Culturally Tailoring a Stroke Intervention in Community Senior Centers

Completed · Not applicable

Conditions studied: Hypertension, Stroke, Sedentary Lifestyle, Aged, Minority Groups

In brief

Stroke is a cruel disease that disproportionately kills and disables African-Americans, Latinos, Chinese-Americans and Korean-Americans; seniors with high blood pressure are at particularly high risk. There is a higher incidence of hemorrhagic stroke in African Americans, Latinos, and Chinese Americans relative to non-Latino whites. Asian-Americans have up to 1.4 higher relative risk of stroke death compared to U.S. non-Latino whites. A critical need therefore exists for a sustainable and scalable mechanism to disseminate culturally-tailored stroke knowledge/prevention education in community-based settings where large numbers of these high-risk ethnic minority older adult groups are regularly served, such as in federally funded Multipurpose Senior Centers (MPCs) that exist across the nation (16 of which are in Los Angeles alone). The overall objective of the proposed study is to develop and test the implementation of a training program for case managers at senior centers to implement a stoke knowledge/prevention education program among four high-risk ethnic minority older adult groups--Korean-American, Chinese-American, African-American, Latinos. We propose to develop a culturally-tailored case manager training curriculum, implement the training at 4 community-based sites, and evaluate the training model using a randomized wait-list controlled trial (n=244) testing the hypothesis that training case managers will decrease older adult participants' stroke risk in a sustainable fashion through increasing their preventative behavior (i.e. increasing their physical activity--mean steps/day--at 1 and 3 months). Findings will inform similar community-academic partnership efforts around stroke and other disease-specific prevention research/interventions; they will also determine next steps in terms of whether this case manager-centric model can be scaled up and deployed in other community-based settings.

Key facts

Study ID: NCT02181062
Run by: University of California, Los Angeles
People needed: 240
Starts: 2014-10-01
Expected to finish: 2018-01-01
Last updated by the study team: 2019-12-09

Who can join

Age: 60 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

age 60 years and older
reported history of high blood pressure

You may not qualify if…

younger than 60 years of age
not self-identifying as the racial-ethnic group for the intervention planned at that site
inability to communicate verbally in the appropriate language in a group setting (either due to lack of language skills, hearing impairment, or other disability)
inability to sit in a chair and participate in a 1-hour discussion session
inability to walk (the use of assistive devices such as canes and walkers is not an exclusion criterion)
not available to attend the baseline data collection session and subsequent weekly intervention sessions
plans to move away from the region during the next 6 months
lacking cognitive capacity to provide informed consent to participate

Where it is running

Chinatown Service Center — Los Angeles, California, United States
St. Barnabas Senior Services — Los Angeles, California, United States
Mexican American Opportunity Foundation — Montebello, California, United States
Watts Labor Community Action Committee — Watts, California, United States

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.