Raising stroke awareness among rural dwellers with a Facts for Action to Stroke Treatment-based educational program

Pierce, Carolyn S.; Fahs, Pamela Stewart; Dura, Alison; Fronczek, Ann E.; Morgan, Lindsay; Leppert, Theresa; Srnka-Debnar, Frances; Terriquez-Kasey, Laura; Hamilton, Bonnie; Buel, Vera

doi:10.1016/j.apnr.2009.04.001

Cited by 11 publications

(9 citation statements)

References 14 publications

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“…Amongst 325 (93·1%) patients with ischaemic stroke after June 1, 2005 for whom data on thrombolytic treatment were available (mean age 78·9 ± 12·3 years, 140 (43·1%) male, median NIHSS 8 [5][6][7][8][9][10][11][12][13][14]), there was no difference in the use of thrombolytic treatment after April 1, 2009 (OR 1·37 [0·53-3·58], P = 0·52).…”

Section: Resultsmentioning

confidence: 99%

“…Public awareness of the campaign was high (6), but previous studies of similar campaigns for stroke and other conditions have shown that increased public awareness seldom leads to changes in behavior (7)(8)(9). Three studies in the U.S. have used the FAST test as an education tool locally in small selected populations [383 women attending a beauty salon (10), 402 rural-dwelling adults (11), and 72 women in Massachusetts (12)] and found that it increased recognition of stroke warning signs. Three retrospective studies reported routinely collected data with regard to national FAST campaigns, observing an increased number of ambulance dispatches for stroke since the FAST acronym was used in Australia (13), a non-sustained increase in emergency department attendance with stroke symptoms following FAST campaigns in Ireland (14), and an increase in the number of emergency department admissions for stroke and possibly thrombolysis rates in the UK (15).…”

Section: Introductionmentioning

confidence: 99%

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Sustained Impact of UK Fast-Test Public Education on Response to Stroke: A Population-Based Time-Series Study

Wolters

Paul

et al. 2015

International Journal of Stroke

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BackgroundUrgent assessment is essential after stroke. Several countries have had public education campaigns, based on the FAST (Face-Arm-Speech-Time) test to reduce delays in seeking attention. However, the impact of these campaigns on patient behavior is uncertain.MethodsWe prospectively determined patient behavior after incident major stroke (NIHSS > 3) in a UK population based study (Oxford Vascular Study) before (2002–2008) and after (2009–2013) introduction of the FAST TV-campaign and assessed any sustained impact of campaign continuation.ResultsAmong 668 consecutive patients with major stroke, medical attention was sought by a bystander in 553 (89·6%). Patients were more likely to present directly to emergency services (OR = 2·18, 95%CI:1·54–3·09, P < 0·0001) after the campaign and to arrive at hospital within 3 h (OR = 2·18, 1·55–3·06, P < 0·0001). Median [IQR] time to seeking attention fell from 53 [15–265] to 31 [7–120] minutes (P = 0·005) and median time to hospital arrival from 185 [88–885] to 119 [78–256] minutes (P < 0·0001). On time-series analysis improvements in hospital arrival within 3 h and use of emergency medical services were significantly associated to initiation of the campaign (aOR = 3·11, 1·53–6·29, P = 0·002; and 2·22, 1·05–4·67, P = 0·036, respectively), independent of trend, age, sex, ethnicity, educational level, social class, prior stroke and stroke severity, and have been sustained to 2013.ConclusionDelays to seeking and receiving medical attention after major stroke in the UK. fell strikingly in 2009, coinciding with the start of the FAST TV campaign. That medical attention was sought by a bystander in nearly 90% of cases illustrates the importance of mass-media public education rather than focused programs in high-risk groups for major stroke.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sustained Impact of UK Fast-Test Public Education on Response to Stroke: A Population-Based Time-Series Study

Wolters

Paul

et al. 2015

International Journal of Stroke

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“…Long-term neurological deficits may be prevented with prompt medical intervention when symptoms of stroke occur (Pierce et al, 2011). Adams and fellow researchers (2007) with the AHA/ASA issued comprehensive evidence-based guidelines for stroke care that include the immediate assessment and treatment of victims of acute ischemic strokes with recombinant tissue plasminogen activator for those meeting the narrow window of time from symptom onset to safe administration.…”

Section: Poverty and Rural Residence Barriers To Stroke Carementioning

confidence: 99%

Women and Stroke Knowledge: Influence of Age, Race, Residence Location, and Marital Status

Ennen

Beamon

2012

Health Care for Women International

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Worldwide, stroke is the second leading cause of death and leading cause of disability. Women experience over half of all strokes, 60% of stroke-related deaths, and a death rate of 11% versus 8.4% for men. To understand the delay in stroke recognition and treatment, a convenience sample of 97 midlife women living in southeast North Carolina completed the Stroke Recognition Questionnaire. Rural women, younger women (<49 years old), and participants with incomes under $35,601 had higher stroke symptom and risk factor knowledge scores. Educational interventions should target women over the age of 50, and should distinguish between symptoms of stroke versus heart attack.

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“…Conducting community screenings of stroke risk, such as described by Pearson in a study assessing cardiovascular risk of women in Appalachian Tennessee, would help determine how widespread stroke risk and knowledge deficits are in Appalachian Kentucky. If awareness of stroke symptoms, risk factors, and prevention is found to be a regional problem, health care systems and community leaders may want to consider implementing a stroke education program; a service demonstrated to be effective for rural dwellers in improving stroke knowledge . With the onset of stroke, participants also described instances of health care providers failing to recognize the signs and symptoms.…”

Section: Discussionmentioning

confidence: 99%

“Living With a Ball and Chain”: The Experience of Stroke for Individuals and Their Caregivers in Rural Appalachian Kentucky

Danzl

Hunter

Campbell

et al. 2013

The Journal of Rural Health

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Purpose Individuals in rural Appalachian Kentucky face health disparities and are at increased risk for negative health outcomes and poor quality of life secondary to stroke. The purpose of this study is to describe the experience of stroke for survivors and their caregivers in this region. A description of their experiences is paramount to developing tailored interventions and ultimately improving health care and support. Methods An interprofessional research team used a qualitative descriptive study design and interviewed 13 individuals with stroke and 12 caregivers, representing 10 rural Appalachian Kentucky counties. The transcripts were analyzed using qualitative content analysis. Findings A descriptive summary of the participants’ experience of stroke is presented within the following structure: 1) Stroke onset, 2) Transition through the health care continuum (including acute care, inpatient rehabilitation, and community-based rehabilitation), and 3) Reintegration into life and rural communities. Conclusions The findings provide insight for rural health care providers and community leaders to begin to understand the experience of stroke in terms of stroke onset, transition through the health care continuum, return to home, and community reintegration. An understanding of these experiences may lead to discussions of how to improve service provision, facilitate reintegration, support positive health outcomes and improve quality of life for stroke survivors and their caregivers. The findings also indicate areas in need of future research including investigation of the effects of support groups, local health navigators to improve access to information and services, involvement of faith communities, proactive screening for management of mental health needs, and caregiver respite services.

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Raising stroke awareness among rural dwellers with a Facts for Action to Stroke Treatment-based educational program

Cited by 11 publications

References 14 publications

Sustained Impact of UK Fast-Test Public Education on Response to Stroke: A Population-Based Time-Series Study

Sustained Impact of UK Fast-Test Public Education on Response to Stroke: A Population-Based Time-Series Study

Women and Stroke Knowledge: Influence of Age, Race, Residence Location, and Marital Status

“Living With a Ball and Chain”: The Experience of Stroke for Individuals and Their Caregivers in Rural Appalachian Kentucky

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