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Effect of a comprehensive health education program on pre-hospital delay intentions in high-risk stroke population and caregivers

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Abstract

Objective

Many factors influence pre-hospital delays in the event of stroke. This study aimed to develop and evaluate a comprehensive educational program for decreasing pre-hospital delays in high-risk stroke population.

Methods

We enrolled 220 high-risk stroke population and caregivers from six urban communities in Harbin from May 2013 to May 2015, and randomly divided them into intervention and control groups. We implemented a comprehensive educational program (intervention group), comprising public lectures, instructional brochures, case videos, simulations, and role-playing from May 2013 to May 2015. We delivered conventional oral education in the control group. We compared stroke pre-hospital delay behavioral intention (SPDBI), pre-hospital stroke symptom coping test (PSSCT), and stroke pre-symptoms alert test (SPSAT) results between the groups before and 6, 12, and 18 months after health intervention.

Results

There were significant differences between before and after intervention (P < 0.01). SPDBI, PSSCT, and SPSAT scores were significantly different between the groups (P < 0.01). The interaction between time and intervention method was significant (P < 0.01). According to multivariate repeated measures analysis of variance, SPDBI, PSSCT, and SPSAT scores were significantly different at each time after intervention (P < 0.05).

Conclusion

The comprehensive educational program was significantly effective in decreasing SPDBI, improving knowledge, enhancing stroke pre-symptoms alert, and reducing the possibility of pre-hospital delays.

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Acknowledgements

The co-authors would like to thank all community service personnel who helped with the study, and the participants of the study. We also thank Jiangping Ma who give us lots of help in revising the article about statistical analysis. Moreover, the National Natural Science Foundation of China (No. 81273194) funded this project.

Funding

This project was supported by the National Natural Science Foundation of China (No. 81273194).

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Author notes

    Authors and Affiliations

    1. School of Nursing, Harbin Medical University, 246 Xuefu Road, Harbin, 150086, Heilongjiang Province, People’s Republic of China

      Li Yang, Qiuli Zhao, Xuemei Zhu, Xiaoying Shen, Liu Yang, Wei Gao & Minghui Li

    2. Department of Neurology, The 2nd Affiliated Hospital of Harbin Medical University, Harbin, 150086, Heilongjiang Province, People’s Republic of China

      Yulan Zhu

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    1. Li Yang
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    Correspondence to Qiuli Zhao.

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    The authors declare that they have no competing interests.

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    Li Yang and Xuemei Zhu have contributed equally to this article.

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    Yang, L., Zhao, Q., Zhu, X. et al. Effect of a comprehensive health education program on pre-hospital delay intentions in high-risk stroke population and caregivers. Qual Life Res 26, 2153–2160 (2017). https://doi.org/10.1007/s11136-017-1550-4

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