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A Community-Engaged Assessment of Barriers and Facilitators to Rapid Stroke Treatment
  • Published Date:
    Aug 22 2016
  • Source:
    Res Nurs Health. 39(6):438-448.


Public Access Version Available on: December 01, 2017 information icon
Please check back on the date listed above.
Details:
  • Pubmed ID:
    27545591
  • Pubmed Central ID:
    PMC5118187
  • Description:
    Treatment for acute ischemic stroke must be initiated within hours of stroke symptom onset, and the sooner it is administered, the better. In South Carolina, 76% of the population can access expert stroke care, and rural hospitals may provide specialized treatment using telemedicine, but many stroke sufferers seek care too late to achieve full benefit. Using a community-engaged approach in a southern rural community, we explored barriers and facilitators to early stroke care and implications for improvement. The Community-Engaged Assessment to facilitate Stroke Elimination (CEASE) study was guided by a community advisory group to ensure community centeredness and local relevance. In a qualitative descriptive study, eight focus groups were conducted including 52 individuals: recent stroke survivors, family members, emergency medical personnel, hospital emergency department staff, primary care providers, and community leaders. From analysis of focus group transcripts came six themes: lack of trust in healthcare system and providers; weak relationships fueled by poor communication; low health literacy; financial limitations related to health care; community-based education; and faith as a message of hope. A hierarchy model for improving early community-based stroke care was developed through consensus dialogue by community representatives and the research team. This model can be used to inform a community-partnered, stakeholder-informed intervention to improve stroke care in a rural southern community with the goal of improving stroke education, care, and outcome. © 2016 Wiley Periodicals, Inc.

  • Document Type:
  • Collection(s):
  • Funding:
    U58 DP001015/DP/NCCDPHP CDC HHS/United States
    UL1 TR000062/TR/NCATS NIH HHS/United States
  • Supporting Files:
    No Additional Files
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