Educational Campaign on Stroke in an Urban Population in Northern Germany: Influence on Public Stroke Awareness and Knowledge

Worthmann, Hans; Schwartz, Andreas; Heidenreich, Fedor; Sindern, Eckhart; Lorenz, Reinhard; Adams, Hans Anton; Flemming, Andreas; Luettje, Klaus; Walter, Ulla; Haertle, Birgit; Dengler, Reinhard

doi:10.1111/j.1747-4949.2012.00809.x

Cited by 36 publications

(39 citation statements)

References 22 publications

(41 reference statements)

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“…The knowledge of stroke warning signs was low, although it significantly increased during the campaign ( P < 0.001) as paresis/weakness (46%) and speech problems (31%) were most frequently named. The majority of respondents indicated that the first action after suffering from stroke should be calling emergency care (74% before vs. 84% after campaign, P < 0.001) 17. In a recent review on public education campaigns by Rasura et al, 22 intervention studies and 5 web-based campaigns were included.…”

Section: Discussionmentioning

confidence: 99%

Stroke Awareness in Luxemburg: Deficit concerning Symptoms and Risk Factors

Droste

Safo

Metz

et al. 2014

Clin Med Insights Cardiol

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BACKGROUNDAwareness of stroke risk factors is important for stroke prevention. Knowledge of stroke symptoms and awareness regarding the necessity of seeking urgent stroke treatment are vital to provide rapid admission to a stroke unit. Data on this specific knowledge in Luxemburg are lacking.METHODSWe investigated 420 patients from the Department of Neurology and their relatives using a questionnaire. There were 44% men and 56% women; 25% were immigrants and 75% Luxemburgish nationals; 13% already had had a stroke or transient ischemic attack (TIA); and the mean age was 55 years ranging from 18 to 87 years.RESULTSA total of 88% of participants knew that a stroke occurs in the head/brain. In all, 10% of participants did not know any symptom of a stroke. The most frequently quoted symptoms (>15%) were paralysis/weakness (36%), speech disorders (32%), cranial nerve deficit (16%), vertigo (15%), and visual disorders (15%). Sensory deficits were mentioned by only 4% of patients. Known risk factors (>15%) were smoking (40%), hypertension (32%), alcohol (32%), poor nutrition (28%), high cholesterol (26%), stress (23%), and lack of exercise (19%). Age (4%), diabetes (6%), carotid stenosis (2%), and heart disease (1%) were less frequently known. In all, 11% of participants did not know any risk factor of a stroke. A total of 89% of participants would correctly call the 112 (emergency phone number). The following groups were better informed: Luxemburgish nationals, younger people, and participants with higher education level. Stroke/TIA patients were better informed concerning stroke symptoms, but unfortunately not concerning how to react in the case of a stroke. There was no relevant gender difference.DISCUSSIONAlthough most of the participants knew what to do in the case of a stroke, they did not know the relevant stroke symptoms and risk factors. Future campaigns should therefore focus on risk factors and symptoms, and should address immigrants, elderly persons, less-educated persons, and patients who had already suffered a stroke/TIA.

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Section: Discussionmentioning

confidence: 99%

Stroke Awareness in Luxemburg: Deficit concerning Symptoms and Risk Factors

Droste

Safo

Metz

et al. 2014

Clin Med Insights Cardiol

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“…Educational campaigns have shown to be a cost-effective method for raising awareness of stroke [6,[15][16][17] not only in our population but also in several other countries. This emphasizes the efficiency of educational interventions depending on what population is being targeted.…”

Section: Discussionmentioning

confidence: 99%

Difference in Stroke Knowledge between Rural and Urban Communities in a Developing Country after Community-Based Stroke Educational Campaigns: Results from a Cross-Sectional Study

et al. 2018

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Background: Ischemic stroke is a leading cause of disability and death in Mexico. Poor ability to identify signs and symptoms of ischemic stroke leads to longer hospital arrival times and precludes prompt treatment. The knowledge of stroke risk factors and warning signs in rural population is scarce. Since 2010, Stroke Education Campaigns are performed with a community-based approach. The aim of this study was to assess and compare stroke knowledge in rural and urban communities. Methods: During World Stroke Campaign, a standardized questionnaire to assess knowledge of stroke risk factors and warning signs was applied in urban and non-urban communities of Nuevo Leon, Mexico. Results: A total of 4,144 surveys were collected. Mean age was 44.2 ± 16.1 and 75.9% were women. People from rural and semi-urban areas mentioned > 3 risk factors (p < 0.001) and warning signs (p < 0.001) compared to the urban area. After logistic regression analysis, having received previous information about stroke remained significant for the knowledge of > 3 stroke risk factors and warning signs (p < 0.001; 95% CI 1.997–2.727; p < 0.001; 95% CI 1.880–3.787) respectively. Conclusions: Rural and semi-urban regions performed better than the urban population. Receiving stroke information is a determinant factor for stroke knowledge. Stroke Educational Campaigns are a cost-effective method for raising stroke awareness, thus reducing stroke burden.

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“…Educational campaigns about stroke have proved effective among urban populations, students, and children. [2][3][4][5][6][7] However, the effectiveness of stroke educational campaigns in rural areas and for elderly persons remains unknown. We conducted stroke educational campaign at supermarkets because grocery shopping is a necessity at any age, and the average shopper goes to supermarkets twice weekly.…”

mentioning

confidence: 99%

Educational Campaigns at Point of Purchase in Rural Supermarkets Improve Stroke Knowledge

Inoue

Honda

Watanabe

et al. 2015

Journal of Stroke and Cerebrovascular Diseases

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Educational Campaign on Stroke in an Urban Population in Northern Germany: Influence on Public Stroke Awareness and Knowledge

Abstract: Our data indicate that stroke knowledge and awareness, which could provide earlier presentation to the emergency unit for timely treatment onset, are still low in urban Northern Germany but may decisively be increased by educational campaigns.

Cited by 36 publications

References 22 publications

Stroke Awareness in Luxemburg: Deficit concerning Symptoms and Risk Factors

Stroke Awareness in Luxemburg: Deficit concerning Symptoms and Risk Factors

Difference in Stroke Knowledge between Rural and Urban Communities in a Developing Country after Community-Based Stroke Educational Campaigns: Results from a Cross-Sectional Study

Educational Campaigns at Point of Purchase in Rural Supermarkets Improve Stroke Knowledge

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