PATIENT ACCESS, OUTCOMES, AND COMMUNITY FOLLOW-UP

患者招募保留、干预和结局核心（RRRIO）将指导外展， 为哥伦比亚特区的高风险社区量身定制中风教育，促进招募， 保留研究参与者，制定和完善行为干预措施，评估 旨在减少急性卒中治疗障碍的社区项目，并评估 参加项目2和项目3的学员。核心PI Edwards博士将协助实现这些目标 吉本斯医生和卡温顿医生共同调查这一核心将负责文化 对研究者和所有项目工作人员进行敏感性培训，制定和审查招募、同意和 参与者教育材料和程序，以及收集计划评估和功能成果 数据核心研究者将与项目1、2和3的活动互动并提供支持， 协助核心C分析和解释结局数据。爱德华兹和吉本斯博士将设计 并开展社区调查、焦点小组和关键知情人访谈，以确定 与项目1的主要研究员夏医生进行急性中风治疗。科文顿博士将协助夏博士培训 乔治敦大学和霍华德大学的学生作为中风大使。卡温顿医生和爱德华兹医生 将共同主持社区咨询委员会的定期会议。吉本斯医生和卡温顿医生 协助项目2的PI Dromerick博士培训和日常监督卒中导航员。博士 Covington将监督日常数据收集活动。核心调查人员每周将举行一次 电话会议和沟通，通过电子邮件和电话在日常的基础上需要。总目标 PRRIO核心的目的是提供关于消除有效治疗障碍的信息， 健康差异对卒中长期结局的影响。PRRIO核心将支持 中风差异计划项目发现更有效的中风预防，循证治疗 以及为服务不足的种族/族裔人口提供的二级预防方案。

The Patient Recruitment Retention, Intervention and Outcomes Core (RRRIO) will guide outreach and tailored stroke education to high risk communities in the District of Columbia, facilitate recruitment and retention of study participants, develop and refine behavioral interventions, evaluate the effectiveness of community programs aimed at decreasing barriers to acute stroke treatment, and assess outcomes of participants enrolled in Projects 2 and 3. Dr. Edwards, the Core PI, will be assisted in achieving these aims by Dr. Gibbons, the Co-Pi, and Dr. Covington, a Co-investigator. This Core will be responsible for cultural sensitivity training of investigators and all project staff, development and review of recruitment, consent and participant education materials and procedures, and collection of program evaluation and functional outcome data. The Core Investigators will interact with and support the activities of Projects 1, 2, and 3 as well as assist Core C with the analysis and interpretation of outcome data. Drs. Edwards and Gibbons will design and the implement community surveys, focus groups and key informant interviews to identify barriers to acute stroke treatment with Dr. Hsia, PI of Project 1. Dr. Covington will assist Dr. Hsia with the training of students from Georgetown and Howard Universities as stroke ambassadors. Dr. Covington and Dr. Edwards will co-facilitate regular meetings of the Community Advisory Committee. Drs. Gibbons and Covington will assist Dr. Dromerick, PI of Project 2, in the training and day to day supervision of stroke navigators. Dr. Covington will supervise day to day data collection activities. The Core investigators will hold a weekly teleconference and communicate via email and telephone on a day to day basis as needed. The overall goal of the PRRIO Core is to provide information on the elimination of barriers to effective treatment and the impact of health disparities on long term stroke outcomes. The PRRIO Core will support the translation of the Stroke Disparities Program Project findings to more effective stroke prevention, evidence-based treatment and secondary prevention programs for underserved racial/ethnic populations.