Stroke Clinical Trial
Official title:
Adaptation and Validation of a Community Worker Administered Stroke Symptom Questionnaire in a Peri-urban Pakistani Community
This is a validation study. A stroke symptom questionnaire will be adapted and translated
into local language. Two community health workers will be trained in its administration.
Their findings will be validated against assessment by two neurologists.
The study hypothesis is that the chance corrected agreement between the community worker
administered stroke symptom questionnaire and the assessment by neurologist based on history
and physical examination is at least moderate.
Overall Objective: To translate, adapt and validate a stroke symptom questionnaire for
identification of stroke symptoms by community health workers ( CHW) in a peri-urban
Pakistani community
Specific Aims:
1. To translate and adapt a stroke symptom questionnaire for identification of stroke
symptoms by community workers in a peri-urban Pakistani community
2. To validate community workers administered stroke symptom questionnaire against
assessment by neurologist in a peri-urban Pakistani community
3. To determine the feasibility of utilizing community workers for identification of
stroke patients in the community in terms of subject refusals and difficulty in
understanding questions
The study will be conducted at the community site of AMAN community health project in
Ibrahim Hyderi. Community health workers will systematically select households and from them
individuals meeting eligibility criteria will be interviewed. Community workers will
administer stroke symptom questionnaire to them at their homes. Those unable to answer will
have a surrogate answering for them. In the second part of the study, two neurologists will
independently assess all individuals. The purpose of this would be to validate the findings
of the community workers based on the stroke symptom questionnaire.
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Time Perspective: Cross-Sectional
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