Development and Validation of a Bilingual Stroke Preparedness Assessment Instrument
dc.contributor.author | Skolarus, Lesli E. | |
dc.contributor.author | Mazor, Kathleen M. | |
dc.contributor.author | Sanchez, Brisa N. | |
dc.contributor.author | Dome, Mackenzie | |
dc.contributor.author | Biller, Jose | |
dc.contributor.author | Morgenstern, Lewis B. | |
dc.date | 2022-08-11T08:08:22.000 | |
dc.date.accessioned | 2022-08-23T15:52:28Z | |
dc.date.available | 2022-08-23T15:52:28Z | |
dc.date.issued | 2017-04-01 | |
dc.date.submitted | 2017-06-30 | |
dc.identifier.citation | Stroke. 2017 Apr;48(4):1020-1025. doi: 10.1161/STROKEAHA.116.015107. Epub 2017 Mar 1. <a href="https://doi.org/10.1161/STROKEAHA.116.015107">Link to article on publisher's site</a> | |
dc.identifier.issn | 0039-2499 (Linking) | |
dc.identifier.doi | 10.1161/STROKEAHA.116.015107 | |
dc.identifier.pmid | 28250199 | |
dc.identifier.uri | http://hdl.handle.net/20.500.14038/29146 | |
dc.description.abstract | BACKGROUND AND PURPOSE: Stroke preparedness interventions are limited by the lack of psychometrically sound intermediate end points. We sought to develop and assess the reliability and validity of the video-Stroke Action Test (video-STAT) an English and a Spanish video-based test to assess people's ability to recognize and react to stroke signs. METHODS: Video-STAT development and testing was divided into 4 phases: (1) video development and community-generated response options, (2) pilot testing in community health centers, (3) administration in a national sample, bilingual sample, and neurologist sample, and (4) administration before and after a stroke preparedness intervention. RESULTS: The final version of the video-STAT included 8 videos: 4 acute stroke/emergency, 2 prior stroke/nonemergency, 1 nonstroke/emergency, and 1 nonstroke/nonemergency. Acute stroke recognition and action response were queried after each vignette. Video-STAT scoring was based on the acute stroke vignettes only (score range 0-12 best). The national sample consisted of 598 participants, 438 who took the video-STAT in English and 160 who took the video-STAT in Spanish. There was adequate internal consistency (Cronbach alpha=0.72). The average video-STAT score was 5.6 (SD=3.6), whereas the average neurologist score was 11.4 (SD=1.3). There was no difference in video-STAT scores between the 116 bilingual video-STAT participants who took the video-STAT in English or Spanish. Compared with baseline scores, the video-STAT scores increased after a stroke preparedness intervention (6.2 versus 8.9, P < 0.01) among a sample of 101 black adults and youth. CONCLUSIONS: The video-STAT yields reliable scores that seem to be valid measures of stroke preparedness. | |
dc.language.iso | en_US | |
dc.relation | <a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=28250199&dopt=Abstract">Link to Article in PubMed</a> | |
dc.relation.url | https://doi.org/10.1161/STROKEAHA.116.015107 | |
dc.subject | Cardiovascular Diseases | |
dc.subject | Nervous System Diseases | |
dc.title | Development and Validation of a Bilingual Stroke Preparedness Assessment Instrument | |
dc.type | Journal Article | |
dc.source.journaltitle | Stroke | |
dc.source.volume | 48 | |
dc.source.issue | 4 | |
dc.identifier.legacycoverpage | https://escholarship.umassmed.edu/faculty_pubs/1374 | |
dc.identifier.contextkey | 10382286 | |
html.description.abstract | <p>BACKGROUND AND PURPOSE: Stroke preparedness interventions are limited by the lack of psychometrically sound intermediate end points. We sought to develop and assess the reliability and validity of the video-Stroke Action Test (video-STAT) an English and a Spanish video-based test to assess people's ability to recognize and react to stroke signs.</p> <p>METHODS: Video-STAT development and testing was divided into 4 phases: (1) video development and community-generated response options, (2) pilot testing in community health centers, (3) administration in a national sample, bilingual sample, and neurologist sample, and (4) administration before and after a stroke preparedness intervention.</p> <p>RESULTS: The final version of the video-STAT included 8 videos: 4 acute stroke/emergency, 2 prior stroke/nonemergency, 1 nonstroke/emergency, and 1 nonstroke/nonemergency. Acute stroke recognition and action response were queried after each vignette. Video-STAT scoring was based on the acute stroke vignettes only (score range 0-12 best). The national sample consisted of 598 participants, 438 who took the video-STAT in English and 160 who took the video-STAT in Spanish. There was adequate internal consistency (Cronbach alpha=0.72). The average video-STAT score was 5.6 (SD=3.6), whereas the average neurologist score was 11.4 (SD=1.3). There was no difference in video-STAT scores between the 116 bilingual video-STAT participants who took the video-STAT in English or Spanish. Compared with baseline scores, the video-STAT scores increased after a stroke preparedness intervention (6.2 versus 8.9, P < 0.01) among a sample of 101 black adults and youth.</p> <p>CONCLUSIONS: The video-STAT yields reliable scores that seem to be valid measures of stroke preparedness.</p> | |
dc.identifier.submissionpath | faculty_pubs/1374 | |
dc.contributor.department | Meyers Primary Care Institute | |
dc.source.pages | 1020-1025 |