Effect of a comprehensive health education program on pre-hospital delay intentions in high-risk stroke population and caregivers.

Yang, Li; Zhao, Qiuli; Zhu, Xuemei; Shen, Xiaoying; Zhu, Yulan; Yang, Liu; Gao, Wei; Li, Minghui

Objective: 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.Methods: 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.Results: There were significant differences between before and after intervention (P Conclusion: 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.

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

Quality of Life Research, 2017, Vol 26, Issue 8, p2153

0962-9343

Academic Journal

10.1007/s11136-017-1550-4