A Stroke Reduction Health Plan for Older Adults in Rural Sussex County, Delaware

Area of Science:

• Public Health
• Gerontology
• Preventive Medicine

Background:

• Stroke is a primary cause of death and disability in US adults aged 65+.
• Modifiable risk factors include obesity, poor nutrition, and inactivity.
• Sussex County, Delaware, has the highest stroke rate in older adults, with 70% overweight or obese.

Purpose of the Study:

• To propose an implementable plan to reduce stroke rates in older adults in Sussex County.
• To enable early identification of individuals at high risk for stroke.
• To address stroke risk factors using a social ecological framework.

Main Methods:

• Individual level: Utilize the Stroke Population Risk Tool for risk identification and education.
• Community level: Implement a 12-week stroke education program focusing on risk reduction, nutrition, and exercise for high-risk individuals.
• Policy level: Employ the Walkability Assessment Tool to improve safe physical activity spaces.

Main Results:

• The proposed plan integrates individual, community, and policy strategies.
• Early identification of high-risk individuals is facilitated.
• The plan aims to create a more exercise-conducive environment in Sussex County.

Conclusions:

• A comprehensive, multi-level strategy can effectively reduce stroke rates among older adults.
• Targeted interventions and environmental improvements are crucial for long-term stroke prevention.
• This approach supports early risk identification and promotes healthier lifestyles for seniors.