Trends in Community Knowledge of the Warning Signs and Risk Factors for Stroke

Schneider, Alexander; Pancioli, Arthur; Khoury, Jane; Rademacher, Eric; Tuchfarber, Alfred J.; Miller, Rosie; Woo, Daniel; Kissela, Brett M.; Broderick, Joseph P.

doi:10.1001/jama.289.3.343

Cited by 306 publications

(362 citation statements)

References 27 publications

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“…7,8,14Á17 For the sake of brevity, we designed our survey to use level of education as a single indicator of SEP. We did not intend to make comparisons between Female gender has been previously shown to be predictive of increased stroke knowledge. 7,8,14,15,18 This finding was suggested by our univariate analysis (p 00.031); however, multivariate analysis was not able to confirm this association with the same level of statistical significance (p 00.057). This is likely a type II statistical error, which might have been overcome by increasing our sample size to boost the statistical power of our test.…”

Section: Discussion/conclusionmentioning

confidence: 65%

“…Studies reporting data for multiple age categories have shown that stroke knowledge appears to be at its peak during the middle years of life, 17 while those using a single age cut-off of 65 to 75 years old have shown the elderly to have decreased stroke knowledge. 9,14,18 Note: Comparison of stroke knowledge by gender and use of primary care physician was performed using a t-test, while comparison by level of education and by number of self-reported risk factors were performed using ANOVA and Scheffé post-hoc analysis. *Level of education was related to ability to correctly identify stroke warning signs (F 04.87; df 03241; p 00.003); Scheffé post-hoc analysis revealed that mean knowledge score for category 'four or more years of college' was significantly different from the 'high school or GED' category (p 00.035).…”

Section: Discussion/conclusionmentioning

confidence: 99%

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Public Stroke Knowledge: Those Most at Risk, Least Able to Identify Symptoms

Jarou¹,

Harris²,

Gill³

et al. 2013

MSRJ

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Background and purpose: Fewer than 1 in 20 patients with acute ischemic stroke are treated with thrombolytic drugs, with threequarters of otherwise eligible patients being excluded secondary to delay in seeking medical treatment. Lack of symptom recognition may contribute to low treatment rates and is an important focus of public health education. The purpose of this study was to determine if an individual's cumulative number of stroke risk factors correlated with their ability to identify stroke symptoms. Methods: We surveyed adults about their stroke risk factors and knowledge of stroke symptoms at grocery stores and malls in a medium-sized university town in the Midwestern US. Results: In total, 245 adults completed surveys. Self-reported risk factors included high blood pressure (25%), high cholesterol (22%), diabetes (12%), tobacco use (11%), alcohol use (7%), heart disease (7%), and prior stroke (3%). Cumulatively, 56% of respondents had no risk factors, 41% had 1Á3 risk factors, and 4% had 4' risk factors. When administered a six-point stroke symptom knowledge test, respondents with 4' risk factors were significantly less knowledgeable, receiving a mean score of 3.2, compared to those with 1Á3 risk factors, who scored a mean of 4.6. Those with four or more years of college were significantly more knowledgeable than those with only a high-school education, receiving mean scores of 4.6 and 3.9, respectively. There was no association between stroke knowledge and use of a primary care physician. Conclusions: Although it is known that individuals with more risk factors are more likely to have a stroke, in our study these respondents were less able to recognize stroke symptoms compared to respondents with fewer risk factors. Future public stroke awareness campaigns should be targeted toward those most at risk so they learn to recognize stroke symptoms and thus seek treatment in a timely manner.

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Section: Discussion/conclusionmentioning

confidence: 65%

Section: Discussion/conclusionmentioning

confidence: 99%

Public Stroke Knowledge: Those Most at Risk, Least Able to Identify Symptoms

Jarou¹,

Harris²,

Gill³

et al. 2013

MSRJ

View full text Add to dashboard Cite

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“…[3][4][5] Studies of stroke-related knowledge have primarily focused on warning signs and risk factors. 6,7 At least 3 telephone-based surveys have included questions about awareness of tPA treatment for stroke, and their results have varied widely. In a 1999 study conducted in Corpus Christi, Tex, 48% of Hispanics and 57% of non-Hispanic whites were aware that a treatment for acute stroke existed, and 38% and 62%, respectively, were aware that there was a time window for stroke treatment.…”

Section: S Troke Is the Third Leading Cause Of Death In The Unitedmentioning

confidence: 99%

Knowledge of Tissue Plasminogen Activator for Acute Stroke Among Michigan Adults

Anderson

Rafferty

Lyon-Callo

et al. 2009

Stroke

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Background and Purpose-Although tissue plasminogen activator (tPA) is an effective therapy for acute ischemic stroke, treatment rates remain low. Efforts to address the underuse of tPA include public education to increase the recognition of stroke symptoms and the awareness of tPA treatment. Our objective was to determine the level of knowledge about tPA treatment for acute stroke among a representative sample of Michigan adults. Methods-The Michigan Behavioral Risk Factor Survey (BRFS) is a random-digit-dial telephone survey of adults conducted annually as part of the national BRFS. Questions regarding tPA treatment for acute stroke were included in the 2004 Michigan BRFS. We examined the prevalence of awareness using 2 tests and generated multivariable logistic regression models. Results-Among 4724 respondents, only 32.2% (95% CIϭ30.8 to 33.8%) were aware of the existence of tPA treatment for acute stroke, of whom 52.7% (50.0 to 55.4%) knew that it needed to be administered within 3 hours of symptom onset. Awareness of tPA was higher among middle aged adults, females, whites, and those with higher education and income. Awareness of the time window for tPA was higher among middle aged adults and whites. Conclusions-In this population-based survey only a third of the public were aware of tPA as a treatment for stroke, and only 1 in 6 were aware that the treatment exists and needs to be given within 3 hours of symptom onset. Continuing efforts are necessary to increase public knowledge about tPA treatment for acute stroke.

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“…Despite television being the most frequently cited source of health information by the general public, 77 Pribble and colleagues 78 found that few health stories about stroke were reported on local television news programs. No known studies, to date, have documented the use of television as a media for conveying health information about aphasia.…”

mentioning

confidence: 99%

Do People With Aphasia Want Written Stroke and Aphasia Information? A Verbal Survey Exploring Preferences for When and How to Provide Stroke and Aphasia Information

Rose

Worrall

Hickson

et al. 2010

Topics in Stroke Rehabilitation

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A phasia can be defined as "the loss or impairment of language function." 1(p49) It is a multimodality disorder that manifests in difficulties with speaking, reading, and writing.1 Various studies have investigated the prevalence of aphasia resulting from stroke, estimating between 10% to 18% of stroke survivors will have aphasia long term.2-4 Given the language diffi culties encountered by people with aphasia, there is a growing recognition of the need to produce aphasia-friendly written health information.5-9 Aphasia-friendly information incorporates many of the recommendations for how best to format written information for stroke patients 10,11 but to an exaggerated degree. 12Preliminary research found that people with aphasia comprehended more health information when standard health information brochures and booklets were reformatted to contain simple words and short sentences, larger font, white space, and pictures. 6 Before further pursuing research in the area of aphasia-friendly text formatting, it is fundamental to determine whether people with aphasia wish to receive health information in written formats. "Virtually every variety of aphasia entails some diffi culty in oral reading or reading comprehension." 13(p60) Given this, and the wide variety of media available for patient education (eg, DVDs, Websites, verbal information), it should not be assumed that people with aphasia desire to receive health information in a written Purpose: Written health information can be better comprehended by people with aphasia if it is provided in an aphasiafriendly format. However, before pursuing research in the area of text-formatting for people with aphasia, it must be determined whether people with aphasia consider it helpful to receive health information in the written media. This study, therefore, aimed to determine the following: whether people with aphasia consider it important to receive written stroke and aphasia information; when people with aphasia prefer to receive this information; and what their preferences are for health information media. Method: Surveys were administered in a face-to-face interview with 40 adults with aphasia. Participants were purposefully selected using maximum variation sampling for a variety of variables including aphasia severity, reading ability, and time post stroke. Results: Participants thought it important to receive written information about both stroke and aphasia. They considered it helpful to receive written information at several stages post stroke, particularly from 1 month onwards. The largest proportion (97%) of participants identifi ed 6 months post stroke as the most helpful time to receive this information. Written information was the most preferred media at participants' present time post stroke (M = 39 months; range, 2-178 months). Videos/DVDs were the most preferred media during the 6 months immediately following the stroke. Conclusion: Despite reading and language diffi culties, participants considered written information to be important, hence people wi...

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Trends in Community Knowledge of the Warning Signs and Risk Factors for Stroke

Cited by 306 publications

References 27 publications

Public Stroke Knowledge: Those Most at Risk, Least Able to Identify Symptoms

Public Stroke Knowledge: Those Most at Risk, Least Able to Identify Symptoms

Knowledge of Tissue Plasminogen Activator for Acute Stroke Among Michigan Adults

Do People With Aphasia Want Written Stroke and Aphasia Information? A Verbal Survey Exploring Preferences for When and How to Provide Stroke and Aphasia Information

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