Department of Emergency Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL, USA.
Department of Emergency Medicine, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL, USA.
J Stroke Cerebrovasc Dis. 2022 Jun;31(6):106424. doi: 10.1016/j.jstrokecerebrovasdis.2022.106424. Epub 2022 Mar 22.
In the United States, Black individuals have higher stroke incidence and mortality when compared to white individuals and are also at risk of having lower stroke knowledge and awareness. With the need to implement focused interventions to decrease stroke disparities, the objective of this study is to evaluate the feasibility and efficacy of an emergency department-based educational intervention aimed at increasing stroke awareness and preparedness among a disproportionately high-risk group.
Over a three-month timeframe, an emergency department-based, prospective educational intervention was implemented for Black patients in an urban, academic emergency department. All participants received stroke education in the forms of a video, written brochure and verbal counseling. Stroke knowledge was assessed pre-intervention, immediately post-intervention, and at one-month post-intervention.
One hundred eighty-five patients were approached for enrollment, of whom 100 participants completed the educational intervention as well as the pre- and immediate post- intervention knowledge assessments. Participants demonstrated increased stroke knowledge from baseline knowledge assessment (5.35 ± 1.97) at both immediate post-intervention (7.66 ± 2.42, p < .0001) and one-month post-intervention assessment (7.21 ± 2.21, p < .0001).
Emergency department-based stroke education can result in improved knowledge among this focused demographic. The emergency department represents a potential site for educational interventions to address disparities in stroke knowledge.
在美国，与白人相比，黑人的中风发病率和死亡率更高，而且中风知识和意识也较低。由于需要实施有针对性的干预措施来减少中风差异，本研究的目的是评估一种基于急诊室的教育干预措施的可行性和效果，该干预措施旨在提高一个高风险群体对中风的认识和准备。
在三个月的时间内，在城市学术急诊室为黑人患者实施了一项基于急诊室的前瞻性教育干预措施。所有参与者都接受了中风教育，形式为视频、书面小册子和口头咨询。在干预前、干预后即刻和干预后一个月评估中风知识。
共有 185 名患者被邀请参加，其中 100 名参与者完成了教育干预以及干预前和即刻后知识评估。与基线知识评估（5.35 ± 1.97）相比，参与者的中风知识在干预后即刻（7.66 ± 2.42，p <.0001）和一个月后即刻评估（7.21 ± 2.21，p <.0001）均有所提高。
基于急诊室的中风教育可以提高这一重点人群的知识水平。急诊室是解决中风知识差异的潜在教育干预场所。
