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Hip hop stroke: Statewide dissemination and implementation of an evidence-based stroke preparedness intervention
Journal article   Open access   Peer reviewed

Hip hop stroke: Statewide dissemination and implementation of an evidence-based stroke preparedness intervention

Daudet Ilunga Tshiswaka, James M. Noble, Luisa Gomez Chan, Janhavi Mallaiah, Jeanne Teresi, Joseph P. Emicke, Jian Kong, Stephanie Silver, Ian Brissette, Krystal Parrigan, …
Journal of Clinical Trials, Vol.8
8
2018

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Abstract

Regulatory requirements governing Stroke Center accreditation include community stroke education; however, these efforts are often suboptimal and lacking evidence-based approaches. The goal of this trial is to disseminate an evidence-based stroke preparedness program targeting elementary school children, Hip Hop Stroke (HHS), to New York State’s Stroke Systems of Care. Using a Hybrid-Effectiveness Implementation Type 3 design, and guided by Consolidated Framework for Implementation Research (CFIR), we aim to disseminate HHS to a heterogeneous (urban, suburban, and rural) population of schools via 47 New York State Stroke Centers through a partnership with the New York State Department of Health (NYSDOH). We will: 1) identify contextual factors, such as barriers and facilitators, which influence uptake of the program at the Stroke Center and local school levels, 2) determine whether Stroke Center implementation of the HHS program leads to increased stroke preparedness of local students; 3) assess the determinants of high performance implementation and effectiveness under real world practice conditions, and 4) evaluate the costs associated with HHS program implementation. Community education is an underdeveloped component of Stroke Systems of Care. This study aims to address this gap by studying contextual factors that impede or facilitate the uptake of an evidence-based community education program across a heterogeneous population.
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