Stroke Clinical Trial
Official title:
Acute Stroke Program of Interventions Addressing Racial and Ethnic Disparities
The purpose of this study is to increase treatment of acute stroke with tissue plasminogen activator (tPA) across the District of Columbia. This study, however, will not evaluate tPA as an intervention.
There are a number of well-known barriers to receiving tissue plasminogen activator (tPA)
including transit time to hospital, paramedic and provider training, tPA standing orders,
and provider guidelines. Among underserved populations, limited stroke knowledge,
socioculturally determined attitudes, and beliefs and myths held by community members may
serve as additional barriers that hinder these populations from receiving tPA and acute
stroke care. Targeted multilevel interventions designed to overcome specific barriers may
significantly increase the number of individuals with stroke who are appropriately treated
with intravenous tPA (IV tPA) in underserved communities. Identification of the specific
components of healthcare interventions that are the most effective is critical to improve
delivery of acute stroke therapy.
The goal of this study is to learn more about public knowledge, attitudes, beliefs and
perceptions regarding stroke and stroke treatment in order to identify sociocultural and
environmental barriers to receiving tPA and acute stroke care in an underserved community.
This study will also determine if implementation of a multilevel intervention program can
significantly increase the number of people with ischemic stroke who are appropriately
treated with IV tPA in a predominantly underserved community.
In the study, researchers will evaluate the different levels of the intervention to
determine which efforts are most effective.
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Observational Model: Ecologic or Community, Time Perspective: Prospective
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