Abstract
Background and purposeInterventions are needed to improve stroke literacy among recent stroke survivors. We developed an educational video for patients hospitalized with acute ischemic stroke (AIS) and intracerebral hemorrhage (ICH).MethodsA 5-minute stroke education video was shown to our AIS and ICH patients admitted from March to June 2015. Demographics and a 5-minute protocol Montreal Cognitive Assessment were also collected. Questions related to stroke knowledge, self-efficacy, and patient satisfaction were answered before, immediately after, and 30 days after the video.ResultsAmong 250 screened, 102 patients consented, and 93 completed the video intervention. There was a significant difference between pre-video median knowledge score of 6 (IQR 4–7) and the post-video score of 7 (IQR 6–8; p<0.001) and between pre-video and the 30 day score of 7 (IQR 5–8; p = 0.04). There was a significant difference between the proportion of patients who were very certain in recognizing symptoms of a stroke pre- and post-video, which was maintained at 30-days (35.5% vs. 53.5%, p = 0.01; 35.5% vs. 54.4%, p = 0.02). The proportion who were “very satisfied” with their education post-video (74.2%) was significantly higher than pre-video (49.5%, p<0.01), and this was maintained at 30 days (75.4%, p<0.01). There was no association between MoCA scores and stroke knowledge acquisition or retention. There was no association between stroke knowledge acquisition and rates of home blood pressure monitoring or primary care provider follow-up.ConclusionsAn educational video was associated with improved stroke knowledge, self-efficacy in recognizing stroke symptoms, and satisfaction with education in hospitalized stroke patients, which was maintained at 30 days after discharge.
Highlights
Of the 795,000 strokes that occur in the United States annually, 185,000 are recurrent events. [1] Recurrent strokes are associated with increased morbidity and mortality as compared to first-time strokes.[2]
We developed an educational video for patients hospitalized with acute ischemic stroke (AIS) and intracerebral hemorrhage (ICH)
There was a significant difference between the proportion of patients who were very certain in recognizing symptoms of a stroke pre- and post-video, which was maintained at 30-days (35.5% vs. 53.5%, p = 0.01; 35.5% vs. 54.4%, p = 0.02)
Summary
Of the 795,000 strokes that occur in the United States annually, 185,000 are recurrent events. [1] Recurrent strokes are associated with increased morbidity and mortality as compared to first-time strokes.[2]. Previously defined as knowledge of stroke symptoms and stroke risk factors, is an important component of reducing the risk of recurrent stroke.[7] Recent stroke survivors and their caregivers often report unmet educational needs in all aspects of stroke care including causes of stroke, stroke prevention and stroke recovery.[8,9] improved stroke literacy alone is not sufficient, it is an important component in the approach to decrease secondary stroke risk. We developed an educational video for patients hospitalized with acute ischemic stroke (AIS) and intracerebral hemorrhage (ICH)
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