Development, Adaptation and Scale-up of a Community-wide, Health Behavior Theory-based Stroke Preparedness Intervention

Abstract

Objective: Acute stroke treatments reduce the likelihood of post-stroke disability, but are vastly underutilized. In this paper, we describe the development, adaptation, and scale-up of the Stroke Ready program – a health behavior theory-based stroke preparedness intervention that addresses underlying behavioral factors that contribute to acute stroke treatment underutilization. Methods: Through a community-based participatory research (CBPR) approach, we conducted needs and determinant assessments, which informed creation and pilot testing of Stroke Ready. Based on these results, we then scaled Stroke Ready to the entire community by greatly expanding the delivery system. Results: The scaled Stroke Ready program is a community-wide stroke preparedness education program consisting of peer-led workshops, print materials, and digital, social, and broadcast media campaigns. Whereas the Stroke Ready pilot workshop was delivered to 101 participants, 5945 participants have received the scaled Stroke Ready peer-led workshop to date. Additionally, we have sent mailers to over 44,000 households and reached approximately 35,000 people through our social media campaign. Conclusion: Strategies including an expanded community advisory board, adaptation of the intervention and community-engaged recruitment facilitated the scale-up of Stroke Ready, which may serve as a model to increase acute stroke treatment rates, particularly in majority African-American communities.

A Physical Activity Just-in-time Adaptive Intervention Designed in Partnership With a Predominantly Black Community: Virtual, Community-Based Participatory Design Approach

“…Our work in Flint is based on an established community-academic partnership focused on addressing racial disparities in cardiovascular disease, which has been in place for over a decade [ 20 ]. The principal community-partner organization is Bridges into the Future, a grassroots community organization dedicated to the health and well-being of the Flint community.…”

Evaluation of food safety problems based on the fuzzy comprehensive analysis method

“…Towels used for hands and surfaces should never be used to dry dishes (Kennedy et al, 2005;Medeiros et al, 2001;Corches et al, 2020;Schroeder et al, 2020). Surfaces and chopping boards used for raw meat should not be used unless they are washed and cleaned between each use.…”

Effectiveness of Health-Related Behavior Interventions on Physical Activity-Related Injuries in Junior Middle School Students

“…As one of the most widely-applied and effective intervention theories, Health-Related Behavior Theory (HRBT) claims to gradually change people’s health-related behaviors through theory-based behavior intervention and health education, and finally achieve the goal of improving health [ 22 , 23 ]. Health-related behaviors refer to the actions taken to prevent disease and keep individuals healthy, including changing risky health behaviors, adopting positive healthy behaviors, and obeying health guidance [ 24 ].…”

“…Health-related behaviors refer to the actions taken to prevent disease and keep individuals healthy, including changing risky health behaviors, adopting positive healthy behaviors, and obeying health guidance [ 24 ]. Previous studies were conducted to explore the factors that influence healthy behavior changes, alter individual unhealthy behaviors through effective interventions, and also measure their effectiveness [ 22 , 23 ].…”