Kids defeating stroke: stroke awareness in children

孩子们战胜中风：儿童中风意识

• 批准号: 6695805
• 负责人: LEWIS B MORGENSTERN
• 金额: $ 14.34万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-15 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6695805
• 关键词: Mexican Americans; adolescence (12-20); behavioral /social science research tag; cardiovascular disorder education; caucasian American; curriculum; education evaluation /planning; educational resource design /development; emergency health services; health behavior; health care service utilization; health education; human subject; motivation; parents; patient oriented research; secondary schools; stroke; stroke therapy

DESCRIPTION (provided by the applicant): 1. To increase acute stroke symptom knowledge among Mexican American and non-Hispanic white middle school children and their parents/ guardians. 2. To increase behavioral intent to immediately activate emergency medical services among Mexican American and non-Hispanic white middle school children and their parents/ guardians. HYPOTHESIS: A culturally sensitive school-based intervention derived from Social Cognitive Theory will improve stroke knowledge and motivation to contact emergency medical services to deliver acute stroke treatment. BACKGROUND/SIGNIFICANCE: The Food and Drug Administration approved acute stroke therapy has a three-hour time window for use from symptom onset. Delay in hospital arrival is the overwhelming reason prohibiting acute stroke therapy. Lack of immediate activation of emergency medical services is the single most important factor impeding time-dependent acute stroke therapy. Less than 5% of patients' call 9-1-1 themselves due to stroke related motor and language deficits. Family members are most likely to activate emergency medical systems. Providing knowledge and motivation to youth and their parents/guardians will greatly facilitate delivery of acute stroke therapy. Hispanic Americans are now the United States' largest minority population and Mexican Americans are the largest Hispanic American sub-group. Hispanic Americans have higher stroke incidence rates, and are particularly vulnerable to stroke at younger ages compared with non-Hispanic whites. SECONDARY AIM: To increase behavioral action to immediately activate emergency medical services among Mexican American and non-Hispanic white middle school children and their parents/ guardians. HYPOTHESIS: The intervention will not only improve intention to contact emergency medical services for acute stroke, but this action will be observed during the course of the study. SIGNIFICANCE: Stroke strikes over 700,000 United States' residents annually. Rapid paramedic transport to the emergency department is critical. Behavioral intent must be translated into action for ultimate success of the intervention.

描述（由申请人提供）： 1. 提高墨西哥裔美国人和非西班牙裔白人中学生及其父母/监护人对急性中风症状的了解。 2. 提高墨西哥裔美国人和非西班牙裔白人中学生及其父母/监护人立即启动紧急医疗服务的行为意愿。假设：源自社会认知理论的文化敏感的基于学校的干预措施将提高中风知识和联系紧急医疗服务以提供急性中风治疗的动力。 背景/意义：美国食品和药物管理局批准急性中风治疗 从症状出现起，有一个三小时的使用时间窗口。延迟到达医院是禁止急性中风治疗的压倒性原因。缺乏立即启动紧急医疗服务是阻碍时间依赖性急性中风治疗的最重要因素。由于中风相关的运动和语言缺陷，只有不到 5% 的患者自行拨打 9-1-1。家庭成员最有可能启动紧急医疗系统。向青少年及其父母/监护人提供知识和动力将极大地促进急性中风治疗的实施。西班牙裔美国人现在是美国最大的少数民族人口，墨西哥裔美国人是最大的西班牙裔美国人亚群体。与非西班牙裔白人相比，西班牙裔美国人的中风发病率较高，而且在年轻时特别容易患中风。 第二个目标：增加行为行动，立即启动墨西哥裔美国人和非西班牙裔白人中学生及其父母/监护人的紧急医疗服务。假设：干预措施不仅会提高联系急性中风紧急医疗服务的意愿，而且会在研究过程中观察到这种行为。意义：每年有超过 700,000 名美国居民遭受中风侵袭。快速将护理人员运送到急诊室至关重要。行为意图必须转化为行动，以确保干预的最终成功。