Community Knowledge and Awareness of Stroke in New Zealand

Krishnamurthi, Rita; Barker‐Collo, Suzanne; Barber, P. Alan; Tippett, Lynette J.; Dalrymple‐Alford, John C.; Tunnage, Bronwyn; Mahon, Susan; Parmar, Priya; Moylan, Melanie; Feigin, Valery

doi:10.1016/j.jstrokecerebrovasdis.2019.104589

Cited by 32 publications

(33 citation statements)

References 22 publications

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“…This is consistent with the results of a range of studies in which low education level has been the factor most associated with a low level of knowledge in the population surveyed about stroke [19,[31][32][33]. Similarly, other investigations have confirmed an association between a higher level of education and a good state of knowledge [12,[34][35][36].…”

Section: Discussionsupporting

confidence: 90%

“…Since the state of knowledge among stroke survivors is of crucial importance in the secondary prevention of recurrent strokes, it has been demonstrated, in present investigation, that a personal history of stroke is a protective factor against a low level of knowledge. This result is similar to that found in several investigations [36,[40][41][42], while other studies have shown the persistence of a low level of knowledge in patients surviving after a stroke [43][44][45][46]. Similarly, a case-control study has found that the level of knowledge in patients after a stroke or transient ischemic accident was low compared to randomly select healthy individuals [47].…”

Section: Discussionsupporting

confidence: 89%

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Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

Kharbach

Obtel

Achbani

et al. 2020

Annals of Global Health

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Background: Stroke is increasingly becoming a major cause of disability and mortality. However, it can be prevented by raising awareness about risk factors and early health care management of patients. Objective: The aim of this study is to assess the level of knowledge on stroke, its risk factors, and warning signs in the population attending urban primary health care centers in the city of Agadir, Morocco. Methods: This is a multicentric cross-sectional study with a descriptive and analytical purpose. The study was conducted at five urban primary health care centers in Agadir in centralwest Morocco. All persons over the age of 18 years who consulted the health centers and who agreed to fill in the questionnaire were recruited, except for the foreign population and health workers. An interview questionnaire was used to assess the level of knowledge on stroke. Findings: A total of 469 participants were involved in the study. The median knowledge score was 8 (Interquartile range 4-13). High blood pressure (55.7%), depression and stress (48.8%) were the most well-known risk factors. Sudden weakness of the face, arms or legs (37.3%) was the main warning sign cited by the participants. Multivariate analysis revealed that illiteracy (OR 1.92; CI 95% : 1.08-3.44) primary education (OR 3.43; CI 95% : 1.63-7.21), rural residential (OR 1.67; CI 95% : 1.07-2.59), no history of stroke among respondents (OR 16.41; CI 95% : 4.37-61.59) and no history of stroke among relatives, acquaintances, or neighbors (OR 4.42; CI 95% : 2.81-6.96), were independently associated with a lower level of knowledge of stroke (Table 4). Conclusions: The low level of knowledge on stroke among this Moroccan population indicates the importance of implementing stroke education initiatives in the community. More specifically, proximity education and awareness programs ought to be considered to anchor lifestyle preventive behaviors along with appropriate and urgent actions regarding the warning signs of stroke.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

Kharbach

Obtel

Achbani

et al. 2020

Annals of Global Health

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“…Similar to previous studies (Krishnamurthi et al, 2019; Li et al, 2017), the knowledge of stroke was poor among family caregivers of stroke survivors. It was surprising that few caregivers were knowledgeable about the correct first response to a potential stroke, which may lead to the delay of patients' admission, diagnosis, and treatment (Kobayashi et al, 2018).…”

Section: Discussionsupporting

confidence: 88%

“…Previous studies have demonstrated that caregivers commonly have a strong sense of uncertainty about patients' disease because they cannot predict changes in patients' condition or their own daily life (Byun et al, 2017; Byun, Riegel, Sommers, Tkacs, & Evans, 2016; Coppock, Ferguson, Green, & Winter, 2018). Several studies have reported that family caregivers of stroke survivors in China and other countries lack knowledge about stroke warning symptoms (Krishnamurthi et al, 2019; Li et al, 2017). However, caregiver uncertainty can be influenced by a lack of information or knowledge about stroke (Byun & Evans, 2015).…”

Section: Introductionmentioning

confidence: 99%

Effects of personal characteristics, disease uncertainty and knowledge on family caregivers' preparedness of stroke survivors: a cross‐sectional study

Liu

Huang

et al. 2020

Nursing & Health Sciences

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Family caregivers play an important role in the rehabilitation of stroke survivors. The aims of this study were to describe preparedness, uncertainty, and knowledge regarding stroke in family caregivers of people who have undergone strokes and to investigate factors influencing preparedness. A total of 306 caregivers completed the questionnaires, including the Caregiver Preparedness Scale, the Mishel Uncertainty in Illness Scale, and Knowledge of Stroke. The result showed that the mean score of the family caregivers' preparedness was 14.42, the mean score of disease uncertainty was 75.62, and the mean score of stroke knowledge was 10.41. Caregiver preparedness was negatively correlated with disease uncertainty and positively correlated with knowledge. Multivariate stepwise regression analysis showed that educational background, profession, caregiving experience and uncertainty degree of the family caregivers, gender, and age of stroke survivor could predict 45.90% of the total variation in preparedness. The findings suggest that demographic characteristics of stroke survivor and family caregiver, as well as caregivers' disease uncertainty, enable predict the level of caregiver preparedness. Medical professionals should pay attention to providing personalized and targeted approaches to maximize caregivers' preparedness.

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“…Nonetheless, even recent assessment of awareness for stroke symptoms and actions to take shows limited knowledge, especially for persons with low socioeconomic status, poor education, and persons with risk factors (elderly, patients with comorbidities). Thorough evaluation on how to specifically reach these persons should anticipate future campaigns (Khalil & Lahoud, 2020;Krishnamurthi et al, 2020;Soto-Camara et al, 2019). Only few observational studies investigated the effect of MMCs on time to hospitalization or on means of transport to hospital within the general population.…”

Section: Discussionmentioning

confidence: 99%

Effects of a Public Awareness Campaign on Time to and Way of Hospital Admission After Stroke

et al. 2021

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Public education campaigns are recommended to increase awareness for stroke. The effect of a public advertising and education campaign in an urban region in Germany was assessed and compared with a control region. We hypothesized that such a campaign would increase the number of patients being admitted by emergency medical services (EMS). A multimedia campaign and targeted education of health care professionals and the public was employed in Berlin during six consecutive months to disseminate knowledge about stroke symptoms and appropriate actions to take. Data on time to hospital admission and details on transport were retrieved from registries for the episode before, during, and after the campaign. To test the effect of the campaign, it was compared with another urban region in Germany (Ruhr-Area), where no campaign had been conducted. Between January 2010 and February 2011, 9,166 patients with stroke or transient ischemic attack (TIA) were documented in Berlin and 9,994 in the Ruhr-Area. In both regions, following the campaign period, patients were more often admitted to hospital within the first 2 hr after onset (Berlin: odds ratio [OR] = 1.16, 95% confidence interval [CI] = [1.02, 1.32]; Ruhr-Area: OR = 1.18, 95% CI = [1.05, 1.34]). Patients were more likely being admitted via EMS after the campaign (Berlin: OR = 1.71, 95% CI = [1.50, 1.94]; Ruhr-Area: OR = 1.34, 95% CI = [1.17, 1.53]). The results suggest that an increased uptake of EMS triggered shorter time to hospital admission. A reduction in delay to hospitalization and an increased uptake of EMS were observed over the study period for both regions. No effect of the campaign was identified.

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Community Knowledge and Awareness of Stroke in New Zealand

Cited by 32 publications

References 22 publications

Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

Level of Knowledge on Stroke and Associated Factors: A Cross-Sectional Study at Primary Health Care Centers in Morocco

Effects of personal characteristics, disease uncertainty and knowledge on family caregivers' preparedness of stroke survivors: a cross‐sectional study

Effects of a Public Awareness Campaign on Time to and Way of Hospital Admission After Stroke

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