Stroke Happens Suddenly so It Cannot Be Prevented: A Qualitative Study to Understand Knowledge, Attitudes, and Practices about Stroke in Rural Gadchiroli, Maharashtra, India

Kalkonde, Yogeshwar; Deshmukh, Sanjay D; Gokhale, Charuta; Jacob, Mini E.; Bang, Abhay

doi:10.1055/s-0039-1700601

Cited by 5 publications

(9 citation statements)

References 24 publications

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“…Qualitative data will be transcribed and analysed using a thematic approach as described earlier [23].…”

Section: Discussionmentioning

confidence: 99%

“…The awareness programme will be designed based on the insights gained in the formative study on the knowledge, attitudes and practices for stroke [23]. The information on hypertension, diabetes and stroke will be provided through short movies and animations developed in the local language Marathi for this purpose.…”

Section: A Community Awareness Programme To Provide Health Education mentioning

confidence: 99%

“…Awareness about these conditions remains low [18][19][20][21][22][23]. Hypertension and diabetes often do not have symptoms and diagnosis gets delayed.…”

Section: Introductionmentioning

confidence: 99%

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Effect of a community-based intervention for cardiovascular risk factor control on stroke mortality in rural Gadchiroli, India: study protocol for a cluster randomised controlled trial

Kalkonde¹,

Deshmukh²,

Nila³

et al. 2019

Preprint

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“…Qualitative data will be transcribed and analysed using a thematic approach as described earlier [23].…”

Section: Discussionmentioning

confidence: 99%

Section: A Community Awareness Programme To Provide Health Education mentioning

confidence: 99%

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Effect of a community-based intervention for cardiovascular risk factor control on stroke mortality in rural Gadchiroli, India: study protocol for a cluster randomised controlled trial

Kalkonde¹,

Deshmukh²,

Nila³

et al. 2019

Preprint

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“…[ 2 ] Controlling blood pressure alone can have a significant risk reduction of both hemorrhagic and ischemic stroke. [ 3 ]…”

Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability study of risk reduction approach for stroke prevention in primary care in Western India

Dhikav,

Bhati,

Kumar

2023

JNRP

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Objectives: Stroke is among the leading cause of morbidity and mortality and prevention is the need of the hour. Risk assessment of stroke could be done at primary care. A study was hence planned to assess if an information, education, and communication (IEC) intervention module could be used to address risk factors of stroke among attendees of primary care in Western India. Materials and Methods: Patients (>30 years) attending primary care center were enrolled (n = 215). Knowledge, attitude, and practice (KAP) questionnaire was administered at baseline and end line, and detailed diagnosis (hypertension and/diabetes, stroke, coronary artery disease, etc.) was noted from written records. A predesigned IEC module was administered about stroke, risk factors, and their prevention. Body mass index (BMI) and waist-to-hip ratio were taken before and after 16 weeks. Results: A total of 215 participants (M: F = 85:130; mean age = 51.66 ± 13.32 years) had risk factors such as hypertension (26.7%), diabetes (32.5%), history of stroke (n = 3; = 1.39%), and 7.4% (16/215) had coronary artery disease. Before and after comparison of KAP scores indicated significant difference (62.23 ± 19.73 vs. 75.32 ± 13.03); P ≤ 0.0001). Change of waist-to-hip ratio occurred from baseline 0.91–0.9 (P ≤ 0.001). Comparison of the proportion of patients taking antihypertensives before and after IEC intervention was statistically significant (P < 0.05), indicating improvement in drug compliance. BMI comparison changed marginally (26.5 ± 4.7 vs. 26.2 ± 4.5) before and after but was not significant (P ≥ 0.05). The intervention was found to be feasible and acceptable. Conclusion: IEC intervention appears to be a low-cost, feasible, and acceptable implementation model for addressing risk factors for stroke in primary care.

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“…Awareness about these conditions remains low [18][19][20][21][22][23]. Hypertension and diabetes often do not have symptoms and their diagnosis gets delayed.…”

Section: Introductionmentioning

confidence: 99%

Effect of a community-based intervention for cardiovascular risk factor control on stroke mortality in rural Gadchiroli, India: study protocol for a cluster randomised controlled trial

Kalkonde¹,

Deshmukh²,

Nila³

et al. 2019

Preprint

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Background Stroke has emerged as a leading cause of death in rural India. However, well tested healthcare interventions to reduce stroke mortality in rural under-resourced settings are lacking. The aim of this study is to evaluate the effect of a community-based preventive intervention on stroke mortality in rural Gadchiroli, India. Methods The study is a two-arm, parallel group, cluster randomised controlled trial where 32 villages each will be randomised to the intervention and the enhanced usual care (EUC) arm. In the intervention arm, individuals ≥ 50 years of age will be screened for hypertension, diabetes and stroke by trained Community Health Workers (CHWs). Screen positive individuals will be referred to a mobile outreach clinic which will visit intervention villages. A physician in the clinic will confirm the diagnosis, provide guideline-based treatment and follow up patients at periodic intervals. The CHWs will make home visits once a month to ensure medication compliance and counsel patients to reduce salt consumption and quit tobacco and alcohol. In the EUC arm, households will be provided information on the ill effects of tobacco and steps to quit it. Individuals from both the arms will have access to government’s national programme for prevention and control of non-communicable diseases where treatment for hypertension, diabetes and preventive treatment after stroke is available, nearest at the primary health centres (PHCs). The intervention will be implemented for 3.5 years. The primary outcome will be reduction in stroke mortality in the last 2.5 years of the intervention. Discussion This trial will provide important information regarding the feasibility and effect of a community-based preventive intervention package on stroke mortality in a rural under-resourced setting and can inform India’s non-communicable diseases prevention and control programme. If successful, such an intervention can be scaled up in rural regions of India and other countries.

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Stroke Happens Suddenly so It Cannot Be Prevented: A Qualitative Study to Understand Knowledge, Attitudes, and Practices about Stroke in Rural Gadchiroli, Maharashtra, India

Cited by 5 publications

References 24 publications

Effect of a community-based intervention for cardiovascular risk factor control on stroke mortality in rural Gadchiroli, India: study protocol for a cluster randomised controlled trial

Effect of a community-based intervention for cardiovascular risk factor control on stroke mortality in rural Gadchiroli, India: study protocol for a cluster randomised controlled trial

Feasibility and acceptability study of risk reduction approach for stroke prevention in primary care in Western India

Effect of a community-based intervention for cardiovascular risk factor control on stroke mortality in rural Gadchiroli, India: study protocol for a cluster randomised controlled trial

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