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Background Prior knowledge of stroke is associated with decreased prehospital delay in acute stroke events. Knowledge and attitude toward stroke vary in each country. This study was conducted to evaluate attitude and knowledge of stroke in a rural community in southern Thailand.Methods A survey was conducted among people living in Koh Mak Distinct, Phatthalung Province, Thailand. Univariable analysis was tested by Chi-square, Fisher's exact, Rank sum or Kruskal-Wallis test. Linear and logistic regression were used to determine factors associated with the knowledge score and level of attitude toward stroke.Results Among 247 participants, most were Muslim and the median age was 54.0 years. The median (Q1, Q3) score of stroke risk factors was 5 (2, 7) (full score: 9). Participants who knew about stroke, had an acquaintance diagnosed with stroke, and had a high level of attitude had significantly higher scores. Two-thirds of the participants had a low-to-moderate level of attitude. Furthermore, most high-risk participants (99/113) had a low to no chance awareness of their risk to stroke. The median (Q1, Q3) score of stroke warning symptoms was 6 (3, 7) (full score: 10). The participants who had received education via the Face Arm Speech Time (FAST) campaign demonstrated a significantly higher proportion of correct answers to the symptoms mentioned in the FAST acronym.Conclusion Most participants in this community had insufficient knowledge, low-to-moderate level of attitude, and underestimated their risk to stroke even in the high cardiovascular risk participants. The FAST acronym may help people memorize the typical warning symptoms of stroke.

Background: Value-based care (VBC) entails improving the quality and value of healthcare for patients by focusing on costs, quality of healthcare services, and quality of life, holistically. The theory of planned behaviour (TPB) is a psychological model outlining individuals’ intentions and behaviours towards VBC to understand how individuals engage in a specific behaviour. Thus, we developed a questionnaire based on VBC and TPB to collect data from sixth-year medical students and postgraduate trainees to identify and compare factors affecting the intention and application of the VBC principle in patient care between these two groups. Methods: Cross-sectional study (December 2022January 2023) data were collected and analysed using descriptive statistics for personal factors; Spearman rank correlation statistics explored the relationship based on TPB between the score of attitudes towards behaviour, subjective norms, perception of behavioural control, intention to perform behaviour, and application of principles; and a multiple regression analysis was conducted to examine the predictive factors among variables. Results: This study involved 90 participants, 51 (56.67%) postgraduate trainees and 39 (43.33%) undergraduate students. Spearman rank correlation found relationships between each part of TPB, showing a significant difference in behaviour scores between the two groups. In the multiple regression analysis, attitude and perception scores were positive predictors of intention scores, while postgraduate status, perception scores, and perception of family socio-economic status were significant, positive predictors of behaviour scores. A subgroup analysis revealed that perception scores were positive predictors of both intention and behaviour scores for both groups. Furthermore, being a sixth-year student with a family member suffering from a chronic illness was positively associated with higher behaviour scores (β= 6.28, p-value 0.003). In the postgraduate group, attitude scores and perception of family socio-economic status were correlated with intention scores (β= 0.36, p-value 0.018) and behaviour scores (β=4.14, p-value 0.002). Conclusions: TPB is a suitable theoretical basis for examining factors influencing the adoption of VBC. Additionally, the perception of behavioural control significantly affects the intention to perform behaviour related to the application of principles in patient care among sixth-year medical students and postgraduate trainees.

Objective: To validate a hearing conservation program (HCP) questionnaire based on the health belief model and stages of change model (or transtheoretical model).Material and Methods: The perception levels of 145 workers who voluntarily participated at 2 companies were determined using this HCP questionnaire from April 2014 to September 2015. Exploratory factor analysis was performed to justify the final questionnaire.Results: The final questionnaire had 24 items with 5 components: risk acceptance (8 items), perceived barriers (3 items), perceived benefits (5 items), role model (4 items), and the stages of change (4 items). Cronbach’s alpha coefficients of each component were 0.75, 0.64, 0.84, 0.85, 0.71, and the total Cronbach’s alpha coefficient of this questionnaire was 0.78. Workers in the factory who promoted continuous safety activities of HCP had a better score in all dimensions than those workers in the factory who did not.Conclusion: This questionnaire of 5 components was a well validated, predictable, and positive instrument for the HCP situation in manufacturing.

Abstract:Objective: To validate a hearing conservation program (HCP) questionnaire based on the health belief model and stages of change model (or transtheoretical model). Material and Methods:The perception levels of 145 workers who voluntarily participated at 2 companies were determined using this HCP questionnaire from April 2014 to September 2015. Exploratory factor analysis was performed to justify the final questionnaire. Results: The final questionnaire had 24 items with 5 components: risk acceptance (8 items), perceived barriers (3 items), perceived benefits (5 items), role model (4 items), and the stages of change (4 items). Cronbach's alpha coefficients of each component were 0. 75, 0.64, 0.84, 0.85, 0.71, and the total Cronbach's alpha coefficient of this questionnaire was 0.78. Workers in the factory who promoted continuous safety activities of HCP had a better score in all dimensions than those workers in the factory who did not. Conclusion: This questionnaire of 5 components was a well validated, predictable, and positive instrument for the HCP situation in manufacturing.