Effects of a school-based stroke education program on stroke-related knowledge and behaviour modification―school class based intervention study for elementary school students and parental guardians in a Japanese rural area

Kato, Suzuka; Okamura, Tomonori; Kuwabara, Kazuyo; Takekawa, Hidehiro; Nagao, Masanori; Umesawa, Mitsumasa; Sugiyama, Daisuke; Miyamatsu, Naomi; Hino, Tenyu; Wada, Shinichi; Arimizu, Takuro; Takebayashi, Toru; Kobashi, Gén; Hirata, Koichi; Yokota, Chiaki; Minematsu, Kazuo

doi:10.1136/bmjopen-2017-017632

Cited by 20 publications

(15 citation statements)

References 22 publications

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“…In addition to the need to increase knowledge regarding CPR, it is also important to spread knowledge regarding stroke. In Japan, surveys evaluating the knowledge of stroke have been actively undertaken . Upper elementary or junior high school students are educated, and the students then teach the material to their parents.…”

Section: Discussionmentioning

confidence: 99%

Basic life support by citizens in Kawasaki City, Japan – a descriptive epidemiological study of out‐of‐hospital cardiac arrest patients

Shirakawa

Takebayashi

Kanao

et al. 2019

Acute Medicine & Surgery

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Aim To better understand the current status and barriers to making basic life support a common practice among the citizens of Kawasaki City, Japan. Method We extracted data according to the Utstein‐style guidelines specifically regarding out‐of‐hospital cardiac arrests (OHCAs) of cardiac etiology. The items were as follows: (i) OHCA witnessed by a citizen, (ii) the victim received bystander cardiopulmonary resuscitation (CPR), (iii) an automatic external defibrillator was used by the witness. We compared the rate of each item and the 1‐month survival rates with the national average in Japan. We further divided Kawasaki City into three areas and compared each item. We also examined the rate of bystander CPR in each time period and location. Statistical analysis was carried out using the χ2‐test and Fisher's test. Results The 1‐month survival rates did not differ significantly from the national average for cases meeting conditions (i)–(iii): (i) 14.0% versus 13.3%, (ii) 19.1% versus 16.4%, (iii) 71.4% versus 53.3%, respectively. However, the rate of condition (i) was significantly lower (47.5% versus 55. 8%, P = 0.01). The rate of condition (ii) was higher in the northern area of Kawasaki City, as well as in a location other than the home in the daytime. The rate of condition (ii) was low in the home. Conclusions Although the 1‐month survival rates of OHCAs witnessed by citizens in Kawasaki City did not differ significantly from the national average, the low rate of bystander CPR was notable, especially in the southern and middle areas of the city and when the location was in the home, which implies that basic life support knowledge should be spread to these areas.

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Section: Discussionmentioning

confidence: 99%

Basic life support by citizens in Kawasaki City, Japan – a descriptive epidemiological study of out‐of‐hospital cardiac arrest patients

Shirakawa

Takebayashi

Kanao

et al. 2019

Acute Medicine & Surgery

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“…Study using school-age youth aged 11-12 years old reported changes in parents' behavior to prevent stroke using stroke education program (Kato et al, 2017). The intervention was carried out on 268 students aged 11-12 years old and 267 parents in Japan.…”

Section: Discussionmentioning

confidence: 99%

Capacity Strengthening Among Youth to Improve Health Outcome: A Review of Literature

Lisum

Waluyo

Supardi

2021

MJN

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Background: Many countries focus on strengthening the capacities of individual, group and organization including in health care setting. However, most of the capacity strengthening only focuses on increasing the knowledge and skills of all age groups, including the youth. The capacity strengthening delivered by the health care professional needs to be adjusted with the youth growth and development, thus it will increase the youth interpersonal domain. Aim: The aim of this study was to identify the capacity strengthening program for the youth to improve the parents' health behavior. Methods: A literature review was done based on the articles published from search engine such as Clinical Key, Ebscohost with Cinahl and ProQuest from 2003 -2021. Results: The strengthening capacity of youth consist of many steps, there are health assessment of targeted population, home visit, parents involving, educational program and monitoring, report, documentation. Conclusion: This review found that intervention using youth act as change agent that improve parents' health behavior especially change in family lifestyle. It is essential that further research is implemented to determine whether youth capacity strengthening is also effective for parents with infectious disease.

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“…There are some previous educational studies of enhancing prehospital stroke recognition. The attendees varied from EMTs to laypersons 26–28. Most of the studies showed that the educational programs successfully improved stroke knowledge and awareness.…”

Section: Discussionmentioning

confidence: 99%

Using G-FAST to recognize emergent large vessel occlusion: a training program for a prehospital bypass strategy

Chiu

Tang

Sun

et al. 2019

J NeuroIntervent Surg

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IntroductionThe shorter the time between the onset of symptoms and reperfusion using endovascular thrombectomy, the better the functional outcome of patients. A training program was designed for emergency medical technicians (EMTs) to learn the gaze-face-arm-speech-time test (G-FAST) score for initiating a prehospital bypass strategy in an urban city. This study aimed to evaluate the effect of the training program on EMTs.MethodsAll EMTs in the city were invited to join the training program. The program consisted of a 30 min lecture and a 20 min video which demonstrated the G-FAST evaluation. The participants underwent tests before and after the program. The tests included (1) a questionnaire of knowledge, attitudes, confidence, and behaviors towards stroke care; and (2) watching 10 different scenarios in a video and answering questions, including eight sub-questions of G-FAST parameters, and choosing a suitable receiving hospital.ResultsIn total, 1058 EMTs completed the training program. After the program, significant improvement was noted in knowledge, attitudes, and confidence, as well as scenario judgement. The performance of the EMTs in evaluating G-FAST criteria in comatose patients was relatively poor in the pre-test and improved significantly after the training course. Although the participants answered the G-FAST items correctly, they tended to overtriage the patients and refer them to higher-level hospitals.ConclusionsA short training program can improve the ability to identify stroke patients and choose a suitable receiving hospital. A future training program could put further emphasis on how to evaluate comatose patients and choose a suitable receiving hospital.

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Effects of a school-based stroke education program on stroke-related knowledge and behaviour modification―school class based intervention study for elementary school students and parental guardians in a Japanese rural area

Cited by 20 publications

References 22 publications

Basic life support by citizens in Kawasaki City, Japan – a descriptive epidemiological study of out‐of‐hospital cardiac arrest patients

Basic life support by citizens in Kawasaki City, Japan – a descriptive epidemiological study of out‐of‐hospital cardiac arrest patients

Capacity Strengthening Among Youth to Improve Health Outcome: A Review of Literature

Using G-FAST to recognize emergent large vessel occlusion: a training program for a prehospital bypass strategy

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