Minority-Targeted Videos Flop for Stroke Readiness

Wrong focus. The focus needs to be on changing the status quo of

Full recovery using tPA is only 12% and

Full recovery after stroke rehab is only 10%.

1. 30% get spasticity NOTHING THAT WILL CURE IT.

2. At least half of all stroke survivors experience fatigue Or is it 70%?

Or is it 40%?

NOTHING THAT WILL CURE IT.

3. Over half of stroke patients have attention problems.

NOTHING THAT WILL CURE IT.

4.  The incidence of constipation was 48%.

NO PROTOCOLS THAT WILL CURE IT.

5. No EXACT stroke protocols that address any of your muscle limitations.

6. Poststroke depression(33% chance)

NO PROTOCOLS THAT WILL ADDRESS IT. 

7.  Poststroke anxiety(20% chance) NO PROTOCOLS THAT WILL ADDRESS IT. 

8. Posttraumatic stress disorder(23% chance)  NO PROTOCOLS THAT WILL ADDRESS IT.

  9.  12% tPA efficacy for full recovery NO ONE IS WORKING ON SOMETHING BETTER.

10.  10% seizures post stroke NO PROTOCOLS THAT WILL ADDRESS IT. 

11. 21% of patients had developed cachexia NO PROTOCOLS THAT WILL ADDRESS IT. 

 

12. You lost 5 cognitive years from your stroke  NO PROTOCOLS THAT WILL ADDRESS IT.

13.  33% dementia chance post-stroke from an Australian study?

       Or is it 17-66%?

       Or is it 20% chance in this research?

NO PROTOCOLS THAT WILL ADDRESS THIS

 

The only goal in stroke is 100% recovery for all. Non-negotiable. Even you stroke medical professionals will appreciate that when you are the 1 in 4 per the WHO that will have a stroke. 

With those fixed this awareness shit can be mostly relegated to the dustbin. 

Minority-Targeted Videos Flop for Stroke Readiness

Subgroup analysis showed improvement in low-education group

• by Ashley Lyles, Staff Writer, MedPage Today July 03, 2019

Stroke preparedness may not improve among black and Hispanic church attendees after watching culturally tailored stroke videos compared to those receiving conventional stroke education brochures, a cluster randomized clinical trial found.
Average proportion of Stroke Action Test (STAT) questions answered correctly was similar for the usual care and video intervention groups at baseline (58.35% vs 59.05%, P=0.83), at 6-month follow-up (61.12% vs 63.94%, P=0.40), and at 1-year follow-up (61.58% vs 64.38%, P=0.41).
However, subgroup analysis showed substantial benefit with the intervention among those who hadn't completed high school education, improving from 52.4% to 66.7% of the 21 questions answered correctly, reported Olajide Williams, MD, of Columbia University Medical Center in New York City, and colleagues in JAMA Neurology.
These findings reveal insufficiencies in culturally customized, short-length stroke videos and conventional stroke informational pamphlets for improving stroke preparedness of ethnic and racial minority cohorts, the researchers noted.
"More work is needed to address this important public health problem," the authors wrote, pointing to lower stroke recognition and 911 use among Hispanic and black people that leads to ethnic and racial disparities in thrombolytic use.
Previous studies have demonstrated that narrative communication improves stroke preparedness among Hispanic and black youth and lowers blood pressure among black participants with hypertension, they wrote.
The researchers randomized 13 Hispanic and black churches located in urban areas, resulting in 160 patients in the intervention arm and 151 in the usual care group who were at least age 34 who had stroke risk factors but no history of it. Study participants and the churches involved were compensated for participation. The cohort was 79.1% female, 48.9% Hispanic, and 51.1% non-Hispanic black. Mean age was 58.6 years.
For the intervention arm, the investigators created two 12-minute stroke films on stroke preparedness -- a telenovela-based one for Hispanics and a gospel music-based one for blacks -- using a professional director, professional actors, and a trans-disciplinary research team. The usual care group received informational pamphlets in Spanish and English.
Participants in the intervention group watched one screening of the stroke video at their church and took home a DVD they were asked to watch again and share with friends and family. The usual care group received three stroke brochures in their preferred language at a church health fair and were asked to share them with friends and family.
Limitations of the study included the size of the cohort, self-reported education status, and lack of a cost-effectiveness or cost analysis component.
"While these findings may have potential implications regarding the design of stroke preparedness interventions, confirmatory testing in future studies is required," the researchers concluded.

The study was supported by the National Institute of Neurological Disorders and Stroke of the National Institutes of Health.
Williams disclosed relationships with the National Institute of Neurological Disorders and Stroke of the National Institutes of Health.

• Primary Source

  JAMA Neurology

  Source Reference: Williams O, et al "Effect of stroke education pamphlets vs a 12-minute culturally tailored stroke film on stroke preparedness among black and hispanic churchgoers: A cluster randomized clinical trial" JAMA Neurol 2019; DOI: 10.1001/jamaneurol.2019.1741.