Assessing the Efficacy of an Educational Video on Stroke Knowledge in Lebanon: a Single-arm Interventional Study

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2024 Nov 1

PMID 39482602

Authors

Jihan Safwan

Katia Iskandar

Chadia Haddad

Hala Sacre

Pascale Salameh

Serena Youssef

Tatiana Akl

Yasmina Sfeir

Hassan Hosseini

Fouad Sakr

Michelle Cherfane

Affiliations

Soon will be listed here.

Abstract

Objective: This study aimed to assess the public's knowledge of stroke before and after viewing an educational video about stroke risk factors, preventive measures, and alarming signs.

Methods: A single-arm interventional study was conducted in Lebanon using a 3-minute video-based education about stroke. A pre- and post-structured questionnaire compared the level of knowledge about stroke.

Results: The study included 685 participants. Knowledge of stroke, risk factors, warning signs, treatment, and preventive measures significantly increased post-educational video sessions. A higher baseline knowledge score was associated with a family history of stroke (Beta = 1.76) and being a healthcare professional (Beta = 3.35). Participants between 25 and 34 years (Beta=-1.39) and those with a high risk of stroke (Beta=-1.03) were significantly associated with a lower knowledge score.

Conclusion: This study demonstrated the effectiveness of a video-based educational tool to raise awareness about stroke. Short, targeted audio-visual resources using lay language can convey health education messages and influence behavioral changes. The community can benefit from a large-scale educational campaign that targets different socio-economic statuses to enhance knowledge of stroke and save lives.

References

Derex L, Adeleine P, Nighoghossian N, Honnorat J, Trouillas P . [Knowledge about stroke in patients admitted in a French Stroke Unit]. Rev Neurol (Paris). 2004; 160(3):331-7. DOI: 10.1016/s0035-3787(04)70908-x. View

Dahodwala M, Geransar R, Babion J, de Grood J, Sargious P . The impact of the use of video-based educational interventions on patient outcomes in hospital settings: A scoping review. Patient Educ Couns. 2018; 101(12):2116-2124. DOI: 10.1016/j.pec.2018.06.018. View

Rosamond W, Folsom A, Chambless L, Wang C, McGovern P, Howard G . Stroke incidence and survival among middle-aged adults: 9-year follow-up of the Atherosclerosis Risk in Communities (ARIC) cohort. Stroke. 1999; 30(4):736-43. DOI: 10.1161/01.str.30.4.736. View

Sadeghi-Hokmabadi E, Shams Vahdati S, Rikhtegar R, Ghasempour K, Rezabakhsh A . Public knowledge of people visiting Imam Reza hospital regarding stroke symptoms and risk factors. BMC Emerg Med. 2019; 19(1):36. PMC: 6599227. DOI: 10.1186/s12873-019-0250-5. View

Pandian J, Jaison A, Deepak S, Kalra G, Shamsher S, Lincoln D . Public awareness of warning symptoms, risk factors, and treatment of stroke in northwest India. Stroke. 2005; 36(3):644-8. DOI: 10.1161/01.STR.0000154876.08468.a0. View

Herpich F, Rincon F . Management of Acute Ischemic Stroke. Crit Care Med. 2020; 48(11):1654-1663. PMC: 7540624. DOI: 10.1097/CCM.0000000000004597. View

Kim Y, Park S, Bae H, Heo J, Kwon S, Lee B . Public awareness of stroke in Korea: a population-based national survey. Stroke. 2011; 43(4):1146-9. DOI: 10.1161/STROKEAHA.111.638460. View

Arisegi S, Awosan K, Oche M, Sabir A, Ibrahim M . Knowledge and practices related to stroke prevention among hypertensive and diabetic patients attending Specialist Hospital, Sokoto, Nigeria. Pan Afr Med J. 2018; 29:63. PMC: 5987157. DOI: 10.11604/pamj.2018.29.63.13252. View

Sakr F, Dabbous M, Akel M, Salameh P, Hosseini H . Adherence to Post-Stroke Pharmacotherapy: Scale Validation and Correlates among a Sample of Stroke Survivors. Medicina (Kaunas). 2022; 58(8). PMC: 9413934. DOI: 10.3390/medicina58081109. View

10.

Sug Yoon S, Heller R, Levi C, Wiggers J, Fitzgerald P . Knowledge of stroke risk factors, warning symptoms, and treatment among an Australian urban population. Stroke. 2001; 32(8):1926-30. DOI: 10.1161/01.str.32.8.1926. View

11.

Sposito J, Zipf A, Alhowaymel F, Almutairi M, Breda K . Community-Based Stroke Recognition Education and Response: An Evidence-Based Intervention Project. Creat Nurs. 2018; 24(4):251-257. DOI: 10.1891/1078-4535.24.4.251. View

12.

Kleindorfer D, Khoury J, Broderick J, Rademacher E, Woo D, Flaherty M . Temporal trends in public awareness of stroke: warning signs, risk factors, and treatment. Stroke. 2009; 40(7):2502-6. PMC: 2743479. DOI: 10.1161/STROKEAHA.109.551861. View

13.

Abdo R, Abboud H, Salameh P, El Hajj T, Hosseini H . Mortality and Predictors of Death Poststroke: Data from a Multicenter Prospective Cohort of Lebanese Stroke Patients. J Stroke Cerebrovasc Dis. 2019; 28(4):859-868. DOI: 10.1016/j.jstrokecerebrovasdis.2018.11.033. View

14.

Stroebele N, Muller-Riemenschneider F, Nolte C, Muller-Nordhorn J, Bockelbrink A, Willich S . Knowledge of risk factors, and warning signs of stroke: a systematic review from a gender perspective. Int J Stroke. 2011; 6(1):60-6. DOI: 10.1111/j.1747-4949.2010.00540.x. View

15.

Tibebu N, Emiru T, Tiruneh C, Nigat A, Abate M, Demelash A . Knowledge on Prevention of Stroke and Its Associated Factors Among Hypertensive Patients at Debre Tabor General Hospital: An Institution-Based Cross-Sectional Study. Risk Manag Healthc Policy. 2021; 14:1681-1688. PMC: 8075354. DOI: 10.2147/RMHP.S303876. View

16.

Schwamm L, Pancioli A, Acker 3rd J, Goldstein L, Zorowitz R, Shephard T . Recommendations for the establishment of stroke systems of care: recommendations from the American Stroke Association's Task Force on the Development of Stroke Systems. Stroke. 2005; 36(3):690-703. DOI: 10.1161/01.STR.0000158165.42884.4F. View

17.

Saade S, Hallit S, Salameh P, Hosseini H . Knowledge and Response to Stroke Among Lebanese Adults: A Population-Based Survey. Front Public Health. 2022; 10:891073. PMC: 9203897. DOI: 10.3389/fpubh.2022.891073. View

18.

Meer R, van de Pol J, van den Brandt P, Schouten L . The association of healthy lifestyle index score and the risk of renal cell cancer in the Netherlands cohort study. BMC Cancer. 2023; 23(1):156. PMC: 9933336. DOI: 10.1186/s12885-023-10627-6. View

19.

Wahab K, Kayode O, Musa O . Knowledge of stroke risk factors among Nigerians at high risk. J Stroke Cerebrovasc Dis. 2014; 24(1):125-9. DOI: 10.1016/j.jstrokecerebrovasdis.2014.07.053. View

20.

Faiz K, Sundseth A, Thommessen B, Ronning O . Patient knowledge on stroke risk factors, symptoms and treatment options. Vasc Health Risk Manag. 2018; 14:37-40. PMC: 5808699. DOI: 10.2147/VHRM.S152173. View