.edu.
Alexandra DeSorboDepartment of Neurology, Columbia University Medical Center, 710 West 168th Street, New York, NY, 10032, USA. ald2146@columbia.edu.
Jeanne TeresiResearch Division - The Hebrew Home at Riverdale, 5901 Palisade Avenue, Bronx, NY, 10471, USA. teresimeas@aol.com.
Lenfis ValdezDepartment of Neurology, Columbia University Medical Center, 710 West 168th Street, New York, NY, 10032, USA. lv2321@columbia.edu.
Madeleine GordilloDepartment of Neurology, Columbia University Medical Center, 710 West 168th Street, New York, NY, 10032, USA. mcg2160@columbia.edu.
William GerinThe Pennsylvania State University, 208 Biobehavioral Health Building University Park, Pennsylvania, PA, 16802, USA. wxg17@psu.edu.
Michael HechtThe Pennsylvania State University, 501 Keller Building University Park, Pennsylvania, PA, 16802, USA. mlh10@psu.edu.
Mildred RamirezResearch Division - The Hebrew Home at Riverdale, 5901 Palisade Avenue, Bronx, NY, 10471, USA. MilRamirez@aol.com.
James NobleDepartment of Neurology, Columbia University Medical Center, 710 West 168th Street, New York, NY, 10032, USA. jn2054@columbia.edu.
Elizabeth CohnCenter for Health Innovation, Adelphi University, P.O. Box 701, Garden City, NY, 11530, USA. cohn@adelphi.edu.
Giardin Jean-LouisDepartment of Population Health, NYU School of Medicine, 227 E. 30th Street NY, New York, NY, 1001, USA. Girardin.Jean-Louis@nyumc.org.
Tanya SpruillDepartment of Population Health, NYU School of Medicine, 227 E. 30th Street NY, New York, NY, 1001, USA. Tanya.Spruill@nyumc.org.
Salina WaddyNational Institute of Neurological Disorders and Stroke at the National Institutes of Health, 6001 Executive Boulevard, North Bethesda, MD, 20852, USA. waddysp@ninds.nih.gov.
Gbenga OgedegbeDepartment of Population Health, NYU School of Medicine, 227 E. 30th Street NY, New York, NY, 1001, USA. Ogedegbe@nyumc.org.
Olajide WilliamsDepartment of Neurology, Columbia University Medical Center, 710 West 168th Street, New York, NY, 10032, USA. ow11@columbia.edu.
Columbia University Irving Medical Center · USNew York University · USHebrew Home · USPennsylvania State University · USAdelphi University · USNational Institute of Neurological Disorders and Stroke · US

Funding

Tailored Approaches to Stroke Health EducationU54NS081765 · NINDS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI OGEDEGBE, OLUGBENGA G., WILLIAMS, OLAJIDE · 2012 to 2016
$12.5M
Midcareer Investigator Award in Patient-Oriented Research for Dr. Gbenga OgedegbeK24HL111315 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI OGEDEGBE, OLUGBENGA G. · 2012 to 2016
$621k
NHLBI NIH HHS K24 HL111315NINDS NIH HHS U54 NS081765
6 · The paper itself

Abstract

backgroundStroke 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

methodsIn 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 registrationNCT01909271 ; July 22, 2013.

Indexed as

Health LiteracyStrokeBlack or African AmericanCommunity Health ServicesCultural CharacteristicsEmergency Medical ServicesHealthcare DisparitiesHealth Knowledge, Attitudes, PracticeHealth Status DisparitiesHispanic or LatinoHumansMinority GroupsMinority HealthMotion PicturesNew York CityPatient Acceptance of Health Care

Identifiers

PMID25927452
PMCPMC4417303
OpenAlexW2051301771

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.