Background
School-based intervention would be promising to spread stroke knowledge widely. This
study aimed to clarify the effectiveness of our new educational aids that were developed
for elementary school children to impart information about stroke to children and
their parents in 2 different ways: with or without stroke lessons by a neurologist.
Methods
We enrolled 562 children (aged 11 to 12 years) and their parents (n = 485). The students
were divided into 2 groups: 323 received a lesson on stroke by a stroke neurologist
without watching an animated cartoon (Group I), and 239 watched an animated cartoon
without the lesson (Group II). All of the children took the manga home, and talked
about stroke with their parents. Questionnaires on stroke knowledge were administered
at baseline (BL), immediately after the lesson (IL), and 3 months (3M) after the lesson.
Results
There were significant increases in the adjusted mean scores for risk factors as well
as stroke symptoms at 3M in both groups compared with BL scores, although the children
in Group I scored significantly better than those in Group II at IL and 3M (P < .05). In both children and parents, the correct answer rates of the FAST mnemonic
at 3M were around 90%, with no significant differences between groups.
Conclusions
Stroke education for elementary school children using our educational aids provided
knowledge of stroke symptoms to the children as well as their parents even without
lessons on stroke, although a better understanding of stroke was obtained from lessons
led by stroke neurologists.
Key Words
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References
- A randomized trial of intraarterial treatment for acute ischemic stroke.N Engl J Med. 2015; 372: 11-20
- Randomized assessment of rapid endovascular treatment of ischemic stroke.N Engl J Med. 2015; 372: 1019-1030
- Endovascular therapy for ischemic stroke with perfusion-imaging selection.N Engl J Med. 2015; 372: 1009-1018
- Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke.N Engl J Med. 2015; 372: 2285-2295
- Thrombectomy within 8 hours after symptom onset in ischemic stroke.N Engl J Med. 2015; 372: 2296-2306
- Stroke education by using an animated cartoon and a manga for junior high school students.J Stroke Cerebrovasc Dis. 2014; 23: 1623-1627
- The effectiveness of a stroke educational activity performed by a schoolteacher for junior high school students.J Stroke Cerebrovasc Dis. 2014; 23: 1385-1390
- Stroke education program of act FAST for junior high school students and their parents.J Stroke Cerebrovasc Dis. 2014; 23: 1040-1045
- Effects of stroke education of junior high school students on stroke knowledge of their parents: Tochigi project.Stroke. 2015; 46: 572-574
- Effects of stroke education using an animated cartoon and a manga on elementary school children.J Stroke Cerebrovasc Dis. 2014; 23: 1877-1881
- Cincinnati prehospital stroke scale: reproducibility and validity.Ann Emerg Med. 1999; 33: 373-378
- A school-based intervention for diabetes risk reduction.N Engl J Med. 2010; 363: 443-453
- Healthier options for public schoolchildren program improves weight and blood pressure in 6- to 13-year-olds.J Am Diet Assoc. 2010; 110: 261-267
- Effect of childhood obesity prevention programs on blood pressure: a systematic review and meta-analysis.Circulation. 2014; 129: 1832-1839
- Effective education materials to advance stroke awareness without teacher participation in junior high school students.J Stroke Cerebrovasc Dis. 2015; 24: 2533-2538
- “Hip-hop” stroke: a stroke educational program for elementary school children living in a high-risk community.Stroke. 2008; 39: 2809-2816
- Child-mediated stroke communication: findings from Hip hop stroke.Stroke. 2012; 43: 163-169
- Effect of a novel video game on stroke knowledge of 9- to 10-year-old, low-income children.Stroke. 2014; 45: 889-892
Article info
Publication history
Published online: November 09, 2016
Accepted:
October 10,
2016
Received in revised form:
September 28,
2016
Received:
August 16,
2016
Footnotes
Grant support: The Intramural Research Fund of the National Cerebral and Cardiovascular Center (27-1-3).
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2016.10.005
Copyright
© 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.
