Can We Learn from Our Children About stroke? Effectiveness of a School-Based Educational Programme in Greece

Proios, Hariklia; Baskini, Maria; Keramydas, Christos; Pourliaka, Tatiana; Tsakpounidou, Kalliopi

doi:10.1016/j.jstrokecerebrovasdis.2022.106544

Cited by 4 publications

(3 citation statements)

References 39 publications

(46 reference statements)

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“…Therefore, newer innovative approaches have focused on children and young adults as the recipients of stroke education, assuming that those age groups will be the bystanders when a stroke happens and take the right help-seeking actions [17]. Furthermore, recent studies have shown that these groups will deliver the message to their family members [17][18][19]. As social media covers a large audience of over 50% of the population in Nepal [20], we hypothesized that a social media campaign in Nepal is feasible to reach out the Nepalese people, might be effective in terms of knowledge acquisition by engaging the population and requires a lower financial input compared to classical mass media campaigns.…”

Section: Introductionmentioning

confidence: 99%

Are digital social media campaigns the key to raise stroke awareness in low-and middle-income countries? A study of feasibility and cost-effectiveness in Nepal

Tunkl,

Paudel,

Thapa

et al. 2023

PLoS ONE

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Background Stroke is a major global health problem and was the second leading cause of death worldwide in 2020. However, the lack of public stroke awareness especially in low- and middle-income countries (LMICs) such as Nepal severely hinders the effective provision of stroke care. Efficient and cost-effective strategies to raise stroke awareness in LMICs are still lacking. This study aims to (a) explore the feasibility of a social media-based stroke awareness campaign in Nepal using a cost-benefit analysis and (b) identify best practices for social media health education campaigns. Methods We performed a stroke awareness campaign over a period of 6 months as part of a Stroke Project in Nepal on four social media platforms (Facebook, Instagram, Twitter, TikTok) with organic traffic and paid advertisements. Adapted material based on the World Stroke Day Campaign and specifically created videos for TikTok were used. Performance of the campaign was analyzed with established quantitative social media metrics (impressions, reach, engagement, costs). Results Campaign posts were displayed 7.5 million times to users in Nepal. 2.5 million individual social media users in Nepal were exposed to the campaign on average three times, which equals 8.6% of Nepal’s total population. Of those, 250,000 users actively engaged with the posts. Paid advertisement on Facebook and Instagram proved to be more effective in terms of reach and cost than organic traffic. The total campaign cost was low with a “Cost to reach 1,000 users” of 0.24 EUR and a “Cost Per Click” of 0.01 EUR. Discussion Social media-based campaigns using paid advertisement provide a feasible and, compared to classical mass medias, a very cost-effective approach to inform large parts of the population about stroke awareness in LMICs. Future research needs to further analyze the impact of social media campaigns on stroke knowledge.

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Section: Introductionmentioning

confidence: 99%

Are digital social media campaigns the key to raise stroke awareness in low-and middle-income countries? A study of feasibility and cost-effectiveness in Nepal

Tunkl,

Paudel,

Thapa

et al. 2023

PLoS ONE

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“…Various studies have shown that children serve as effective conduits for disseminating stroke knowledge to a wider population, including parents, grandparents, and extended family members (Williams et al, 2012;Amano et al, 2014;Matsuzono et al, 2015;Ishigami et al, 2017;Kato et al, 2017;Marto et al, 2017;Tomari et al, 2017;Hino et al, 2018;Tsakpounidou and Proios, 2021;Proios et al, 2022;Tsakpounidou et al, 2022). Fast Heroes program is an interactive stroke educational program aimed at equipping schoolchildren with the ability to identify stroke symptoms promptly and act appropriately in case of suspected stroke (i.e., calling immediately the emergency number 112 for an ambulance).…”

Section: Introductionmentioning

confidence: 99%

“…Largely, in terms of post campaign knowledge retention among children (Williams and Noble, 2008;Sakamoto et al, 2014;Williams et al, 2018), parents (Shigehatake et al, 2014;Matsuzono et al, 2015;Ishigami et al, 2017;Kato et al, 2017;Marto et al, 2017;Hino et al, 2018), and grandparents (Proios et al, 2022), there is typically an improvement in knowledge compared to precampaign knowledge. However, Hickey et al (2018) reported that actual stroke knowledge following mass campaign implementation remains poor.…”

Section: Introductionmentioning

confidence: 99%

Is stroke knowledge retained? Four-year longitudinal data of FAST Heroes campaign

Baskini,

Tsakpounidou,

Van der Merwe

et al. 2023

Front. Commun.

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IntroductionEducational stroke programs seem to increase awareness about stroke management. However, there is a speculation that actual stroke knowledge post mass campaign implementation remains poor. The aim of the present study was to evaluate stroke knowledge retention four years post Fast Heroes program implementation, an interactive stroke educational program, in school-aged children without any follow up during this time.MethodsSeventy-eight (n = 47 had attended the program four years ago and n = 31 had never attended the program) school-aged children completed the age-adjusted online preparedness questionnaire during class four years post program implementation. The variables used to measure campaign effectiveness were knowledge of: i) stroke symptoms described in the FAST acronym (Face-Arm-Speech), ii) appropriate course of action (i.e., calling an ambulance), and iii) the European emergency number (i.e., 112).ResultsIn all questions, children that had attended the program had 14–81% greater chances to answer correctly.DiscussionThere is still knowledge gain even four years post program implementation with no follow up during that time. The design of the campaign (i.e., 5-week duration, age-appropriate exercises, cartoon animations, song and dance elements, sentimentally driven activities and 3-layer education dissemination) facilitates long-term knowledge retention and may have led to the knowledge gains observed. Broad implementation potentially as part of the annual curriculum in schools can impact community stroke knowledge and should be considered.

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Continuity and Change in Baseline Stroke Knowledge across the world: Second Wave of FAST Heroes campaign implementation

van der Merwe,

Tsakpounidou,

Baskini

et al. 2023

Journal of Stroke and Cerebrovascular Diseases

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Can We Learn from Our Children About stroke? Effectiveness of a School-Based Educational Programme in Greece

Cited by 4 publications

References 39 publications

Are digital social media campaigns the key to raise stroke awareness in low-and middle-income countries? A study of feasibility and cost-effectiveness in Nepal

Are digital social media campaigns the key to raise stroke awareness in low-and middle-income countries? A study of feasibility and cost-effectiveness in Nepal

Is stroke knowledge retained? Four-year longitudinal data of FAST Heroes campaign

Continuity and Change in Baseline Stroke Knowledge across the world: Second Wave of FAST Heroes campaign implementation

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