基于学校的卒中教育计划对卒中相关知识和行为改变的影响——在日本农村地区针对小学生和家长监护人的基于学校班级的干预研究。
Effects of a school-based stroke education program on stroke-related knowledge and behaviour modification-school class based intervention study for elementary school students and parental guardians in a Japanese rural area.
机构信息
Department of Preventive Medicine and Public Health, Keio University School of Medicine, Shinjuku, Tokyo, Japan.
Department of Neurology, Dokkyo Medical Unversity, Mibu, Tochigi, Japan.
出版信息
BMJ Open. 2017 Dec 21;7(12):e017632. doi: 10.1136/bmjopen-2017-017632.
OBJECTIVES
This study aimed to determine the effect of a stroke education programme on elementary school students and their parental guardians in a rural area in Japan that has high stroke mortality.
DESIGN
School class based intervention study.
SETTING
Eleven public elementary schools in Tochigi Prefecture, Japan.
PARTICIPANTS
268 students aged 11-12 years and 267 parental guardians.
INTERVENTIONS
Students received lessons about stroke featuring animated cartoons and were instructed to communicate their knowledge about stroke to their parental guardians using material (comic books) distributed in the lessons. Stroke knowledge (symptoms, risk factors and attitude towards stroke) and behavioural change for risk factors were assessed at baseline, immediately after the programme and at 3 months. We also evaluated behavioural change for risk factors among parental guardians.
RESULTS
The percentage of students with all correct answers for stroke symptoms, risk factors and the recommended response to stroke was significantly increased at 3 months P<0.001). We observed a significant increase in the percentage of guardians who chose all correct symptoms (P<0.001: 61.0% vs 85.4%) and risk factors (P<0.001: 41.2% vs 59.9%) at 3 months compared with baseline. The percentage of parental guardians with a high behavioural response to improving risk factors was significantly increased at 3 months compared with baseline (P<0.001).
CONCLUSIONS
In a rural population with high stroke mortality, stroke education can improve knowledge about stroke in elementary school students and their parental guardians.
ETHICS AND DISSEMINATION
We conducted the intervention as a part of compulsory education; this study was not a clinical trial. This study was approved by the Ethics Committee of the National Cerebral and Cardiovascular Center (M27-026).
目的
本研究旨在确定在日本一个中风死亡率较高的农村地区，对小学生及其家长进行中风教育计划的效果。
设计
基于学校班级的干预研究。
地点
日本栃木县 11 所公立小学。
参与者
268 名 11-12 岁的学生和 267 名家长。
干预措施
学生们通过动画卡通片接受中风课程，并被指导使用课程中分发的材料（漫画书）向家长传达他们的中风知识。在基线、项目结束后和 3 个月时，评估中风知识（症状、风险因素和对中风的态度）和风险因素行为改变。我们还评估了家长的风险因素行为改变。
结果
学生对中风症状、风险因素和推荐的中风应对措施的所有正确答案的比例在 3 个月时显著增加（P<0.001）。我们观察到选择所有正确症状的监护人比例在 3 个月时显著增加（P<0.001：61.0%比 85.4%）和风险因素（P<0.001：41.2%比 59.9%）。与基线相比，改善风险因素的高行为反应的家长比例在 3 个月时显著增加（P<0.001）。
结论
在中风死亡率较高的农村地区，中风教育可以提高小学生及其家长对中风的认识。
伦理和传播
我们将干预作为义务教育的一部分进行；这不是临床试验。本研究得到了日本国立循环器病研究中心伦理委员会的批准（M27-026）。
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