Abstract 23: Feasibility of the Stroke COunseling for Risk REduction (SCORRE) Intervention

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Abstract

Young adult African Americans (AA) are disproportionately affected by stroke and stroke risk factors. Hypertension, diabetes and obesity contribute to early-onset stroke and strategies are needed to help AA adopt healthy lifestyles early.

Purpose: To assess feasibility of the SCORRE intervention in at risk, young adult AA. SCORRE consists of a video of young AA stroke champions sharing their experiences with stroke and advice for reducing stroke risk; the AHA’s, web-based Life’s Simple 7 (LS7) risk assessment and education tool, and a behavioral risk reduction diary.

Methods: A randomized controlled, two-group pre-post design with a 6-week follow-up was used. Data were collected using questionnaires, physiological measures, and a diary. We assessed stroke risk factor knowledge, perceived and actual stroke risk, risk reduction behaviors, and intervention satisfaction.

Results: Of the 52 individuals who responded to flyers, 30 were enrolled and 29 completed the 6-week follow up. On average, participants were 23 ± 4.4 years, female, had some college education, and low-income. Mean LS7 scores were less than ideal, 8.1 ± 1.2 out of 10; participants averaged 2.1 ± 1.1 out of 7 risk factors, mostly inadequate diet, obesity and pre-hypertension. SCORRE participants (n=19) had significant improvements in stroke risk factor knowledge following SCORRE (pre=11.5 ± 1.6, post=13.2 ± 1.3 out of 15; p=.001) but not at 6 weeks (12.2 ± 2.5; p=.31); while control participants (n=11) had no significant improvements. SCORRE participants with an accurate perception of their stroke risk almost doubled (47% to 89%) compared to control participants (36% to 46%). The majority (89%) of SCORRE participants had diet or physical activity improvements at 6 weeks compared to 27% of control participants. SCORRE satisfaction scores were high 3.49 ± .35 out of 4; ≥83% were motivated to achieve better health, enjoyed the video, LS7 and diary, and felt the program length was appropriate.

Conclusion: Results demonstrate SCORRE is feasible; had low attrition, improvements in knowledge, accuracy, and health behaviors were observed, and satisfaction of SCORRE was high. Further testing of SCORRE as a stroke risk reduction intervention is needed in a larger sample with a longer follow-up period.

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