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Assess patient-centered outcomes (PCOs) amongst stroke survivors and their caregivers in the MedStar Health system longitudinally.
i. Utilize a community advisory board (CAB) of stroke survivors and their caregivers to identify the patient-centered outcome(s) that the CAB determine to be most important and valuable to assess based on their lived experiences.
ii. Collect the chosen PCOs at multiple time points using an electronic survey tool (e.g. Qualtrics, Tonic or RedCap)
Evaluate the impact of social determinants of health (SDoH) and experiences of discrimination on the chosen PCOs.
Examine whether there are differences in long-term PCOs amongst stroke survivors from different racial and ethnic groups.
2.2 Hypothesis: The investigator hypothesizes that stroke survivors that come from historically marginalized populations, specifically African American and Latinos, will have lower patient-centered outcome scores overall as compared to their Caucasian counterparts. In addition, the investigator hypothesizes that the difference PCO scores between Caucasian and African American and Latino populations will be due in part to experienced discrimination and not SDoH alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Stroke Survivor | Survivor of acute ischemic stroke or intracerebral hemorrhage in the last 6 weeks | ||
| Caregiver | Primary caregiver of stroke survivor |
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| Measure | Description | Time Frame |
|---|---|---|
| Patient-Centered Outcome Measures | Assess patient-centered outcomes (PCOs) amongst stroke survivors and their caregivers in the MedStar Health System longitudinally. Stroke Impact Scale and the Modified Caregiver Strain Index | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Social Determinants of Health | Evaluate the impact of social determinants of health (SDoH) on the chosen PCOs. | 5 years |
| Discrimination | Evaluate the impact of patient-reported experiences of discrimination on the chosen PCOs. |
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Stroke Survivor:
Inclusion Criteria:
Exclusion Criteria:
Caregiver
Inclusion Criteria:
Exclusion Criteria:
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Stroke Survivors from the MedStar Health System and their Caregivers.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| MedStar National Rehabilitation Hopsital | Washington D.C. | District of Columbia | 20010 | United States | ||
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| 5 years |
| MedStar Washington Hospital Center |
| Washington D.C. |
| District of Columbia |
| 20010 |
| United States |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |