Improving Stroke Outcomes in Rural Communities

Building Capacity for Patient-Centered by Engaging Rural Stroke Survivors and Caregivers

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About Our Project

Stroke continues to be the leading cause of death and disability, especially in rural regions of the United States like Pennsylvania. Survivors and caregivers in these areas often face greater obstacles, from limited access to medical care and specialists to social isolation and lack of support resources. These challenges lead to poorer outcomes, higher stress, and greater health disparities.

Our initiative is designed to close some of these gaps by partnering directly with stroke survivors, caregivers, healthcare providers, and local community members. Together, we aim to identify real needs and create research that leads to practical, community-driven solutions.

About our project

Our Goals

Engage Equal Partners

Engage rural stroke survivors, caregivers, and advocates as equal partners in research.

Empower Communities

Empower communities to share experiences, voice concerns, and shape research priorities.

Foster Trust

Foster trust and collaboration between residents, healthcare providers, and researchers.

Improve Care Strategies

Develop strategies to improve stroke recovery and care in rural areas.

Project Overview

PCORI Project Timeline

Inside the PCORI Project: A Conversation

Join us for a conversation about our PCORI project, where we share how it began, the people involved, and the impact we hope to make

Understanding Our Research Process

Over two years, this project moves from building a strong foundation to delivering meaningful, community-driven outcomes.

It begins with recruiting Community Advisory Board (CAB) members, hosting orientation and training sessions, and holding initial meetings to guide the project's direction. Early milestones also include finalizing the IRB process and launching the project website.

As the work progresses, we engage stakeholders, recruit and onboard members of the rural stroke community, and work together to identify key needs and research priorities. Topic groups are formed, training is provided, and a clear engagement and dissemination plan is developed. The project concludes with community events, scholarly publications, and a comprehensive final report.

Why Your Voice Matters

A person speaking or presenting, symbolizing voice and input

Your lived experience is essential. By sharing your story and insights, you help ensure that research efforts focus on what truly matters to rural stroke survivors and their families.

Together, we can guide meaningful change in stroke care and recovery. Your unique perspective is the cornerstone of truly patient-centered outcomes research.

Meet Our Team

Principal Investigators

Dr.Ramin Zand

Zand, Ramin.

Principal Investigator

Professor, Vascular Neurology, Department of Neurology, Department of Public Health Sciences, Pennsylvania State University

Dr. Michael McShane

McShane, Michael P.

Co-Principal Investigator

Associate Professor, Department of Medicine , Pennsylvania State University

Co-Investigators and Staff

Vida Abedi

Abedi, Vida.

Associate Professor, Department of Public Health Sciences , Pennsylvania State University

Nazli Radfar

Radfar, Nazli.

Project Manager, Department of Neurology, Pennsylvania State University

Ajith Vamuri

Vamuri, Ajith.

Staff Scientist, Department of Neurology, Pennsylvania State University

Mike

Vonk, Michelle.

Grants & Contract Manager,Department of Neurology, Pennsylvania State University

Consultant

Gay Thomas

Thomas, Gay.

Owner, GR Thomas Advisors LLC; Former Co-Founder & Lead Stakeholder Engagement Consultant, Wisconsin Network for Research Support (WINRS)

Maria E. Suarez-Almazor

Suarez-Almazor, Maria E.

Professor, Department of Health Services Research, Division of Cancer Prevention and Population Sciences, University of Texas MD Anderson Cancer Center

Emily Zimmerman

Zimmerman, Emily.

Professor, Department of Epidemiology, School of Public Health, Virginia Commonwealth University

Community Advisory Board (CAB) Members

Amber Coleman

Coleman, Amber.

Director of Community Health, Pennsylvania State University

Wenke Hwang

Hwang, Wenke.

Professor, Department of Public Health Sciences, Pennsylvania State University

Scott Patrick

Patrick, Scott.

Real estate investor and former collegiate athlete based, Hershey, Pennsylvania

Philip Dux

Dux, Philip.

Alicia Richardson

Richardson, Alicia.

Stroke Nurse, System Stroke Director, and Advocacy Leader, Pennsylvania State University

Pete Roy

Roy, Pete.

Neurologist and Director, Neurosciences and Stroke Program, Mount Nittany Health

Danielle Taylor

Taylor, Danielle.

Speech-Language Pathologist, Geisinger Memory and Cognition Program

Lisa Wasko

Wasko, Lisa.

Stroke Nurse, System Stroke Director and Advocacy Leader, Geisinger

Amy Wildasin

Wildasin, Amy.

Nurse Navigator, Stroke Program, Pennsylvania State University

Lannette Fetzer

Fetzer, Lannette.

Family Nurse Practitioner, Quality Improvement Coordinator at the Pennsylvania Office of Rural Health

What is the CAB?

Our Community Advisory Board is a diverse group of stroke survivors, caregivers, healthcare providers, and local advocates.

Their guidance ensures that our research stays focused on practical challenges and solutions that reflect real life in rural communities. The CAB is the heartbeat of our community-driven approach.

A group of people engaged in a discussion, symbolizing collaboration
PCORI Logo

Supported By

Patient-Centered Outcomes Research Institute (PCORI)

Penn State Health Logo

Lead Institution

Pennsylvania State University Hershey Center

Duration

2 years

Engagement Training and Tools

1

Enhance Understanding of CER

CERTaiN Training

CERTaIN: CER/PCOR Methods: Introduction

Comprehensive training for patient-centered research.

Learn more →
2

Penn State Clinical and Translational Science Institute (CTSI)

Comprehensive tools, services and training to make health research more efficient at Penn State. Provides resources for study design, data collection, recruitment, and community engagement.

Access CTSI Resources →
3

IRB Resources and Videos from Penn State IRB

Comprehensive resources, training materials, and videos for Institutional Review Board (IRB) submissions and human subjects research compliance.

Access IRB Resources →
4

Research Fundamentals: Preparing You to Successfully Contribute to Research | PCORI

A foundational learning package for contributing to patient-centered outcomes research.

Explore resource →
5

Sampling, Recruiting, and Retaining Study Participants: Research Fundamentals Learning Package Module 4

Focuses on sampling, recruiting, and retaining study participants.

Explore module →
6

The SEED Method: An Evidence-Based Method for Engaging Communities

A valuable resource for community engagement in research.

Learn more →

Recommended Articles & Publications

Global, Regional, and Country-Specific Lifetime Risks of Stroke, 1990 and 2016

Research findings on stroke recovery challenges and opportunities in rural settings.

Read article →

Rural Stroke Patients Have Higher Mortality: An Improvement Opportunity for Rural Emergency Medical Services Systems

Analysis of mortality rates and emergency medical services challenges in rural stroke care.

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The Patient-centered Outcomes Research Institute's Role in Advancing Methods for Patient-centered Outcomes Research

Overview of PCORI's mission and methodology development for patient-centered comparative effectiveness research.

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Care Transition Interventions to Improve Stroke Outcomes: Evidence Gaps in Underserved and Minority Populations

Research on care transition interventions and their impact on stroke outcomes in underserved and minority populations.

Read article →

Contact Us

If you have questions or want to join, please reach out to our team. We welcome all rural stroke survivors, caregivers, healthcare providers, and community advocates to be part of this important research effort.

Email Our Team