An educational multimedia campaign improves stroke knowledge and risk perception in different stroke risk groups

Marx, Jürgen; Gube, C.; Faldum, Andreas; Kuntze, Holger; Nedelmann, Max; Haertle, Birgit; Dieterich, Marianne; Eicke, B. Martin

doi:10.1111/j.1468-1331.2009.02555.x

Cited by 30 publications

(26 citation statements)

References 26 publications

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“…These findings suggest that economic constraints predict less PA, consistent with previous reports that PA was predicted by education 16,18 and socioeconomic status. 19,20,36 Only 20% of our sample smoked some days or every day, comparable to the smoking rate for women in the same age group statewide (18.5%). 26 In our study, fewer women younger than 46 years reported smoking (16.9%) than those older than 46 years (23.7%).…”

Section: Discussionsupporting

confidence: 63%

Knowledge of Cardiovascular Risk Factors, Self-nurturance, and Heart-Healthy Behaviors in Women

Konicki

2012

Journal of Cardiovascular Nursing

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Most participants were white (94.9%), with a mean age of 45.2 years. Participating women's knowledge of CVRFs was higher than previously reported, but was not significantly (P > .05) related to any heart-healthy behaviors studied. Self-nurturance was moderately correlated with heart-healthy dietary intake scores (P = .002), but did not add further explanatory power for heart-healthy behaviors. The model's key concepts of knowledge and self-nurturance provided minimal explanatory power in this study. These data suggest that women are becoming more knowledgeable about CVRFs but that increased knowledge has not been translated into behaviors that would sustain heart health. Future research is needed to explore the "intention-behavior gap" between knowing what one should do and implementing the recommended behavior changes and to assist women in translating knowledge of CVRFs into heart-healthy behaviors.

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Section: Discussionsupporting

confidence: 63%

Knowledge of Cardiovascular Risk Factors, Self-nurturance, and Heart-Healthy Behaviors in Women

Konicki

2012

Journal of Cardiovascular Nursing

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“…Moreover, we showed that educational effects and stroke risk perception varied considerably in different risk groups [26]. The evaluation of further sex-specific aspects in stroke education seems mandatory, while evidence on differences in stroke aetiologies and outcome as well as prevention strategies is steadily growing.…”

Section: Discussionmentioning

confidence: 97%

Gender-specific differences in stroke knowledge, stroke risk perception and the effects of an educational multimedia campaign

et al. 2009

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This study aimed at identifying gender-specific differences in stroke knowledge, stroke risk perception and the educational effects of a multimodal educational intervention. We performed computer-assisted telephone surveys among an average sample of 500 members of the general public (44.0% male, 56.0% female), before and immediately after an intense 3-month educational stroke campaign in a western German area of 400,000 inhabitants. The intervention was comprised of poster advertisements and various print media. Slogans and stroke interest stories appeared regularly in local newspapers, on television and radio and public events focussed on the subject. Even before the intervention, more women than men were able to name at least one stroke warning sign (71.3 vs. 57.8%, p < 0.01), to name the correct emergency call number (33.3 vs. 24.3%, p < 0.05) or to cite the correct action in acute stroke ("call emergency care", 87.2 vs. 70.1%, p < 0.001). In some aspects women showed a generally better improvement of knowledge after the campaign (e.g. correct emergency call number: +5.7 vs. +1.2%, p < 0.05). Fewer women than men considered themselves as being at risk of stroke (30.9 vs. 36.9%. p < 0.01) with a significant increase following the intervention in both sexes (38.9/46.0%, p < 0.01). The perception of different educational media varied between the sexes. For example, female sex was independently associated with a better recall of poster advertisements and flyers in pharmacies and at the doctor's office (OR 1.44). Our data indicate that educational programs do have gender-specific effects. Women show a better stroke knowledge and in some aspects a better chance to gain information from classical broad educational interventions. Future campaigns should be tailored economically, and should focus different media and educational messages on the two sexes accordingly.

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“…1,2,28 Only a few interventions have been designed and tested at the community level to both increase public stroke knowledge and impact behavior that will lead to earlier hospital arrival for treatment. 2,[29][30][31][32][33][34] Most of these studies have shown that community-based education campaign interventions using the media can increase community awareness of the warning signs for stroke and the need to activate EMSs when these symptoms develop.…”

Section: Need For Improved Ems Activation In Stroke Carementioning

confidence: 99%

Patterns of Emergency Medical Services Use and Its Association With Timely Stroke Treatment

Ekundayo

Saver

Fonarow

et al. 2013

Circ: Cardiovascular Quality and Outcomes

155

156

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Background-Prior studies found that only about half of stroke patients arrived at hospitals via emergency medical services (EMSs), yet since then, there have been efforts to increase public awareness that time is brain. Using contemporary Get With the Guidelines-Stroke data, we assessed nationwide EMS use by stroke patients. Methods and Results-We analyzed data from 204 591 patients with ischemic and hemorrhagic stroke admitted to 1563 GetWith the Guidelines-Stroke participating hospitals with data on National Institute of Health Stroke Score and insurance status. Hospital arrival by EMSs was observed in 63.7% of patients. Older patients, those with Medicaid and Medicare insurance, and those with severe stroke were more likely to activate EMSs. In contrast, minority race and ethnicity and living in rural communities were associated with decreased odds of EMS use. EMS transport was independently associated with earlier arrival (onset-to-door time, ≤3 hours; adjusted odds ratio, 2.00; 95% confidence interval, 1.93-2.08), prompter evaluation (more patients with door-to-imaging time, ≤25 minutes; odds ratio, 1.89; 95% confidence interval, 1.78-2.00), more rapid treatment (more patients with door-to-needle time, ≤60 minutes; odds ratio, 1.44; 95% confidence interval, 1.28-1.63), and more eligible patients to be treated with tissue-type plasminogen activator if onset is ≤2 hours (67% versus 44%; odds ratio, 1.47; 95% confidence interval, 1.33-1.64). Conclusions-Although EMS use is independently associated with more rapid evaluation and treatment of stroke, more than one third of stroke patients fail to use EMSs. Interventions aimed at increasing EMS activation should target populations at risk, particularly younger patients and those of minority race and ethnicity. (Circ Cardiovasc Qual Outcomes. 2013;6:262-269.)

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An educational multimedia campaign improves stroke knowledge and risk perception in different stroke risk groups

Cited by 30 publications

References 26 publications

Knowledge of Cardiovascular Risk Factors, Self-nurturance, and Heart-Healthy Behaviors in Women

Knowledge of Cardiovascular Risk Factors, Self-nurturance, and Heart-Healthy Behaviors in Women

Gender-specific differences in stroke knowledge, stroke risk perception and the effects of an educational multimedia campaign

Patterns of Emergency Medical Services Use and Its Association With Timely Stroke Treatment

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