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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
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Development of a specific stroke awareness tool for the Haitian community
Jude Hassan Charles1, Leila Stewart1, Emmanuel Gay2
1Department of Neurology, Jackson Health System, Miami, Florida, United States of America.
PLOS Global Public Health
|December 11, 2025
Summary
A new Haitian Creole stroke awareness tool, FEL VIT, was developed to improve early recognition of stroke symptoms. This adaptation of the BE-FAST acronym was preferred by healthcare professionals for its effectiveness in communicating urgency.
Area of Science:
- Public Health
- Health Disparities
- Medical Communication
Background:
- Existing stroke awareness tools lack accessibility for the Haitian Creole-speaking population in the U.S.
- The Florida Stroke Registry (FSR) identified a need for culturally tailored health information.
- Early recognition of stroke symptoms is critical for timely medical intervention and improved patient outcomes.
Purpose of the Study:
- To develop and evaluate Haitian Creole translations of the BE-FAST stroke awareness acronym.
- To assess the preferred translation for effectiveness in communicating stroke symptom urgency.
- To address a gap in stroke education for the Haitian community.
Main Methods:
- Development of two candidate Haitian Creole translations for the BE-FAST acronym: FEL VIT and FE VIT.
- An anonymous online survey distributed to Florida healthcare professionals.
- Analysis of survey responses using descriptive statistics, confidence intervals, and chi-square testing.
Main Results:
- FEL VIT was selected as the preferred Haitian Creole translation of BE-FAST (46.7% preference).
- FEL VIT was rated higher in conveying the urgency for rapid hospital presentation (48.8%).
- 93% of participants agreed a Haitian Creole tool would benefit their communities.
Conclusions:
- FEL VIT is a culturally appropriate and effective Haitian Creole adaptation of the BE-FAST acronym.
- This tool is ready for implementation in community stroke awareness campaigns targeting Haitian populations.
- Collaborative development across disciplines and cultures enhances the creation of impactful health education tools.

