Kilkenny Monique F, Purvis Tara, Werner Megan, Reyneke Megan, Czerenkowski Jude, Cadilhac Dominique A
Stroke & Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC Australia; Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC Australia.
Stroke & Ageing Research, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC Australia; Florey Institute of Neuroscience and Mental Health, Heidelberg, VIC Australia.
Prev Med. 2016 May;86:1-5. doi: 10.1016/j.ypmed.2016.01.015. Epub 2016 Jan 26.
Public awareness of stroke risks and warning signs remains poor. The National Stroke Foundation (NSF) in Australia has been undertaking a StrokeSafe Ambassador Education program to raise awareness of stroke. The format includes presentations by volunteers trained to be 'ambassadors' to spread standard information about stroke to the public. Our aim was to determine the change in knowledge of participants who attended presentations.
Participants completed questionnaires before immediately after presentations, and at 3months following the presentation. Information was collected on knowledge of risk factors and signs of stroke. McNemar's test was used to compare paired-responses over time. A p value of <0.05 was considered significant.
Between March and April 2014, 591 participants attended 185 presentations and 591 (100%) completed them before and immediately after presentation questionnaires: 68% were female and 75% were aged 65years or more. 258 consented for further follow-up with 192 completing follow-up. Comparing immediately after with before presentation showed significantly improved knowledge for all 10 stroke risk factors and all signs of stroke. Significantly improved knowledge for 7/10 risk factors and 1/3 signs of stroke was found when comparing follow-up and immediately after presentation results. Knowledge of 5/10 risk factors and 2/3 signs of stroke improved when comparing follow-up and before presentation.
This study describes a novel approach to support the use of trained volunteers to provide a community-based, standardised education program for stroke. This program shows that community presentations can improve immediate and short-term knowledge of signs and risk factors for stroke.
公众对中风风险和警示信号的认知仍然不足。澳大利亚国家中风基金会（NSF）一直在开展一项中风安全大使教育项目，以提高对中风的认识。该项目形式包括由经过培训成为“大使”的志愿者进行演讲，向公众传播关于中风的标准信息。我们的目的是确定参加演讲的参与者的知识变化情况。
参与者在演讲前、演讲后立即以及演讲后3个月完成问卷调查。收集有关中风风险因素和症状的知识信息。采用麦克尼马尔检验来比较不同时间的配对反应。p值<0.05被认为具有统计学意义。
在2014年3月至4月期间，591名参与者参加了185场演讲，591人（100%）在演讲前和演讲后立即完成了问卷：68%为女性，75%年龄在65岁及以上。258人同意进一步随访，192人完成了随访。将演讲后立即与演讲前进行比较，所有10种中风风险因素和所有中风症状的知识均有显著改善。将随访结果与演讲后立即的结果进行比较，发现7/10的风险因素和1/3的中风症状的知识有显著改善。将随访结果与演讲前进行比较，5/10的风险因素和2/3的中风症状的知识有所改善。
本研究描述了一种新方法，支持利用经过培训的志愿者提供基于社区的中风标准化教育项目。该项目表明，社区演讲可以提高对中风症状和风险因素的即时和短期知识。
