Impact of stroke education on middle school students and their parents: A cluster randomized trial

Abstract

Background

School students are an attractive target for stroke education due to the potential impact on stroke prevention and recognition. Additionally, these students can drive behavioral changes in their families.

Aim

To evaluate the impact of stroke education on school students, in terms of students’ and parents’ acquired stroke knowledge.

Methods

A structured questionnaire on knowledge of stroke was filled out by eighth-grade students and one of their parents in seven public schools. In four of these schools, students attended a stroke lecture; educational flyers and magnetic posters were distributed and parent education was encouraged. Students and parents of the other three schools were included in a control group. Students and parents, of both intervention and control groups, were resubmitted to the initial structured questionnaire within one week of the stroke lecture and three months later.

Results

We included 764 students and 344 parents, 383 (50.1%) and 210 (61.0%) in the intervention group. Correct test scores for students before, within one week, and three months after the intervention were 54.49% versus 55.03% (p = 0.418), 98.69% versus 60.89% (p < 0.001), and 95.58% versus 75.7% (p < 0.001) in the intervention and control groups, respectively. Correct test scores for parents at the same time points were 68.78% versus 64.47% (p = 0.107), 96.89% versus 71.42% (p < 0.001), and 94.58% versus 76.54% (p < 0.001) in the intervention and control groups, respectively.

Conclusions

School-based interventions may improve stroke knowledge in middle school students and their parents.

Keywords

Stroke education stroke knowledge school students behavioral intent

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References

Lopez

Mathers

Ezzati

Jamison

Murray

. Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet 2006; 367: 1747–1757.

Correia

Silva

Matos

. Prospective community-based study of stroke in northern Portugal incidence and case fatality in rural and urban populations. Stroke 2004; 35: 2048–2053.

Seja Mais Rápido que um AVC, http://www.inem.pt/Download.aspx?id=41704 (accessed 5 March 2016).

Billings-Gagliardi

Mazor

. Development and validation of the stroke action test. Stroke 2005; 36: 1035–1039.

Nicol

Thrift

. Knowledge of risk factors and warning signs of stroke. Vasc Health Risk Manag 2005; 1: 137–147.

Mosley

Nicol

Donnan

Patrick

Dewey

. Stroke symptoms and the decision to call for an ambulance. Stroke 2007; 38: 361–366.

Keskin

Kalemoglu

Ulusoy

. A clinic investigation into prehospital and emergency department delays in acute stroke care. Med Princ Pract 2005; 14: 408–412.

Nishijima

Kon

Ueno

. Effect of educational television commercial on pre-hospital delay in patients with ischemic stroke. Neurol Sci 2016; 37: 105–109.

Ottawal

Sposato

Nabbouh

Saposnik

. Stroke preparedness in children: translating knowledge into behavioral intent: a systematic review and meta-analysis. Int J Stroke 2015; 10: 1008–1013.

10.

Wall

Beagan

O’Neill

Foell

Boddie-Willis

. Addressing stroke signs and symptoms through public education: the Stroke Heroes Act FAST campaign. Prev Chronic Dis 2008; 5: A49.

11.

Shigehatake

Yokota

Amano

. Stroke education using an animated cartoon and a Manga for junior high school students. J Stroke Cerebrovasc Dis 2014; 23: 1623–1627.

12.

Amano

Yokota

Sakamoto

. Stroke education program of act FAST for junior high school students and their parents. J Stroke Cerebrovasc Dis 2014; 23: 1040–1045.

13.

Leeming

Porter

Dwyer

Cobern

Oliver

. Effects of participation in class activities on children’s environmental attitudes and knowledge. J Environ Educ 1997; 28: 33–42.

14.

Kestilä

Koskinen

Martelin

. Determinants of health in early adulthood: what is the role of parental education, childhood adversities and own education? Eur J Public Health 2006; 16: 306–315.

15.

Matsuzono

Yokota

Takekawa

. Effects of stroke education of junior high school students on stroke knowledge of their patents – Tochigi Project. Stroke 2015; 46: 572–574.

16.

Morgenstern

Gonzales

Maddox

. A randomized, controlled trial to teach middle school children to recognize stroke and call 911: the kids identifying and defeating stroke project. Stroke 2007; 38: 2972–2978.

17.

Williams

Noble

. ‘Hip-hop’ stroke: a stroke educational program for elementary school children living in a high-risk community. Stroke 2008; 39: 2809–2816.

18.

Mosley

Nicol

Donnan

. What is stroke symptom knowledge? Int J Stroke 2014; 9: 48–52.

19.

Dombrowski

White

Mackintosh

. The stroke ‘Act FAST’ campaign: remembered but not understood? Int J Stroke 2015; 10: 324–330.

20.

Ervin

Kit

Carroll

Ogden

. Consumption of added sugar among U.S. children and adolescents, 2005–2008. NCHS Data Brief 2012; 87: 1–8.

21.

Hibell

Guttormsson

Ahlström

. Substance use among students in 36 European countries. The 2011 ESPAD Report, Stockholm: The Swedish Council for Information on Alcohol and Other Drugs (CAN).

22.

Sakamoto

Yokota

Miyashita

. Effects of stroke education using an animated cartoon and a manga on elementary school children. J Stroke Cerebrovasc Dis 2014; 23: 1877–1881.

23.

Miyashita

Yokota

Nishimura

. The effectiveness of a stroke educational activity performed by a schoolteacher for junior high school students. J Stroke Cerebrovasc Dis 2014; 23: 1385–1390.

24.

Kleindorfer

Miller

Moomaw

. Designing a message for public education regarding stroke: does FAST capture enough stroke? Stroke 2007; 38: 2864–2868.

25.

Bray

Mosley

Bailey

Barger

Bladin

. Stroke public awareness campaigns have increased ambulance dispatches for stroke in Melbourne, Australia. Stroke 2011; 42: 2154–2157.

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