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Development and Validation of a Bilingual Stroke Preparedness Assessment Instrument
Journal article   Open access   Peer reviewed

Development and Validation of a Bilingual Stroke Preparedness Assessment Instrument

Lesli E Skolarus, Kathleen M Mazor, Brisa N Sánchez, Mackenzie Dome, José Biller and Lewis B Morgenstern
Stroke (1970), v 48(4), pp 1020-1025
Apr 2017
DOI: https://doi.org/10.1161/STROKEAHA.116.015107
PMID: 28250199
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.ahajournals.org/doi/pdf/10.1161/STROKEAHA.116.015107View
Published, Version of Record (VoR) Open
url
https://doi.org/10.1161/STROKEAHA.116.015107View
Published, Version of Record (VoR) Open

Abstract

Adult African Americans Aged Female Health Knowledge, Attitudes, Practice Health Promotion - methods Health Promotion - standards Hispanic Americans Humans Male Middle Aged Multilingualism Psychometrics - instrumentation Reproducibility of Results Stroke - diagnosis Video Recording
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. 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. 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 α=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, <0.01) among a sample of 101 black adults and youth. The video-STAT yields reliable scores that seem to be valid measures of stroke preparedness.

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1 citations in Web of Science
1 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Clinical Neurology
Peripheral Vascular Disease
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