Lay summary
The Reducing Ethnic and Geographic Inequities in Stroke Care (REGIONS Care) study found that Māori people presenting to non-urban stroke hospitals experience the worst stroke outcomes in Aotearoa New Zealand. They also present with more severe strokes, likely indicating unmet need; whereas people with milder strokes may not present at all. This study has four aims. First, we will work with rural whānau to co-design and evaluate targeted stroke interventions tailored to the local community's needs and priorities. Second, we will work with local whānau and Māori providers to determine the true stroke incidence in this population. This will help identify additional access barriers and allow for monitoring impact of service improvements. Third, we will increase research capability and capacity among rural whānau and providers. Fourth, we will conduct a cost consequence analysis to assess the monetary impact and resource implications of the tested interventions.