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Community Engagement for Early Recognition and Immediate Action in Stroke (CEERIAS)
Investigator (PI): Prabhakaran, Shyam
Performing Organization (PO): (Current): Northwestern University, Feinberg School of Medicine, Ken & Ruth Davee Department of Neurology / (312) 503-3936
Supporting Agency (SA): Patient-Centered Outcomes Research Institute (PCORI)
Initial Year: 2014
Final Year: 2019
Record Source/Award ID: PCORI/AD-1310-07237
Funding: Total Award Amount: $1,461,662
Award Type: Contract
Award Information: PCORI: More information and project results (when completed)
Abstract: Most strokes are caused by blockage of arteries to the brain, leading to death of brain cells and loss of neurologic functioning such as weakness of a body part or inability to speak. As a result, it is the leading cause of disability in the United States. Stroke is also more common and more severe in minorities, especially African Americans and Hispanics. A major problem is that many minorities with stroke do not come to the hospital in time to receive treatments that can help lessen the damage from stroke. We want more minority communities to understand the importance of calling 911 for stroke because this will make sure loved ones are taken to the hospital and given the correct medications right away. Tackling this problem will take partnership with community groups that serve African American and Hispanic neighborhoods to understand why people do not call 911 or come to the hospital right away after seeing or experiencing a stroke. We want to study this very important problem that is affecting Chicago's South Side residents. In this study, we plan to interview many representatives from local groups and ordinary people who live in these underserved and high-risk areas of Chicago to better understand the reasons for not acting quickly. Once we know why, we will try to create a community plan (Stroke Champion Program) to get the message out to the target population in the South Side of Chicago. We will teach community leaders such as from the churches, schools, aldermen's offices, and hospitals about our program and to become Stroke Champions in their neighborhoods. They will then spread the message (call 911 immediately for stroke) and help people put aside reasons they might not want to call 911, such as feeling like there is no good that can from it, that people won't take them seriously, or that it will cost too much money. To see if our program is actually working, we will then track how many stroke patients in two large South Side hospitals come in by ambulance and how many arrive within the first few hours of their stroke. To be certain that we are seeing a direct effect from our Stroke Champion program, we will compare this information with other hospitals in other neighborhoods of Chicago and also in St. Louis, where they won't be getting the Stroke Champion Program. This will be an important way to know that we can really change people's minds and get them to act on their own or loved one's behalf in a positive way. If our Stroke Champion Program works, that means more people with stroke will arrive to the hospital faster, get treated faster, and have less disability and handicap. Other parts of Chicago and other cities in the US and around the world may learn a lot from this study and also try to do the same thing and help their residents fight stroke in their communities. We have teamed with patients, community leaders, and organizations to make sure that our project is centered on what is good for patients and the community.
MeSH Terms:
  • African Americans
  • Chicago
  • Community Health Services /*organization & administration
  • Hispanic Americans
  • Humans
  • Medically Underserved Area
  • Minority Groups
  • Missouri
  • Program Development
  • Residence Characteristics
  • Risk
  • Stroke /*therapy
  • United States
Country: United States
State: Illinois
Zip Code: 60611
UI: 20152035
CTgovId: NCT02301299
Project Status: Completed
Record History: ('2019: Project extended to 2019. 2018: Project extended to 2018.',)