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- Title
Effect of a comprehensive health education program on pre-hospital delay intentions in high-risk stroke population and caregivers.
- Authors
Yang, Li; Zhao, Qiuli; Zhu, Xuemei; Shen, Xiaoying; Zhu, Yulan; Yang, Liu; Gao, Wei; Li, Minghui
- Abstract
<bold>Objective: </bold>Many factors influence pre-hospital delays in the event of stroke. This study aimed to develop and evaluate a comprehensive educational program for decreasing pre-hospital delays in high-risk stroke population.<bold>Methods: </bold>We enrolled 220 high-risk stroke population and caregivers from six urban communities in Harbin from May 2013 to May 2015, and randomly divided them into intervention and control groups. We implemented a comprehensive educational program (intervention group), comprising public lectures, instructional brochures, case videos, simulations, and role-playing from May 2013 to May 2015. We delivered conventional oral education in the control group. We compared stroke pre-hospital delay behavioral intention (SPDBI), pre-hospital stroke symptom coping test (PSSCT), and stroke pre-symptoms alert test (SPSAT) results between the groups before and 6, 12, and 18 months after health intervention.<bold>Results: </bold>There were significant differences between before and after intervention (P < 0.01). SPDBI, PSSCT, and SPSAT scores were significantly different between the groups (P < 0.01). The interaction between time and intervention method was significant (P < 0.01). According to multivariate repeated measures analysis of variance, SPDBI, PSSCT, and SPSAT scores were significantly different at each time after intervention (P < 0.05).<bold>Conclusion: </bold>The comprehensive educational program was significantly effective in decreasing SPDBI, improving knowledge, enhancing stroke pre-symptoms alert, and reducing the possibility of pre-hospital delays.
- Subjects
HEALTH education; EDUCATIONAL programs; STROKE risk factors; CAREGIVERS; SYMPTOMS; MENTAL health; QUALITY of life; STROKE treatment; COMPARATIVE studies; HEALTH promotion; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; RESEARCH; STROKE; EVALUATION research; RANDOMIZED controlled trials
- Publication
Quality of Life Research, 2017, Vol 26, Issue 8, p2153
- ISSN
0962-9343
- Publication type
journal article
- DOI
10.1007/s11136-017-1550-4