Effects of a school-based stroke education program on stroke-related knowledge and behaviour modification ۥschool class based intervention study for elementary school students and parental guardians in a Japanese rural area

Suzuka Kato, Tomonori Okamura, Kazuyo Kuwabara, Hidehiro Takekawa, Masanori Nagao, Mitsumasa Umesawa, Daisuke Sugiyama, Naomi Miyamatsu, Tenyu Hino, Shinichi Wada, Takuro Arimizu, Toru Takebayashi, Gen Kobashi, Koichi Hirata, Chiaki Yokota, Kazuo Minematsu

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Objectives This study aimed to determine the effect of a stroke education programme on elementary school students and their parental guardians in a rural area in Japan that has high stroke mortality. Design School class based intervention study. Setting Eleven public elementary schools in Tochigi Prefecture, Japan. Participants 268 students aged 11-12 years and 267 parental guardians. Interventions Students received lessons about stroke featuring animated cartoons and were instructed to communicate their knowledge about stroke to their parental guardians using material (comic books) distributed in the lessons. Stroke knowledge (symptoms, risk factors and attitude towards stroke) and behavioural change for risk factors were assessed at baseline, immediately after the programme and at 3 months. We also evaluated behavioural change for risk factors among parental guardians. Results The percentage of students with all correct answers for stroke symptoms, risk factors and the recommended response to stroke was significantly increased at 3 months P<0.001). We observed a significant increase in the percentage of guardians who chose all correct symptoms (P<0.001: 61.0% vs 85.4%) and risk factors (P<0.001: 41.2% vs 59.9%) at 3 months compared with baseline. The percentage of parental guardians with a high behavioural response to improving risk factors was significantly increased at 3 months compared with baseline (P<0.001). Conclusions In a rural population with high stroke mortality, stroke education can improve knowledge about stroke in elementary school students and their parental guardians. Ethics and dissemination We conducted the intervention as a part of compulsory education; this study was not a clinical trial. This study was approved by the Ethics Committee of the National Cerebral and Cardiovascular Center (M27-026).

元の言語English
記事番号e017632
ジャーナルBMJ open
7
発行部数12
DOI
出版物ステータスPublished - 2017 12 1

ASJC Scopus subject areas

  • Medicine(all)

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