SWIFT: Stroke Warning Information and Faster Treatment

急性缺血性卒中的快速诊断和治疗对于降低发病率、残疾率和卒中相关死亡率至关重要。虽然静脉注射rt-PA是唯一获批的急性缺血性卒中治疗方法，但只有不到2-3%的合格患者接受治疗。39. rt-PA利用不足的原因有若干。最重要的是无法在症状发作的三小时内捕获急性缺血性中风病例。卒中高危人群在卒中症状出现后立即进行快速、紧急干预的必要性方面仍然明显缺乏教育。在包括非裔美国人、西班牙裔和穷人在内的弱势群体中尤其如此。我们的主要目标是确定在种族和民族多样化的高危人群中，一个名为SWIFT（中风警告信息和快速治疗）的三次会议文化敏感的互动教育计划是否比常规护理更有效。干预的目标是增加中风知识，改变行为，并改善中风症状发作时到达艾德的时间。为了实现这些目标，我们计划将1400名卒中/TIA患者和1200名无卒中社区居民随机分为SWIFT干预组和常规治疗组。所有参与者将在干预前后（30天和1年）接受卒中知识/行为调查。全面的监测方法将测量研究参与者在研究期间发生急性中风的到达时间。我们的目标是证明，互动策略，促进快速识别中风症状，传授紧急获得医疗救治，并在紧急护理的导航援助将提高中风意识，减少个人的反应时间挽救生命的中风治疗。

The rapid diagnosis and treatment of acute ischemic stroke is critical in the reduction of morbidity, disability and stroke-associated mortality. While intravenous rt-PA is the only approved treatment for acute ischemic stroke, less than 2-3% of eligible individuals receive treatment. There are a number of reasons for the underutilization of rt-PA. Foremost is the inability to capture acute ischemic stroke cases within three hours of symptom onset. Populations at highest risk for stroke are still significantly undereducated about the need for rapid, emergency intervention immediately following onset of stroke symptoms. This is especially true among vulnerable populations including African Americans, Hispanics and the poor. Our primary objective is to determine whether a three session culturally sensitive interactive educational program called SWIFT (Stroke Warning Information and Faster Treatment) is more effective than usual care among a racially and ethnically diverse high-risk population. The goal of the intervention is to increase stroke knowledge, change behavior, and improve the time of arrival to the ED upon onset of stroke symptoms. To accomplish these aims we plan to randomize 1400 stroke/TIA patients and 1200 stroke free community residents into the SWIFT intervention versus usual care. All participants will be administered pre and post (30 days and 1 year) intervention stroke knowledge/behavior surveys. Comprehensive surveillance methodologies will measure arrival times for acute stroke among study participants for the length of the study. Our goal is to demonstrate that interactive strategies which promote the rapid identification of stroke symptoms; impart an urgency to obtain emergency medical treatment; and, aid in the navigation of emergency care will increase stroke awareness and decrease the individuals' response time to life saving stroke therapy.