Help seeking behavior and onset-to-alarm time in patients with acute stroke: sub-study of the preventive antibiotics in stroke study

Zock, Elles; Kerkhoff, Henk; Kleyweg, R. P.; Bavel-Ta, T. B. V. van; Scott, S.; Kruyt, Nyika D.; Nederkoorn, P. J.; Beek, Diederik van de

doi:10.1186/s12883-016-0749-2

Cited by 20 publications

(13 citation statements)

References 33 publications

(42 reference statements)

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“…However, this study shows the positive relationship between SRH and the usage of both lay and professional care, which can be used to improve rural older patients' HSB by using limited resources in rural communities. For example, patients must understand when they should use lay or professional care to efficiently access health care resources [29,30]. In this process, they may be forced to modify their original HSB [31].…”

Section: Discussionmentioning

confidence: 99%

Potential Help-Seeking Behaviors Associated with Better Self-Rated Health among Rural Older Patients: A Cross-Sectional Study

Ohta

Kitayuguchi²,

Maeno

et al. 2021

IJERPH

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Help-seeking behaviors (HSB) for mild symptoms vary because of differences in health care resources and patients’ backgrounds. Potential HSBs for lay and professional care use are related to patients’ health conditions. However, there is a lack of evidence of the relation between them. This study examined the relation between patients’ potential HSBs and self-rated health (SRH). The cross-sectional study involved 169 patients, aged above 65 years, who visited a Japanese rural clinic. A validated checklist was used to assess potential patients’ HSBs. A chi-square test and logistic regression were performed to examine the relation between patients’ self-rated health and HSB regarding lay and professional care use. Participants were 77.5 years old, on average (SD = 8.3). Results reveal that having regular exercise habits (OR = 2.42, p = 0.04), adequate sleep (OR = 4.35, p = 0.006), work (OR = 2.59, p = 0.03), high socioeconomic status (OR = 6.67, p = 0.001), and using both lay and professional care (OR = 2.39, p = 0.046) were significantly correlated with high self-rated health. Living alone was negatively correlated with higher SRH (OR = 0.23, p = 0.015). To improve rural patients’ health care, in addition to improving their health management skills, potential HSB for mild symptoms should be investigated and interventions that consider patients’ socioeconomic factors and living conditions should be implemented.

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Section: Discussionmentioning

confidence: 99%

Potential Help-Seeking Behaviors Associated with Better Self-Rated Health among Rural Older Patients: A Cross-Sectional Study

Ohta

Kitayuguchi²,

Maeno

et al. 2021

IJERPH

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“…Some studies evaluating educational stroke campaigns have questioned whether improved knowledge can be transformed into symptom recognition and correct help-seeking behaviour at symptom onset, 32,33 and previous campaigns might have focussed too narrowly on stroke knowledge. Some studies have reported reduced prehospital delay and an increased number of patients treated with reperfusion therapy.…”

Section: Discussionmentioning

confidence: 99%

Understanding the seriousness of a stroke is essential for appropriate help-seeking and early arrival at a stroke centre: A cross-sectional study of stroke patients and their bystanders

Iversen

Blauenfeldt

Johnsen

et al. 2020

European Stroke Journal

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Introduction Only a minority of patients with acute ischaemic stroke receive reperfusion treatment, primarily due to prehospital delay. We aimed to investigate predictors of a primary contact to the emergency medical services, arrival at stroke centre within 3 h of symptom onset and initiation of reperfusion therapy in patients with acute stroke. Patients and methods We conducted a cross-sectional study of consecutive patients with acute ischaemic stroke, intracerebral haemorrhage or transient ischaemic attack. Structured interviews of patients and bystanders were performed and combined with clinical information from the Danish Stroke Registry. Eligible patients were aged ≥18 years and were independent in activities of daily living before the stroke. Results We included 435 patients. Presence of a bystander at symptom onset and knowledge of ≥2 core symptoms of stroke were associated with a primary emergency medical services contact. Higher stroke severity and patients or bystanders perceiving the situation as very serious were associated with a primary emergency medical services contact (ORpatients 2.10; 95% CI 1.12–3.95 and ORbystanders 22.60; 95% CI 4.98–102.67), <3 h from onset to arrival (ORpatients 3.01; 95% CI 1.46–6.21 and ORbystanders 4.44; 95% CI 1.37–14.39) and initiation of reperfusion therapy (ORpatients 3.08; 95% CI 1.23–7.75 and ORbystanders 4.70; 95% CI 1.14–19.5). Conclusion: Having a bystander, knowledge of ≥2 core symptoms and understanding that stroke is a serious event are associated with appropriate help-seeking behaviour, shorter prehospital delay and higher chance of reperfusion therapy in acute stroke patients.

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“…These health outcomes can be affected by their health and social conditions such as chronic diseases of various severities, healthcare accessibility, and treatment affordability. Previous studies have shown a relationship between HSB and clinical outcomes, such as brain stroke and heart failure, focusing on acute and emergency situations [ 12 , 27 , 28 ]. However, there has been no study on the relationship between HSB for mild symptoms and health outcomes, as well as aging [ 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

What resources do elderly people choose for managing their symptoms? Clarification of rural older people’s choices of help-seeking behaviors in Japan

Ohta

Ryu²,

Kitayuguchi³

et al. 2021

BMC Health Serv Res

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Background Appropriate help-seeking behavior (HSB) that involves lay and professional care may moderate the usage of medical resources and promote good health, especially among the rural elderly. However, there is little evidence regarding the rural elderly’s HSB choices for mild symptoms. Therefore, this study attempts to bridge this gap. Methods The participants were patients living in rural areas and over the age of 65, who attended Japanese clinics and general hospitals. In Phase 1, monthly diaries and one-on-one interviews about their mild symptoms and HSB were used to establish HSB items and assess its content validity. Content analysis helped determine the items. In Phase 2, participants were asked to complete the list to measure HSB. The answers to the list and HSB mentioned in the diaries were compared to evaluate concurrent validity. Retests were conducted to examine the content’s reliability and test-retest reliability. Results Phase 1 included 267 participants (average age = 75.1 years, standard deviation [SD] = 4.3; 50.1% male). The diary collection rate was 97.6%. Of the participants, 70.4% used lay care and 25.4% used professional care. Content analysis identified eight types of lay care and four types of professional care. Phase 2 included 315 participants (average age = 77.7 years, SD = 8.27; 46.0% male). In terms of validity, the results of the list and the diaries were correlated (Spearman r 0.704; p < 0.001). The most common behavior with mild symptoms was consulting with primary care physicians, followed by self-care and using home medicine. The test-retest reliability for mild symptoms found kappa values of 0.836 for lay care and 0.808 for professional care. Conclusions The choices of HSB for mild symptoms clarified identified in this study have high validity and reliability. Therefore, it can be used to assess the relationships between HSB and health conditions and the effectiveness of health promotion on rural older people’s HSB.

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Help seeking behavior and onset-to-alarm time in patients with acute stroke: sub-study of the preventive antibiotics in stroke study

Cited by 20 publications

References 33 publications

Potential Help-Seeking Behaviors Associated with Better Self-Rated Health among Rural Older Patients: A Cross-Sectional Study

Potential Help-Seeking Behaviors Associated with Better Self-Rated Health among Rural Older Patients: A Cross-Sectional Study

Understanding the seriousness of a stroke is essential for appropriate help-seeking and early arrival at a stroke centre: A cross-sectional study of stroke patients and their bystanders

What resources do elderly people choose for managing their symptoms? Clarification of rural older people’s choices of help-seeking behaviors in Japan

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