Bartholomew_Intro3_Temple_Stroke_Project_2006

Bartholomew_Intro3_Temple_Stroke_Project_2006 - 1 2005...

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Unformatted text preview: 1 2005 University of Texas Health Science Center at Houston Center for Health Promotion and Prevention Research Classroom Use Permission Granted by Kay Bartholomew The T.L.L. Temple Stroke Project as an application of Intervention Mapping from start to finish L. Kay Bartholomew, Guy S. Parcel, Gerjo Kok, Nell H. Gottlieb Planning Health Promotion Programs: An Intervention Mapping Approach 2003 University of Texas Health Science Center at Houston s Center for Health Promotion and Prevention Research Classroom Use Permission Granted by Kay Bartholomew Overview Purpose: To increase delivery of acute stroke therapy in non-urban East Texas Funding: TLL Temple Foundation, Lufkin, Texas, Lewis Morgenstern, PI Community: Three county area of Angelina, Nacogdoches and Shelby Community-based intervention guided by a health educator and planning committee from the community 2003 University of Texas Health Science Center at Houston s Center for Health Promotion and Prevention Research Classroom Use Permission Granted by Kay Bartholomew Community work group Health educator from local area Resource team: health educators, behavioral scientists and neurologists from an academic medical center about 100 miles from our project area. Community members: persons who had suffered a stroke (including the mayor of Lufkin) community organizations such as voluntary health associations community media -- English and Spanish language newspapers, radio stations and television stations health care providers who treat stroke 2003 University of Texas Health Science Center at Houston s Center for Health Promotion and Prevention Research Classroom Use Permission Granted by Kay Bartholomew Needs assessment methods Literature review: Prevalence of both stroke and untreated stroke? Factors associated non-treatment for stroke? Focus groups (2), interviews (4), surveys and monthly community work group meetings to explore : r ecognition of and response to symptoms, attitudes toward stroke Community Telephone Survey: Factors that predict rapid and assertive response to stroke: Knowledge of what to do? Self-efficacy? Perceived norms? Barriers? Outcome expectations? Behavioral intentions? Ethnicity? Gender? Hospital and EMS Meetings 2003 University of Texas Health Science Center at Houston s Center for Health Promotion and Prevention Research Classroom Use Permission Granted by Kay Bartholomew Health problem Each year Approximately 731,000 people in the U.S. suffer a stroke Recombinant tissue plasminogen activator (rtPA) only FDA approved treatment 3 hour treatment window Only 1-2% of ischemic stroke patients currently receive rtPA. Rates may be even lower in non- urban areas 2003 University of Texas Health Science Center at Houston s Center for Health Promotion and Prevention Research Classroom Use Permission Granted by Kay Bartholomew Relational behavior of the at-risk group and environmental agents Lay Community (at risk group) Emergency Department (ED)...
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Bartholomew_Intro3_Temple_Stroke_Project_2006 - 1 2005...

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