Efficacy of Five Strategies To Improve Stroke Awareness in the Spanish-Speaking Population

NCT ID: NCT06613828

Last Updated: 2025-05-01

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 435 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-04-01
• Study Completion Date: 2024-11-07

Brief Summary

The goal of this experimental study is to evaluate the efficacy of five educational strategies for recognizing early symptoms of cerebrovascular disease (CVD) in the general adult population. The main questions it aims to answer are:

• How effective are the strategies RAPIDO, CORRE, DALE, CAMALEON, and ICTUS 911 in improving the recognition of early CVD symptoms?

Researchers will compare these strategies to determine which one leads to the highest increase in symptom recognition. Participants will receive a brief educational session on one of the five strategies and will:

• Complete a pre- and post-intervention survey (Stroke Awareness Questionnaire, SAQ).
• Receive short training on CVD symptoms and the urgency of contacting emergency services.

The primary outcome is the improvement in SAQ scores, and the secondary outcome is the proportion of participants achieving adequate knowledge of CVD symptoms.

Conditions

Stroke Acute

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SCREENING
• Blinding Strategy: NONE

Study Groups

RAPIDO Strategy Arm

Participants in this arm receive educational training based on the RAPIDO strategy, an acronym developed to raise awareness of stroke symptoms among the Spanish-speaking community. This strategy is modeled after the English FAST mnemonic and focuses on the rapid identification of stroke symptoms.

Group Type: EXPERIMENTAL

Mnemonic-Based Educational Training for Stroke Symptom Recognition

Intervention Type: BEHAVIORAL

This is a Culturally Adapted Mnemonic-Based Educational Strategies for Rapid Stroke Symptom Recognition in the Spanish-Speaking Population.

It uses five distinct mnemonic strategies (RAPIDO, CORRE, DALE, CAMALEON, ICTUS 911), each specifically tailored for a Spanish-speaking audience.

Aims to improve the recognition of early cerebrovascular disease symptoms, differentiating it from other clinical studies that might focus on different health conditions or target populations.

Emphasizes its focus on rapid action by educating participants about stroke symptoms and the importance of contacting emergency services (911).

CORRE Strategy Arm

Participants in this arm are trained using the CORRE strategy, created by a Colombian neurologist. It mirrors the structure of other mnemonic-based interventions and emphasizes the importance of quickly recognizing and acting upon early stroke symptoms.

Group Type: EXPERIMENTAL

Mnemonic-Based Educational Training for Stroke Symptom Recognition

Intervention Type: BEHAVIORAL

This is a Culturally Adapted Mnemonic-Based Educational Strategies for Rapid Stroke Symptom Recognition in the Spanish-Speaking Population.

It uses five distinct mnemonic strategies (RAPIDO, CORRE, DALE, CAMALEON, ICTUS 911), each specifically tailored for a Spanish-speaking audience.

Aims to improve the recognition of early cerebrovascular disease symptoms, differentiating it from other clinical studies that might focus on different health conditions or target populations.

Emphasizes its focus on rapid action by educating participants about stroke symptoms and the importance of contacting emergency services (911).

DALE Strategy Arm

Participants in this arm are educated using the DALE strategy, developed in 2012 by researchers at the University of Guadalajara. Similar to the RAPIDO strategy, DALE adapts the FAST mnemonic for the Spanish-speaking population, promoting quick recognition and response to cerebrovascular symptoms.

Group Type: EXPERIMENTAL

Mnemonic-Based Educational Training for Stroke Symptom Recognition

Intervention Type: BEHAVIORAL

This is a Culturally Adapted Mnemonic-Based Educational Strategies for Rapid Stroke Symptom Recognition in the Spanish-Speaking Population.

It uses five distinct mnemonic strategies (RAPIDO, CORRE, DALE, CAMALEON, ICTUS 911), each specifically tailored for a Spanish-speaking audience.

Aims to improve the recognition of early cerebrovascular disease symptoms, differentiating it from other clinical studies that might focus on different health conditions or target populations.

Emphasizes its focus on rapid action by educating participants about stroke symptoms and the importance of contacting emergency services (911).

CAMALEON Strategy Arm

In this arm, participants receive training based on the CAMALEON strategy, a mnemonic created in Costa Rica with the support of the pharmaceutical industry. The approach is designed to facilitate the recognition of early stroke symptoms by adapting the FAST mnemonic to Spanish.

Group Type: EXPERIMENTAL

Mnemonic-Based Educational Training for Stroke Symptom Recognition

Intervention Type: BEHAVIORAL

This is a Culturally Adapted Mnemonic-Based Educational Strategies for Rapid Stroke Symptom Recognition in the Spanish-Speaking Population.

It uses five distinct mnemonic strategies (RAPIDO, CORRE, DALE, CAMALEON, ICTUS 911), each specifically tailored for a Spanish-speaking audience.

Aims to improve the recognition of early cerebrovascular disease symptoms, differentiating it from other clinical studies that might focus on different health conditions or target populations.

Emphasizes its focus on rapid action by educating participants about stroke symptoms and the importance of contacting emergency services (911).

ICTUS 911 Strategy Arm

Participants in this arm are educated using the ICTUS 911 strategy, which differs from the other four in that it is not directly based on a literal translation of FAST. Instead, it focuses on recognizing stroke symptoms and immediately calling emergency services (911) upon suspicion of a stroke.

Group Type: EXPERIMENTAL

Mnemonic-Based Educational Training for Stroke Symptom Recognition

Intervention Type: BEHAVIORAL

This is a Culturally Adapted Mnemonic-Based Educational Strategies for Rapid Stroke Symptom Recognition in the Spanish-Speaking Population.

It uses five distinct mnemonic strategies (RAPIDO, CORRE, DALE, CAMALEON, ICTUS 911), each specifically tailored for a Spanish-speaking audience.

Aims to improve the recognition of early cerebrovascular disease symptoms, differentiating it from other clinical studies that might focus on different health conditions or target populations.

Emphasizes its focus on rapid action by educating participants about stroke symptoms and the importance of contacting emergency services (911).

Interventions

Mnemonic-Based Educational Training for Stroke Symptom Recognition

This is a Culturally Adapted Mnemonic-Based Educational Strategies for Rapid Stroke Symptom Recognition in the Spanish-Speaking Population.

It uses five distinct mnemonic strategies (RAPIDO, CORRE, DALE, CAMALEON, ICTUS 911), each specifically tailored for a Spanish-speaking audience.

Aims to improve the recognition of early cerebrovascular disease symptoms, differentiating it from other clinical studies that might focus on different health conditions or target populations.

Emphasizes its focus on rapid action by educating participants about stroke symptoms and the importance of contacting emergency services (911).

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Age: Participants must be 18 years or older.
• Consent: Participants must provide informed consent to participate in the study.

Exclusion Criteria

• Language: Participants must be fluent in Spanish, as the educational interventions are based on Spanish-language mnemonic strategies.

• History of Stroke: Participants with a previous diagnosis of cerebrovascular disease (stroke) will be excluded.
• Cognitive Impairment: Participants who are unable to understand or complete the Stroke Awareness Questionnaire (SAQ) due to cognitive or communication impairments will not be eligible.
• Incomplete Evaluation: Participants who are unable to complete both the pre- and post-intervention assessments will be excluded from the study.

Elimination Criteria:

• Lack of Follow-Up: Participants who fail to attend the second evaluation (7 days post-intervention) will be excluded from the final analysis.
• Withdrawal of Consent: Participants who choose to withdraw from the study at any time will be eliminated from further participation.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Instituto Mexicano del Seguro Social

OTHER_GOV

Sponsor Role: lead

Responsible Party

Juan Manuel Marquez Romero

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Hospital General de Zona #2

Aguascalientes, Aguascalientes, Mexico

Countries

Mexico

Other Identifiers

F-2024-101-181

Identifier Type: -

Identifier Source: org_study_id