Middle School Students Effectively Improve Stroke Knowledge and Pass Them to Family Members in China Using Stroke 1-2-0

Li, Xutong; Yang, Lifang; Vrudhula, Amey; Liu, Renyu; Zhao, Jing

doi:10.3389/fneur.2020.00203

Cited by 8 publications

(8 citation statements)

References 11 publications

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“…This indicated that the health education program on stoke had attenuation despite the effects achieved among children. The correct rate of stroke knowledge was about 4.83–92.41% in 3 months after the intervention, which was lower than that in the study of Shigehatake (56%) ( 16 ) and Li X in Shanghai (84.4%) ( 17 ). Therefore, we should repeat pertinent health education programs among students.…”

Section: Discussioncontrasting

confidence: 64%

Evaluation of stroke health education for primary school students in Dali, China

Yang

Dai

Min

et al. 2022

Front. Public Health

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ObjectivesTo provide us with some evidence to develop more targeted stroke intervention strategies, improve the health awareness of stroke among children, and advocate the health promotion campaign of “small hands holding big hands” among parents and children, we have conducted a health education program on stroke among primary school students in Dali.MethodsThis study has applied stratified random cluster sampling in Dali of Yunnan, China. We compared the improvement of students' knowledge of stroke before and after our health education program in primary school students of Dali in October 2020. Data were collected through 3 rounds of survey by using the same questionnaire.ResultsThere were 215 participants aged 7–8 years old sampled in the first phase of the study and 145 participants in the follow-up study. The knowledge of stroke among the participants was relatively low in the pre-intervention survey. After the health education, all the indicators on stroke knowledge were improved. The correct rates in stroke definition, sequelae, and “1-2-0” identification were increased from 0 to 66.05%, to 53.95% and 64.19%, respectively, in both pre-intervention and post-intervention surveys. The correct rate of stroke knowledge was about 4.83–92.41% 3 months after the intervention. The mean score of the questionnaire was 4.25 ± 0.19 in the pre-intervention survey, and that was 15.85 ±0.27 in the post-intervention one. The mean score was 14.02 ± 0.28 post-3-month test. The score in the 3-month survey after the intervention was 11.55% lower than that in the post-intervention score.ConclusionsThe effect of stroke-related knowledge in the health education program for children is improved significantly and this can last for 3 months but it also had attenuation. We should repeat pertinent health education among students.

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Section: Discussioncontrasting

confidence: 64%

Evaluation of stroke health education for primary school students in Dali, China

Yang

Dai

Min

et al. 2022

Front. Public Health

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“…A total of 625 students participated in the training programme. 22 All participants agreed that Stroke 1-2-0 was a much easier tool to remember than FAST. On the completion of one-session training, almost all the students (96.4%) remembered the meaning of Stroke 1-2-0 as compared with 7.3% from the baseline.…”

Section: Preliminary Datamentioning

confidence: 89%

Cluster-randomised controlled trial of Stroke 1-2-0 education programme to reduce stroke prehospital delay in China: a study protocol

Wang

Liu

et al. 2021

BMJ Open

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IntroductionStroke is the leading cause of death and disability in China. The median time of stroke pre-hospital delay is more than 15 hours, mainly due to the lack of awareness on stroke symptoms and calling emergency services. We developed Stroke 1-2-0 recognition tool in China, by adapting Face, Arm, Speech and Time. Our preliminary findings suggested that Stroke 1-2-0 can improve public’s knowledge of the stroke symptoms, but its impact on the prehospital delay is still unclear. Furthermore, these findings were mainly obtained from Shanghai, one of the largest metropolises in China. However, more than half of population in China lives in the rural area. Given the striking disparities in socioeconomic status and quality of stroke care across the nation, a multicentre trial is warranted.Methods and analysisStroke 1-2-0 education programme will adopt a multicentre, cluster-randomised controlled design. We aimed to recruit 32 communities from 16 counties across China. Each county includes two communities having more than 100 000 residents. The two communities sampled in the same county will be randomly assigned to receive either Stroke 1-2-0 education programme or usual care. The primary objective of this study is to evaluate the impact of Stroke 1-2-0 public education programme in reducing stroke prehospital delay among adults residing in the community, compared with the usual care. The intervention will be implemented for 1 year. The primary outcomes are the symptom onset to hospital arrival time (‘onset-to-door time’, ODT) and 3-hour hospital arriving rate. We will use an intention-to-treat approach. A linear mixed model will be used to control for potential cluster effects.Ethics and disseminationThis study is approved by the Shanghai Minhang District Central Hospital Institutional Review Board (Shanghai, China). The findings will be disseminated via peer-reviewed publications and conference presentations.Trial registration numberChiCTR2000040782.

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“…It embedded three stroke symptoms into the Chinese EMS number system of 120, which means: 1, check for uneven face; 2, check for weakness in the arm; and 0, check for absence of clear speech. To date, it has been shown that this tool can improve stroke knowledge among community physicians (Liu et al., 2019 ) and middle school students (Li et al., 2020 ). A nationwide online survey that gathered 20,000 respondents indicated that public acceptance of Stroke 1‐2‐0 is higher than public acceptance of FAST, the reason for this being that Stroke 1‐2‐0 is easier to remember (Zhao et al., 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Poor awareness of stroke educational tools among older adults in China

Ling¹,

Li²,

Yao³

et al. 2021

Brain and Behavior

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Background: Stroke 1-2-0 and FAST (Face, Arm, Speech, Time) are two popular stroke educational tools that have been used in many stroke promotion campaigns. However, few researchers have investigated awareness of these tools among older adults in communities. Methods:This study was a cross-sectional survey of community-living older adults.Two family physicians conducted face-to-face interviews with older adults living in Minhang district, Shanghai, between October 1, 2020 and November 31, 2020. The survey comprised three parts: basic information, prior medical history, and stroke awareness knowledge. We focused on the awareness of FAST and Stroke 1-2-0 and investigated factors associated with awareness of these stroke educational tools. Results:The sample of this study was 466 older adults. Their mean age was 73.45 years.Male respondents accounted for 46.14% of the total sample. More than half of the older adults surveyed had an educational background of less than 6 years. Over 90% of the older adults surveyed had never heard about Stroke 1-2-0 or FAST. The awareness rate of Stroke 1-2-0 and FAST was 7.94%, with awareness of Stroke 1-2-0 being higher than that of FAST (6.01% vs. 0.43%, p < .05). None of the respondents who had heard about the two stroke educational tools could explain the utility of either tool fully. Having a background in higher education was associated with awareness of stroke educational tools independently, with an odds ratio (OR) of 10.07, 95% confidence interval (CI) of 3.7-27.4, p < .001. In addition, Wechat (OR 6.57, p < .001) and the community bulletin board (OR 2.95, 95%CI 1.37-6.33, p = .005) were found to be important sources for acquiring knowledge of stroke awareness tools. Conclusion:The limited awareness of Stroke 1-2-0 and FAST displayed among older adults in the community indicates that we must take action to improve education on stroke among the elderly.

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Middle School Students Effectively Improve Stroke Knowledge and Pass Them to Family Members in China Using Stroke 1-2-0

Cited by 8 publications

References 11 publications

Evaluation of stroke health education for primary school students in Dali, China

Evaluation of stroke health education for primary school students in Dali, China

Cluster-randomised controlled trial of Stroke 1-2-0 education programme to reduce stroke prehospital delay in China: a study protocol

Poor awareness of stroke educational tools among older adults in China

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