Impact of a Pre-Discharge Education Session on Stroke Knowledge: a Randomized Trial
Stroke knowledge, awareness of risk factors and stroke warning symptoms is very poor among stroke survivors. We investigated whether a pre-discharge education intervention in the stroke unit could improve stroke knowledge in patients with TIA or minor stroke. We performed a prospective single-center...
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| Veröffentlicht in: | Journal of stroke and cerebrovascular diseases 2020-12, Vol.29 (12), p.105272-105272, Article 105272 |
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| container_title | Journal of stroke and cerebrovascular diseases |
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| creator | Benoit, Charline Lopez, Delphine Loiseau, Murielle Labreuche, Julien Kyheng, Maeva Bourdain, Frédéric Lapergue, Bertrand |
| description | Stroke knowledge, awareness of risk factors and stroke warning symptoms is very poor among stroke survivors. We investigated whether a pre-discharge education intervention in the stroke unit could improve stroke knowledge in patients with TIA or minor stroke.
We performed a prospective single-center, randomized controlled trial (2013-2016) in patients with TIA or minor stroke. The intervention consisted in an interactive group session focused on stroke education, within the stroke unit before hospital discharge. Primary outcome was the 3-month change in stroke knowledge score (SKS) from randomization. Secondary outcomes were the 12-month change in SKS, the number of risk factors and warning signs named, control of risk factors and self-reported adherence.
A total of 199 patients (mean [SD] age, 63.5 [12.4] years; 67 [33.7%] women) were randomized (99 in stroke education session). Intervention was associated with a greater improvement in SKS than in the control group (baseline-adjusted mean between-group difference, 1.6 point [95%CI, 1.4 to 1.9]; p=0.001). This difference was significantly maintained at 12 months. The number of risk factors and warning signs named were significantly increased in the intervention group at 3 months. Control of risk factors and self-reported adherence did not differ significantly between the two groups.
An interactive education session in the stroke unit significantly improved stroke knowledge at 3 months and 12 months in patients with TIA or minor stroke. |
| doi_str_mv | 10.1016/j.jstrokecerebrovasdis.2020.105272 |
| format | Article |
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We performed a prospective single-center, randomized controlled trial (2013-2016) in patients with TIA or minor stroke. The intervention consisted in an interactive group session focused on stroke education, within the stroke unit before hospital discharge. Primary outcome was the 3-month change in stroke knowledge score (SKS) from randomization. Secondary outcomes were the 12-month change in SKS, the number of risk factors and warning signs named, control of risk factors and self-reported adherence.
A total of 199 patients (mean [SD] age, 63.5 [12.4] years; 67 [33.7%] women) were randomized (99 in stroke education session). Intervention was associated with a greater improvement in SKS than in the control group (baseline-adjusted mean between-group difference, 1.6 point [95%CI, 1.4 to 1.9]; p=0.001). This difference was significantly maintained at 12 months. The number of risk factors and warning signs named were significantly increased in the intervention group at 3 months. Control of risk factors and self-reported adherence did not differ significantly between the two groups.
An interactive education session in the stroke unit significantly improved stroke knowledge at 3 months and 12 months in patients with TIA or minor stroke.</description><identifier>ISSN: 1052-3057</identifier><identifier>EISSN: 1532-8511</identifier><identifier>DOI: 10.1016/j.jstrokecerebrovasdis.2020.105272</identifier><identifier>PMID: 32992206</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Computer Science ; Education ; Female ; France ; Health Knowledge, Attitudes, Practice ; Health Literacy ; Humans ; Ischemic Attack, Transient - diagnosis ; Ischemic Attack, Transient - etiology ; Ischemic Attack, Transient - therapy ; Male ; Medical Imaging ; Middle Aged ; Patient Discharge ; Patient Education as Topic ; Prospective Studies ; Risk Factors ; Risk Reduction Behavior ; Self Care ; Stroke ; Stroke - diagnosis ; Stroke - etiology ; Stroke - therapy ; Stroke knowledge ; TIA ; Time Factors</subject><ispartof>Journal of stroke and cerebrovascular diseases, 2020-12, Vol.29 (12), p.105272-105272, Article 105272</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><rights>Attribution - NonCommercial</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-270944e1b19d49e30e617b92c82cd57486cdcf6db7aa4df21e268bd3ac5122df3</citedby><cites>FETCH-LOGICAL-c498t-270944e1b19d49e30e617b92c82cd57486cdcf6db7aa4df21e268bd3ac5122df3</cites><orcidid>0000-0002-8915-0915</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S105230572030690X$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32992206$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-03109150$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Benoit, Charline</creatorcontrib><creatorcontrib>Lopez, Delphine</creatorcontrib><creatorcontrib>Loiseau, Murielle</creatorcontrib><creatorcontrib>Labreuche, Julien</creatorcontrib><creatorcontrib>Kyheng, Maeva</creatorcontrib><creatorcontrib>Bourdain, Frédéric</creatorcontrib><creatorcontrib>Lapergue, Bertrand</creatorcontrib><title>Impact of a Pre-Discharge Education Session on Stroke Knowledge: a Randomized Trial</title><title>Journal of stroke and cerebrovascular diseases</title><addtitle>J Stroke Cerebrovasc Dis</addtitle><description>Stroke knowledge, awareness of risk factors and stroke warning symptoms is very poor among stroke survivors. We investigated whether a pre-discharge education intervention in the stroke unit could improve stroke knowledge in patients with TIA or minor stroke.
We performed a prospective single-center, randomized controlled trial (2013-2016) in patients with TIA or minor stroke. The intervention consisted in an interactive group session focused on stroke education, within the stroke unit before hospital discharge. Primary outcome was the 3-month change in stroke knowledge score (SKS) from randomization. Secondary outcomes were the 12-month change in SKS, the number of risk factors and warning signs named, control of risk factors and self-reported adherence.
A total of 199 patients (mean [SD] age, 63.5 [12.4] years; 67 [33.7%] women) were randomized (99 in stroke education session). Intervention was associated with a greater improvement in SKS than in the control group (baseline-adjusted mean between-group difference, 1.6 point [95%CI, 1.4 to 1.9]; p=0.001). This difference was significantly maintained at 12 months. The number of risk factors and warning signs named were significantly increased in the intervention group at 3 months. Control of risk factors and self-reported adherence did not differ significantly between the two groups.
An interactive education session in the stroke unit significantly improved stroke knowledge at 3 months and 12 months in patients with TIA or minor stroke.</description><subject>Aged</subject><subject>Computer Science</subject><subject>Education</subject><subject>Female</subject><subject>France</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Literacy</subject><subject>Humans</subject><subject>Ischemic Attack, Transient - diagnosis</subject><subject>Ischemic Attack, Transient - etiology</subject><subject>Ischemic Attack, Transient - therapy</subject><subject>Male</subject><subject>Medical Imaging</subject><subject>Middle Aged</subject><subject>Patient Discharge</subject><subject>Patient Education as Topic</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Risk Reduction Behavior</subject><subject>Self Care</subject><subject>Stroke</subject><subject>Stroke - diagnosis</subject><subject>Stroke - etiology</subject><subject>Stroke - therapy</subject><subject>Stroke knowledge</subject><subject>TIA</subject><subject>Time Factors</subject><issn>1052-3057</issn><issn>1532-8511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkUtv1DAQxy1ERUvLV0A5QqVsPX7kwa30ra5ERcvZcuxJ6yWJFzu7CD59nab01AunGY1-85_Hn5BDoAugUBytFqs4Bv8TDQZsgt_qaF1cMMomQLKSvSF7IDnLKwnwNuWpmHMqy13yPsYVpQCyku_ILmd1zRgt9sjtVb_WZsx8m-nsJmB-6qJ50OEeszO7MXp0fshuMcYpTunTAtn14H93aO_xS2r7rgfre_cXbXYXnO4OyE6ru4gfnuM--XF-dndymS-_XVydHC9zI-pqzFlJayEQGqitqJFTLKBsamYqZqwsRVUYa9rCNqXWwrYMkBVVY7k2EhizLd8nn2fdB92pdXC9Dn-U105dHi_VVKMcaA2SbiGxn2Z2HfyvDcZR9elQ7Do9oN9ExYQopRBc8oR-nVETfIwB2xdtoGoyQq3Ua0aoyQg1G5FEPj7P2zQ92heJf59PwHIGMH1o6zCoaBwOBq0LaEZlvfufeY9BZ6as</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Benoit, Charline</creator><creator>Lopez, Delphine</creator><creator>Loiseau, Murielle</creator><creator>Labreuche, Julien</creator><creator>Kyheng, Maeva</creator><creator>Bourdain, Frédéric</creator><creator>Lapergue, Bertrand</creator><general>Elsevier Inc</general><general>WB Saunders</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0002-8915-0915</orcidid></search><sort><creationdate>20201201</creationdate><title>Impact of a Pre-Discharge Education Session on Stroke Knowledge: a Randomized Trial</title><author>Benoit, Charline ; Lopez, Delphine ; Loiseau, Murielle ; Labreuche, Julien ; Kyheng, Maeva ; Bourdain, Frédéric ; Lapergue, Bertrand</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c498t-270944e1b19d49e30e617b92c82cd57486cdcf6db7aa4df21e268bd3ac5122df3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Computer Science</topic><topic>Education</topic><topic>Female</topic><topic>France</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Literacy</topic><topic>Humans</topic><topic>Ischemic Attack, Transient - diagnosis</topic><topic>Ischemic Attack, Transient - etiology</topic><topic>Ischemic Attack, Transient - therapy</topic><topic>Male</topic><topic>Medical Imaging</topic><topic>Middle Aged</topic><topic>Patient Discharge</topic><topic>Patient Education as Topic</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Risk Reduction Behavior</topic><topic>Self Care</topic><topic>Stroke</topic><topic>Stroke - diagnosis</topic><topic>Stroke - etiology</topic><topic>Stroke - therapy</topic><topic>Stroke knowledge</topic><topic>TIA</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Benoit, Charline</creatorcontrib><creatorcontrib>Lopez, Delphine</creatorcontrib><creatorcontrib>Loiseau, Murielle</creatorcontrib><creatorcontrib>Labreuche, Julien</creatorcontrib><creatorcontrib>Kyheng, Maeva</creatorcontrib><creatorcontrib>Bourdain, Frédéric</creatorcontrib><creatorcontrib>Lapergue, Bertrand</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>Journal of stroke and cerebrovascular diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Benoit, Charline</au><au>Lopez, Delphine</au><au>Loiseau, Murielle</au><au>Labreuche, Julien</au><au>Kyheng, Maeva</au><au>Bourdain, Frédéric</au><au>Lapergue, Bertrand</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of a Pre-Discharge Education Session on Stroke Knowledge: a Randomized Trial</atitle><jtitle>Journal of stroke and cerebrovascular diseases</jtitle><addtitle>J Stroke Cerebrovasc Dis</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>29</volume><issue>12</issue><spage>105272</spage><epage>105272</epage><pages>105272-105272</pages><artnum>105272</artnum><issn>1052-3057</issn><eissn>1532-8511</eissn><abstract>Stroke knowledge, awareness of risk factors and stroke warning symptoms is very poor among stroke survivors. We investigated whether a pre-discharge education intervention in the stroke unit could improve stroke knowledge in patients with TIA or minor stroke.
We performed a prospective single-center, randomized controlled trial (2013-2016) in patients with TIA or minor stroke. The intervention consisted in an interactive group session focused on stroke education, within the stroke unit before hospital discharge. Primary outcome was the 3-month change in stroke knowledge score (SKS) from randomization. Secondary outcomes were the 12-month change in SKS, the number of risk factors and warning signs named, control of risk factors and self-reported adherence.
A total of 199 patients (mean [SD] age, 63.5 [12.4] years; 67 [33.7%] women) were randomized (99 in stroke education session). Intervention was associated with a greater improvement in SKS than in the control group (baseline-adjusted mean between-group difference, 1.6 point [95%CI, 1.4 to 1.9]; p=0.001). This difference was significantly maintained at 12 months. The number of risk factors and warning signs named were significantly increased in the intervention group at 3 months. Control of risk factors and self-reported adherence did not differ significantly between the two groups.
An interactive education session in the stroke unit significantly improved stroke knowledge at 3 months and 12 months in patients with TIA or minor stroke.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32992206</pmid><doi>10.1016/j.jstrokecerebrovasdis.2020.105272</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-8915-0915</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of stroke and cerebrovascular diseases, 2020-12, Vol.29 (12), p.105272-105272, Article 105272 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Aged Computer Science Education Female France Health Knowledge, Attitudes, Practice Health Literacy Humans Ischemic Attack, Transient - diagnosis Ischemic Attack, Transient - etiology Ischemic Attack, Transient - therapy Male Medical Imaging Middle Aged Patient Discharge Patient Education as Topic Prospective Studies Risk Factors Risk Reduction Behavior Self Care Stroke Stroke - diagnosis Stroke - etiology Stroke - therapy Stroke knowledge TIA Time Factors |
| title | Impact of a Pre-Discharge Education Session on Stroke Knowledge: a Randomized Trial |
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