Commentary: Addressing Racial Disparities in Stroke: The Wide Spectrum Investigation of Stroke Outcome Disparities on Multiple Levels (WISSDOM)

Overview

Journal Ethn Dis

Specialties Public Health
Social Sciences

Date 2018 Feb 23

PMID 29467568

Citations 7

Authors

Robert J Adams

Charles Ellis

Gayenell Magwood

Mark S Kindy

Leonardo Bonilha

Daniel T Lackland

Affiliations

Soon will be listed here.

Abstract

Racial-ethnic disparities in stroke recovery are well-established in the United States but the underlying causes are not well-understood. The typical assumption that racial-ethnic disparities in stroke recovery are explained by health care access inequities may be simplistic as access to stroke-related rehabilitation, for example, does not adequately explain the observed disparities. To approach the problem in a more comprehensive fashion, the Wide Spectrum Investigation of Stroke Outcome Disparities on Multiple Levels (WISSDOM) was developed to bring together scientists from Regenerative Medicine, Neurology, Rehabilitation, and Nursing to examine disparities in stroke "recovery." As a result, three related projects (basic science, clinical science and population science) were designed utilizing animal modeling, mapping of brain connections, and community-based interventions. In this article we describe: 1) the goals and objectives of the individual projects; and 2) how these projects could provide critical evidence to explain why racial-ethnic minorities traditionally experience recovery trajectories that are worse than Whites.

Citing Articles

Association Between Social Determinants of Health and Communication Difficulties in Poststroke U.S. Hispanic and Non-Hispanic White Populations.

Marte M, Addesso D, Kiran S Am J Speech Lang Pathol. 2023; 33(1):248-261.

PMID: 37956702 PMC: 11000792. DOI: 10.1044/2023_AJSLP-23-00232.

Crafting Community-Based Participatory Research Stroke Interventions.

Nichols M, Magwood G, Woodbury M, Brown K, Jenkins C, Owolabi M Stroke. 2022; 53(3):680-688.

PMID: 35105185 PMC: 8885875. DOI: 10.1161/STROKEAHA.121.035306.

High tech and high touch: Recruitment strategies for enrolling African American stroke survivors in Community Based Intervention under Nurse Guidance after stroke (CINGS) trial.

Magwood G, Ellis C, Buie J, Slan S, Bonilha L, Adams R Contemp Clin Trials Commun. 2021; 24:100844.

PMID: 34541374 PMC: 8441066. DOI: 10.1016/j.conctc.2021.100844.

Racial differences in the association of accelerated aging with future cardiovascular events and all-cause mortality: the coronary artery risk development in young adults study, 2007-2018.

Forrester S, Zmora R, Schreiner P, Jacobs Jr D, Roger V, Thorpe Jr R Ethn Health. 2020; 27(5):997-1009.

PMID: 33222499 PMC: 8137718. DOI: 10.1080/13557858.2020.1839021.

Advancing the symptom science model with environmental health.

Castner J, Amiri A, Rodriguez J, Huntington-Moskos L, Thompson L, Zhao S Public Health Nurs. 2019; 36(5):716-725.

PMID: 31310379 PMC: 6855393. DOI: 10.1111/phn.12641.

References

Cruz-Flores S, Rabinstein A, Biller J, Elkind M, Griffith P, Gorelick P . Racial-ethnic disparities in stroke care: the American experience: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011; 42(7):2091-116. DOI: 10.1161/STR.0b013e3182213e24. View

Feng W, Nietert P, Adams R . Influence of age on racial disparities in stroke admission rates, hospital charges, and outcomes in South Carolina. Stroke. 2009; 40(9):3096-101. DOI: 10.1161/STROKEAHA.109.554535. View

Fleming E, Perkins J, Easa D, Conde J, Baker R, Southerland W . The role of translational research in addressing health disparities: a conceptual framework. Ethn Dis. 2008; 18(2 Suppl 2):S2-155-60. PMC: 2705204. View

Barker L, Kirtland K, Gregg E, Geiss L, Thompson T . Geographic distribution of diagnosed diabetes in the U.S.: a diabetes belt. Am J Prev Med. 2011; 40(4):434-9. DOI: 10.1016/j.amepre.2010.12.019. View

Ellis C, Boan A, Turan T, Ozark S, Bachman D, Lackland D . Racial differences in poststroke rehabilitation utilization and functional outcomes. Arch Phys Med Rehabil. 2014; 96(1):84-90. DOI: 10.1016/j.apmr.2014.08.018. View

Horner R, Matchar D, Divine G, Feussner J . Racial variations in ischemic stroke-related physical and functional impairments. Stroke. 1991; 22(12):1497-501. DOI: 10.1161/01.str.22.12.1497. View

Feng W, Hendry R, Adams R . Risk of recurrent stroke, myocardial infarction, or death in hospitalized stroke patients. Neurology. 2010; 74(7):588-93. DOI: 10.1212/WNL.0b013e3181cff776. View

Muntner P, Becker R, Calhoun D, Chen D, Cowley Jr A, Flynn J . Introduction to the American Heart Association's Hypertension Strategically Focused Research Network. Hypertension. 2016; 67(4):674-80. PMC: 5135412. DOI: 10.1161/HYPERTENSIONAHA.115.06433. View

Blixen C, Perzynski A, Cage J, Smyth K, Moore S, Sila C . Stroke recovery and prevention barriers among young african-american men: potential avenues to reduce health disparities. Top Stroke Rehabil. 2014; 21(5):432-42. PMC: 4720961. DOI: 10.1310/tsr2105-432. View

10.

Burke J, Freedman V, Lisabeth L, Brown D, Haggins A, Skolarus L . Racial differences in disability after stroke: results from a nationwide study. Neurology. 2014; 83(5):390-7. PMC: 4132575. DOI: 10.1212/WNL.0000000000000640. View

11.

Boan A, Feng W, Ovbiagele B, Bachman D, Ellis C, Adams R . Persistent racial disparity in stroke hospitalization and economic impact in young adults in the buckle of stroke belt. Stroke. 2014; 45(7):1932-8. DOI: 10.1161/STROKEAHA.114.004853. View

12.

Glasgow R, Vogt T, Boles S . Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999; 89(9):1322-7. PMC: 1508772. DOI: 10.2105/ajph.89.9.1322. View

13.

Kendall E, Foster M, Ehrlich C, Chaboyer W . Social processes that can facilitate and sustain individual self-management for people with chronic conditions. Nurs Res Pract. 2012; 2012:282671. PMC: 3512329. DOI: 10.1155/2012/282671. View

14.

Liao Y, Greenlund K, Croft J, Keenan N, Giles W . Factors explaining excess stroke prevalence in the US Stroke Belt. Stroke. 2009; 40(10):3336-41. DOI: 10.1161/STROKEAHA.109.561688. View

15.

Wiltsey Stirman S, Kimberly J, Cook N, Calloway A, Castro F, Charns M . The sustainability of new programs and innovations: a review of the empirical literature and recommendations for future research. Implement Sci. 2012; 7:17. PMC: 3317864. DOI: 10.1186/1748-5908-7-17. View