Educational Program Improved Senior Preparedness to Call 911 as a Response to Stroke

Volevach, Ekaterina; Maršálková, Hana; Bobek, Jan; Svobodová, Veronika; Mikulík, Robert

doi:10.1016/j.jstrokecerebrovasdis.2021.106047

Cited by 1 publication

(1 citation statement)

References 24 publications

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“…The meta-analysis found that people who received any of the three interventions, including receiving a Kit via home by an Emergency Medical Technician, via direct mail, or delivered face-to-face by local firefighters, were more likely to call 911 and take aspirin in an emergency than those who did not receive any intervention. Specifically, the odds of calling 911 and taking aspirin were 2.55 times higher for those who received an intervention, with a 95% confidence interval ranging from 1.01 to 6.44, which is similar to the findings of previous studies 36 – 38 . However, the study conducted by Mikulík et al and Fogle et al observed that the readiness of older adults to call 911 in response to a stroke improved when they were exposed to a video-based educational program 34 , 39 .…”

Section: Discussionsupporting

confidence: 86%

Effectiveness of acute myocardial infarction interventions on selected outcomes among community dwelling-older adults: a systematic review and meta-analysis

Banharak,

Metprommarat,

Mahikul

et al. 2023

Sci Rep

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The older adult is an influential group experiencing acute myocardial infarction, delaying treatment and causing a high mortality rate. Factors related to their delay differ from other age groups, and their specific characteristics are barriers to recognizing their symptoms and learning new information. Therefore, specific innovative methods related to their limitations and needs should be considered when developing interventions promoting on-time treatment. This study aims to review intervention details and their effects on knowledge, belief, decision-making, rate of calling 911, and mortality among community-dwelling older adults at risk or after a first myocardial infarction compared to receiving usual care or no intervention. The 12 databases were searched unlimitedly until July 30, 2022. The two researchers independently reviewed the articles, and the third reviewer broke the tight when disagreement was found. Data were extracted, kinds of interventions were grouped, and intervention details were summarized narratively. Finally, the selected outcomes were analyzed by meta-analysis using a fixed and a random-effects model. Eleven articles were for final review. Interventions were categorized into eight groups: direct mail, community-based, multi-group health education, innovation methods, tailored education, structured education, tricked intervention promoting memory and concern, and nurse-based case management. Finally, the meta-analysis found that only innovative methods could increase the rate of calling 911 and taking aspirin (Odd ratio = 2.55; 95% CI = 1.01-6.44). In contrast, there were no statistically significant differences in the rate of affecting time to first unplanned readmission or death and time delay to the emergency room. Results recommended that effective and specific interventions must be developed and strengthened to promote older adults surviving acute myocardial infarction.Clinical Trial Registration Number: PROSPERO CRD42021247136.

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