Perceived risk for developing stroke among older adults

Harwell, Todd S.; Blades, Lynda L.; Oser, Carrie S.; Dietrich, Dennis W.; Okon, Nicholas J; Rodriguez, Daniel; Burnett, Anne M; Russell, Joseph A.; Allen, Martha J.; Fogle, Crystelle C.; Helgerson, Steven D.; Gohdes, Dorothy

doi:10.1016/j.ypmed.2005.07.003

Cited by 45 publications

(46 citation statements)

References 7 publications

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“…Perceived risk for stroke increased as the number of risk factors increased; however, 46% of those with Ն3 risk factors did not perceive themselves to be at risk. 68 • A telephone survey of adults Ն45 years of age in 2…”

Section: Awareness Of Stroke Warning Signs and Risk Factorsmentioning

confidence: 99%

Heart Disease and Stroke Statistics—2008 Update

et al. 2008

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Section: Awareness Of Stroke Warning Signs and Risk Factorsmentioning

confidence: 99%

Heart Disease and Stroke Statistics—2008 Update

et al. 2008

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“…While a correlation of stroke knowledge with educational status is well established [9,18], little has been reported on gender differences in stroke knowledge so far. In one study [31] female sex was weakly associated with a better knowledge of stroke risk factors.…”

Section: Stroke Knowledgementioning

confidence: 99%

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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“…6 -15 Persons at highest risk for stroke, including the elderly and blacks, have the least knowledge. 7,8,10,16 Consequently, many patients seek medical attention well after the 3-hour window allowed for rt-PA administration. [17][18][19] Therefore, there is a clear need for new creative strategies for educating the public, particularly black women.…”

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confidence: 99%

The Challenges of Community-Based Research

Kleindorfer

Miller

Sailor-Smith

et al. 2008

Stroke

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Background and Purpose-Public knowledge of stroke warning signs and risk factors is poor, especially in higher risk groups such as blacks. We sought to design a creative new way to educate black women by working through local beauty salons and measuring the results of the intervention. Methods-Thirty black beauticians were educated about stroke warning signs and risk factors in 2 large urban areas in the US. The beauticians then educated their clientele during appointments. Stroke knowledge gained was measured via de-identified pre-and post-intervention (at 6 weeks and 5 months)surveys that included open-ended questions. Stroke warning signs were taught using the "FAST" (Face, Arm, Speech, Time) method. Results-There were 383 completed baseline surveys, and 318 surveys were completed at 5 months. Of the 383 women, 78% were Ͻ60 years old, 69% had some college education, 41% had hypertension, and 12% had diabetes. The percentage of women who knew 3 warning signs significantly improved from the baseline survey (40.7%) to the final survey (50.6%), and similar improvements in knowledge were seen in both study regions. There was no improvement in knowledge of 3 risk factors (16.5% versus 18.2%). After our educational intervention, 94% knew to call 911 for stroke symptoms, an 8% improvement over baseline (Pϭ0.002). Conclusions-Despite the challenges of community-based research encountered within our project, we found that stroke education in the beauty shop significantly improved knowledge regarding stroke warning signs and calling 911 among a group of black women. This improvement in knowledge was sustained for at least 5 months. Knowledge of stroke risk factors, however, did not improve. The use of the beauty shop as an educational site is a novel approach to stroke education for women that can be practically applied in the community. Education regarding stroke risk factors remains a challenge that warrants further study.

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Perceived risk for developing stroke among older adults

Cited by 45 publications

References 7 publications

Heart Disease and Stroke Statistics—2008 Update

Heart Disease and Stroke Statistics—2008 Update

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

The Challenges of Community-Based Research

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