Stroke Clinical Trial
Official title:
The Stroke Warning Information and Faster Treatment Study (SWIFT)
The purposes of this study are to determine the effectiveness of an interactive stroke educational program compared to standard educational materials and usual care, to increase stroke knowledge, and to improve emergency room arrival times upon onset of stroke symptoms.
Rapid diagnosis and treatment of acute ischemic stroke is critical to reduce disability and
death caused by stroke. While recombinant tissue plasminogen activator, or rt-PA, is the
only approved treatment for acute ischemic stroke, less than 2-3 percent of individuals with
stroke actually receive treatment. The inability to capture acute ischemic stroke cases
within 3 hours of symptom onset is one critical factor. Populations at highest risk for
stroke are significantly undereducated about the need for rapid, intervention upon onset of
stroke symptoms. This is especially true among vulnerable populations including African
Americans, Hispanics, and the poor.
The purpose of this study is to evaluate the effectiveness of a 2-session,
culturally-sensitive, interactive stroke educational program compared to standard
educational materials and usual care. In this study, the scientists will determine if the
interactive program increases knowledge about stroke, and results in earlier arrival to the
emergency room in the case of stroke.
The study will enroll 1400 individuals who have had a stroke or transient ischemic attack
(TIA). Participants will be randomized to receive usual medical care——which includes
standard educational information on stroke, stroke warning signs and risk factors——or usual
medical care plus a 2-session interactive stroke educational program. All participants will
be administered pre and post (30 days and 1 year) intervention stroke knowledge/behavior
surveys. In additional, participants will be contacted every 12 months to check health
status and document new stroke events associated with emergency room arrival time.
The SWIFT study is part of the Specialized Program for Translational Research in Acute
Stroke (SPOTRIAS), which seeks to understand why certain people may be at increased risk for
stroke. The goal of the study is to increase stroke knowledge, change behavior, and improve
emergency room arrival times upon onset of stroke symptoms.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject)
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