Effect of Community Education Program on Stroke Symptoms and Treatment on School and College Students from South India: A Longitudinal Observational Study.

Fayaz Khan,Riziq Allah Mustafa Gaowgzeh,Ejlal Binmulayh,Amer Al Saif,Kirti Sundar Sahu,Haris Anjamparuthikal,Ajith Soman,Mohamed Faisal Chevidikunnan,Aseel Mazi

doi:10.3390/healthcare9121637

Abstract

Community awareness regarding stroke signs, risk factors, and actions that help reduce the risk and complications of stroke is poorly addressed, as it is thought to be the best approach to control and prevent stroke. Aim: To establish the awareness of stroke and its management among high school and college students using an educational intervention. A questionnaire was administered to students from five high schools and four colleges with different areas of focus, (arts, science and commerce), types (public, semi-public and private), and economic locations before and after an educational lecture on stroke. The lecture covered the following elements: stroke definition, signs, risk factors, actions, time window for thrombolytic therapy, and types of rehabilitation interventions. This study included 1036 participants, of whom 36.3% were male and 56.4% were high school students, and the mean age was 17.15 ± 1.29 (15–22) years. Before the lecture, 147 participants were unaware of a single sign of stroke, and 124 did not know the risk factors. After the intervention, 439 participants knew four signs of stroke, and 196 knew 12 risk factors. Female students had better knowledge about stroke signs (odds ratio (OR), 3.08; 95% confidence interval (95% CI), 2.15–4.43). Hypertension (52.7%) and weakness (59.85%) were the most known signs and risk factors. The proportion of students who selected traditional medicine as the mode of treatment decreased from 34.75% to 8.59% after the lecture. Other rehabilitation methods (e.g., physical therapy, occupational therapy, speech therapy and counseling) were chosen by more than 80% of the students. The results of the current study showed that the awareness on stroke risk factors and management among the school and college students can be significantly improved with regular educational interventions, and therefore stroke can be prevented to some extent.

Highlights

According to the World Health Organization (WHO), stroke and cerebrovascular disease were the major cause of death (15.2 million) in 2016 [1]
Bivariate analysis: The results showed that female students were more knowledgeable about stroke signs than male students (odds ratio, 3.08 (2.15–4.43)), and students in semipublic schools were more knowledgeable about stroke signs (1.9 (1.1–3.23)) and risk factors (2.79 (1.88–4.13)) than other students
The current study results showed (i) a lack of stroke awareness among all students, which is comparable with other studies conducted in Australia [9], Greece [16], Germany [17], and the United Kingdom [18]; (ii) the ability of female students to identify stroke signs better than male students; and (iii) significant improvement in stroke awareness after an educational intervention

Summary

Introduction

According to the World Health Organization (WHO), stroke and cerebrovascular disease were the major cause of death (15.2 million) in 2016 [1]. Death caused by cerebrovascular disease has increased to 88 per 100,000 per year according to the global burden of disease 2010 estimates [2]. The disease burden shows the significance of addressing this problem; in 2016 there were 116.4 million disability adjusted life years lost due to stroke worldwide [4]. The introduction of thrombolytic therapy within the first 4 h has reduced disability, but this effect is significantly affected by the distance to the hospital and, the lack of awareness of stroke signs [5,6,7]

Objectives

Results

Discussion

Conclusion