Kids defeating stroke: stroke awareness in children

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认识。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向。假设：从社会认知理论衍生的文化敏感的校本干预将提高中风知识和联系急救医疗服务机构提供急性中风治疗的动机。 背景/意义：美国食品和药物管理局批准急性中风疗法 从症状出现起有三个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一切的原因。缺乏立即启动的紧急医疗服务是阻碍依赖时间的急性中风治疗的最重要的单一因素。不到5%的患者自己拨打9-1-1是因为中风相关的运动和语言障碍。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开展。拉美裔美国人现在是美国最大的少数族裔人口，墨西哥裔美国人是美国最大的拉美裔美国人亚群。西班牙裔美国人的中风发病率更高，与非西班牙裔白人相比，他们在更年轻的时候尤其容易中风。次级目标：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：干预不仅会改善急性中风患者联系急救医疗服务机构的意愿，而且在研究过程中将观察这一行为。意义：每年有超过70万美国居民中风。快速将护理人员送往急诊科至关重要。为了最终取得干预的成功，必须将行为意图转化为行动。

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.