Impact of a theory-informed and user-centered stroke information campaign on the public’s behaviors, attitudes, and knowledge when facing acute stroke: a controlled before-and-after study.

Abstract Background: Public awareness of stroke symptoms is a key factor to ensure access to reperfusion strategies in due time. We designed and launched a regional theory-informed and user-centered information campaign and assessed its impact on emergency medical services (EMS) calls for stroke suspicion, time-to-call, and public attitudes and awareness concerning stroke. Methods: A controlled before-and-after study was conducted during 3 sequential time-periods in 2 separate counties. Key messages of the campaign were underpinned by stroke representations and the theory of planned behavior, and focused on recognition of stroke warning signs and the need to call EMS urgently. The campaign included posters, leaflets, adverts and films displayed in bus and subway stations, internet, social networks, and local radio. Outcome measures on behavior, attitudes, and knowledge were assessed before the launch of the campaign, at 3 months, and 12 months. Results: The number of EMS calls for stroke suspicion increased by 21% at 12 months in the intervention county and this change was significantly different to that observed in the control county (p=0.02). No significant changes were observed regarding self-reported attitudes in case of stroke. An 8% significant increase in recognizing at least 2 stroke warning signs was observed in the intervention county (p=0.04) at 3 months, while it did not change significantly in the control county (p=0.6). However, there was no significant difference in warning sign recognition between both counties (p=0.16). Conclusion: The campaign significantly improved public’s behavior of calling EMS, although stroke knowledge was not improved as much as expected. Repeating these campaigns over time might further help improve timeliness and access to reperfusion strategies.

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Impact of a theory-informed and user-centered stroke information campaign on the public’s behaviors, attitudes, and knowledge when facing acute stroke: a controlled before-and-after study.

10.21203/rs.3.rs-30192/v1 ◽

2020 ◽

Author(s):

Julie Haesebaert ◽

C. Laude ◽

A. Termoz ◽

E. Bravant ◽

N. Perreton ◽

...

Keyword(s):

Public Awareness ◽

Public Attitudes ◽

Warning Signs ◽

Warning Sign ◽

Information Campaign ◽

Significant Difference ◽

Before And After ◽

Attitudes And Knowledge ◽

Before And After Study ◽

User Centered

Abstract Background Public awareness of stroke symptoms is a key factor to ensure access to reperfusion strategies in due time. We designed and launched a regional theory-informed and user-centered information campaign and assessed its impact on emergency medical services (EMS) calls for stroke suspicion, time-to-call, and public attitudes and awareness concerning stroke.Methods A controlled before-and-after study was conducted during 3 sequential time-periods in 2 separate counties. Key messages of the campaign were underpinned by stroke representations and the theory of planned behavior, and focused on recognition of stroke warning signs and the need to call EMS urgently. The campaign included posters, leaflets, adverts and films displayed in bus and subway stations, internet, social networks, and local radio. Outcome measures on behavior, attitudes, and knowledge were assessed before the launch of the campaign, at 3 months, and 12 months.Results The number of EMS calls for stroke suspicion increased by 21% at 12 months in the intervention county and this change was significantly different to that observed in the control county (p = 0.02). No significant changes were observed regarding self-reported attitudes in case of stroke. An 8% significant increase in recognizing at least 2 stroke warning signs was observed in the intervention county (p = 0.04) at 3 months, while it did not change significantly in the control county (p = 0.6). However, there was no significant difference in warning sign recognition between both counties (p = 0.16).Conclusion The campaign significantly improved public’s behavior of calling EMS, although stroke knowledge was not improved as much as expected. Repeating these campaigns over time might further help improve timeliness and access to reperfusion strategies.

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Impact of a theory-informed and user-centered stroke information campaign on the public’s behaviors, attitudes, and knowledge when facing acute stroke: a controlled before-and-after study. Cover title: Impact of the ReACT stroke campaign

10.21203/rs.3.rs-30192/v3 ◽

2020 ◽

Author(s):

Julie Haesebaert ◽

C. Laude ◽

A. Termoz ◽

E. Bravant ◽

N. Perreton ◽

...

Keyword(s):

Public Awareness ◽

Warning Signs ◽

Warning Sign ◽

Information Campaign ◽

Clinical Trial Registration ◽

Significant Difference ◽

Before And After ◽

Attitudes And Knowledge ◽

Before And After Study ◽

User Centered

Abstract Background: Public awareness of stroke symptoms is a key factor to ensure access to reperfusion strategies in due time. We designed and launched a regional theory-informed and user-centered information campaign and assessed its impact on emergency medical services (EMS) calls for stroke suspicion, time-to-call, and public attitudes and awareness concerning stroke.Methods: A controlled before-and-after study was conducted during 3 sequential time-periods in 2 separate counties. Key messages of the campaign were underpinned by stroke representations and the theory of planned behavior, and focused on recognition of stroke warning signs and the need to call EMS urgently. The campaign included posters, leaflets, adverts and films displayed in bus and subway stations, internet, social networks, and local radio. Outcome measures on behavior, attitudes, and knowledge were assessed before the launch of the campaign, at 3 months, and 12 months.Results: The number of EMS calls for stroke suspicion increased by 21% at 12 months in the intervention county and this change was significantly different to that observed in the control county (p=0.02). No significant changes were observed regarding self-reported attitudes in case of stroke. An 8% significant increase in recognizing at least 2 stroke warning signs was observed in the intervention county (p=0.04) at 3 months, while it did not change significantly in the control county (p=0.6). However, there was no significant difference in warning sign recognition between both counties (p=0.16).Conclusion: The campaign significantly improved public’s behavior of calling EMS, although stroke knowledge was not improved as much as expected. Repeating these campaigns over time might further help improve timeliness and access to reperfusion strategies.Clinical Trial Registration-URL: http://www.clinicaltrials.gov. Unique identifier: NCT02846363.

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Impact of a theory-informed and user-centered stroke information campaign on the public’s behaviors, attitudes, and knowledge when facing acute stroke: a controlled before-and-after study.

10.21203/rs.3.rs-30192/v4 ◽

2020 ◽

Author(s):

Julie Haesebaert ◽

C. Laude ◽

A. Termoz ◽

E. Bravant ◽

N. Perreton ◽

...

Keyword(s):

Public Awareness ◽

Warning Signs ◽

Warning Sign ◽

Information Campaign ◽

Unique Identifier ◽

Significant Difference ◽

Before And After ◽

Attitudes And Knowledge ◽

Before And After Study ◽

User Centered

Abstract Background: Public awareness of stroke symptoms is a key factor to ensure access to reperfusion strategies in due time. We designed and launched a regional theory-informed and user-centered information campaign and assessed its impact on emergency medical services (EMS) calls for stroke suspicion, time-to-call, and public attitudes and awareness concerning stroke.Methods: A controlled before-and-after study was conducted during 3 sequential time-periods in 2 separate counties. Key messages of the campaign were underpinned by stroke representations and the theory of planned behavior, and focused on recognition of stroke warning signs and the need to call EMS urgently. The campaign included posters, leaflets, adverts and films displayed in bus and subway stations, internet, social networks, and local radio. Outcome measures on behavior, attitudes, and knowledge were assessed before the launch of the campaign, at 3 months, and 12 months.Results: The number of EMS calls for stroke suspicion increased by 21% at 12 months in the intervention county and this change was significantly different to that observed in the control county (p=0.02). No significant changes were observed regarding self-reported attitudes in case of stroke. An 8% significant increase in recognizing at least 2 stroke warning signs was observed in the intervention county (p=0.04) at 3 months, while it did not change significantly in the control county (p=0.6). However, there was no significant difference in warning sign recognition between both counties (p=0.16).Conclusion: The campaign significantly improved public’s behavior of calling EMS, although stroke knowledge was not improved as much as expected. Repeating these campaigns over time might further help improve timeliness and access to reperfusion strategies.Clinical Trial Registration-URL: http://www.clinicaltrials.gov. Unique identifier: NCT02846363.

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Impact of a theory-informed and user-centered stroke information campaign on the public’s behaviors, attitudes, and knowledge when facing acute stroke: a controlled before-and-after study

BMC Public Health ◽

10.1186/s12889-020-09795-y ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Julie Haesebaert ◽

Caroline Laude ◽

Anne Termoz ◽

Estelle Bravant ◽

Nathalie Perreton ◽

...

Keyword(s):

Public Awareness ◽

Warning Signs ◽

Trial Registration ◽

Information Campaign ◽

Link Type ◽

Significant Difference ◽

Before And After ◽

Attitudes And Knowledge ◽

Before And After Study ◽

User Centered

Abstract Background Public awareness of stroke symptoms is a key factor to ensure access to reperfusion strategies in due time. We designed and launched a regional theory-informed and user-centered information campaign and assessed its impact on emergency medical services (EMS) calls for stroke suspicion, time-to-call, and public attitudes and awareness concerning stroke. Methods A controlled before-and-after study was conducted during 3 sequential time-periods in 2 separate counties. Key messages of the campaign were underpinned by stroke representations and the theory of planned behavior, and focused on recognition of stroke warning signs and the need to call EMS urgently. The campaign included posters, leaflets, adverts and films displayed in bus and subway stations, internet, social networks, and local radio. Outcome measures on behavior, attitudes, and knowledge were assessed before the launch of the campaign, at 3 months, and 12 months. Results The number of EMS calls for stroke suspicion increased by 21% at 12 months in the intervention county and this change was significantly different to that observed in the control county (p = 0.02). No significant changes were observed regarding self-reported attitudes in case of stroke. An 8% significant increase in recognizing at least 2 stroke warning signs was observed in the intervention county (p = 0.04) at 3 months, while it did not change significantly in the control county (p = 0.6). However, there was no significant difference in warning sign recognition between both counties (p = 0.16). Conclusion The campaign significantly improved public’s behavior of calling EMS, although stroke knowledge was not improved as much as expected. Repeating these campaigns over time might further help improve timeliness and access to reperfusion strategies. Trial registration Clinical Trial Registration-URL: http://www.clinicaltrials.gov. Unique identifier: NCT02846363.

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Comparing the attitudes and knowledge of psychiatric residents about psychotherapy before and after the psychotherapy rotation

World Journal of Advanced Research and Reviews ◽

10.30574/wjarr.2020.8.2.0417 ◽

2020 ◽

Vol 8 (2) ◽

pp. 255-261

Author(s):

Ali Nazeri astaneh ◽

Neda Ali Beigi ◽

Farzad Nassirifar

Keyword(s):

Comparative Method ◽

Negative Attitudes ◽

Negative Stereotypes ◽

Psychiatric Residents ◽

Significant Difference ◽

Before And After ◽

Attitudes And Knowledge ◽

The Difference ◽

Knowledge And Attitude ◽

Rehabilitation Sciences

Introduction: The evidence show that the attitudes to any specialty can be improved as a result of a skillful and interested presentation and negative attitudes toward psychiatry can be the particular target in clinical and non-clinical courses [1]. The present study aimed to compare the attitudes and knowledge of psychiatric residents about psychotherapy before and after the psychotherapy rotation. Methodology: The present study was a descriptive research using causal-comparative method. The population consisted of all psychiatric residents in the universities of Tehran in 2018-2019. The study was a census and all residents were asked to participate if they were willing to. From different universities of medical sciences including Iran, Shahid Beheshti, Tehran, Social Welfare and Rehabilitation Sciences, 27, 24, 25, and 41 subjects were included in the study, respectively. The total number of subjects was 117. The researcher-made questionnaire was used for three groups of residents to assess their psychiatric attitudes and knowledge: the residents who passed the theoretical and practical psychotherapy courses, the residents who have not yet passed the psychotherapy course, and those who were passing the theoretical course. Cronbach's alpha coefficients for internal consistency of attitude and knowledge were 0.953 and 0.985, respectively. Findings: one-way variance analysis test was used to analyze the variables. According to the results of this test, there was a significant difference among the psychiatric residents in terms of knowledge and attitude (p<0.01). Moreover, regarding the means obtained for each group, it can be said that the residents who passed the theoretical and practical courses of psychotherapy had higher mean in attitude and knowledge than the other two groups; the difference was statistically significant. Conclusion: in any educational relationship, the attitudes of educators and learners play a key role in effectiveness and success. The psychotherapy course can change the negative stereotypes about psychiatry in psychiatrists and provide an important opportunity to change their negative attitudes.

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Does increased duration of consultant presence affect length of hospital stay for unplanned admissions in acute paediatrics?: an observational before-and-after analysis using administrative healthcare data

Archives of Disease in Childhood ◽

10.1136/archdischild-2016-311318 ◽

2016 ◽

Vol 102 (6) ◽

pp. 516-521 ◽

Cited By ~ 1

Author(s):

Daniel Cromb ◽

Chris Carter ◽

Claire Lemer ◽

C Ronny Cheung

Keyword(s):

Hospital Stay ◽

Workforce Planning ◽

Length Of Hospital Stay ◽

Readmission Rates ◽

Healthcare Data ◽

Diagnostic Thresholds ◽

Significant Difference ◽

Before And After ◽

Unplanned Admissions ◽

Before And After Study

ObjectivesThis study aims to review whether implementation of increased duration of consultant presence is associated with reduction in length of hospital stay (LoS) in children with an unplanned admission to hospital.Method (design/setting/participants/interventions/outcome measures)An observational before-and-after study of all unplanned general paediatric admissions to a UK hospital between 1 September 2012 and 31 August 2015, comparing LoS and readmission rates before and after implementation of a policy mandating consultant review within 12 hours of unplanned hospital admission.Results5367 inpatient admissions were analysed: 3386 prior to implementation of the policy and 1981 afterwards. There was no significant difference in median LoS between the two groups or in readmission rates at 24 hours, 48 hours or 7 days. However, among children who stayed in hospital for under 24 hours, and those who were discharged with a diagnosis of acute gastroenteritis, consultant review within 12 hours of admission was associated with a shorter LoS—respectively, 16 hours 23 min versus 15 hours 45 min (p=0.01) and 28 hours 46 min versus 19 hours 41 m (p<0.01).ConclusionsIncreased duration of consultant presence was not associated with significant impact on LoS, other than in admissions of brief duration and in gastroenteritis, where diagnosis is based on clinical judgement in the absence of objective diagnostic thresholds. Future studies should focus on whether these results are generalisable across other settings, and other measures of cost-effectiveness of early consultant review, given the major implications on resource and workforce planning of such policies.

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The Effectiveness of a Psychoeducational Group Program with Inpatients Being Treated for Chronic Mental Illness

Social Behavior and Personality An International Journal ◽

10.2224/sbp.2010.38.5.657 ◽

2010 ◽

Vol 38 (5) ◽

pp. 657-666 ◽

Cited By ~ 2

Author(s):

Zekiye Cetinkaya Duman ◽

Nazmiye Kocaman Yildirim ◽

Alp Ucok ◽

Filiz Er ◽

Turkan Kanik

Keyword(s):

Mental Illness ◽

Warning Signs ◽

Chronic Mental Illness ◽

Emergency Plan ◽

Medication Effects ◽

Number Of Patients ◽

Significant Difference ◽

Before And After ◽

History Of ◽

Program Content

The aim in this study was to measure the effectiveness of a psychoeducation program with inpatients who had chronic mental illness and a history of repeat hospitalization for this. A questionnaire was developed to evaluate the program content was completed by 46 patients before and after they took part in the program. The questionnaire assessed patients' management of the illness, medication effects and side effects, warning signs of relapse, and ways of developing an emergency plan. With the exception of 1 question, there was a significant difference in the number of patients who responded to the items of the questionnaire between the pre- and posttests. The results of the study showed that the patients were able to learn about complex material presented in a short but well-structured training program during a brief typical inpatient stay.

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Abstract 218: Do mass media campaigns about stroke influence the number of calls to Emergency Medical Services Dispatch Center?

Circulation Cardiovascular Quality and Outcomes ◽

10.1161/circoutcomes.6.suppl_1.a218 ◽

2013 ◽

Vol 6 (suppl_1) ◽

Author(s):

Muriel FREDERIC ◽

Anna Ozguler ◽

Thomas Loeb ◽

Michel Baer

Keyword(s):

Mass Media ◽

Emergency Medical Services ◽

Public Awareness ◽

Target Population ◽

Warning Signs ◽

Medical Services ◽

Media Campaigns ◽

Emergency Medical ◽

Paris Area ◽

Significant Difference

Introduction: Raising public awareness of stroke warning signs has been attempted in several places. Studies show that stroke recognition by the public is challenging and efficiency of mass media campaigns remains uncertain. In France, national mass media campaigns have been launched since 2002, including FAST warning signs (http://www.strokeassociation.org). End October 2011, a campaign was launched with radio and TV spots. In fall 2012, radio spots were broadcasted during 10-days and were later followed by other media such as TV and press. Each campaign cost 1.5M$. Influence of these campaigns on the number of calls to Emergency Medical Services dispatch center (EMS) was evaluated during these periods in an EMS, located in Paris area and serving an urban population of 1.5 Million inhabitants. Methods: Data concern 1258 calls to EMS for stroke collected from 10/2/2011 to 11/23/2012. Number of calls was analyzed for this time period, with a specific focus on the 2 campaign periods. In addition, patients’ socio-economic profile and delay from symptoms’ onset to call were compared 1 month before and 1 month after these 2 campaigns. Results: More calls occurred during the 1 st campaign, with a rapid normalization of calls afterwards, whereas the 2 nd campaign did not increase number of calls (figure 1). In 2011 more males called EMS after the campaign but with no significant difference. In 2012, younger people called more, but with no difference in gender or residential area. The patients did not call earlier after both campaigns (table 1). Conclusion: These 2 campaigns had no impact on the amount of calls. Moreeffort should be made on patients’ education and a new strategy to reach target population must be clearly defined.

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Outcomes of Telemedicine Intervention in a Regional Intensive Care Unit: A before and after Study

Anaesthesia and Intensive Care ◽

10.1177/0310057x1704500511 ◽

2017 ◽

Vol 45 (5) ◽

pp. 605-610 ◽

Cited By ~ 4

Author(s):

O. M. Panlaqui ◽

E. Broadfield ◽

R. Champion ◽

J. P. Edington ◽

S. Kennedy

Keyword(s):

Intensive Care ◽

Relative Risk ◽

Linear Regression Analysis ◽

Hospital Length Of Stay ◽

High Dependency Unit ◽

Regional Centre ◽

High Dependency ◽

Significant Difference ◽

Before And After ◽

Before And After Study

Telemedicine consultations in remote intensive care units (ICUs) overseas were found to be effective in reducing mortality and hospital length of stay (LOS). In Australia, there were anecdotal reports of these clinical outcomes. This retrospective before and after study assessed the improvement in patient outcomes with the implementation of a telemedicine program in a regional high dependency unit. Daily virtual consultations were conducted between the rural facility and the intensivists at the regional centre. A total of 525 patients received intensive care support between 2010 and 2015. Hospital and High Dependency Unit mortality showed no evidence of significant differences between the telemedicine group and the baseline (relative risk 1.02, 95% confidence interval [CI] 0.99–1.06, P=0.25 and relative risk 1.00, 95% CI 0.98–1.03, P=0.67 respectively). The hospital LOS was lower in the baseline group by 1.5 days. There was no significant difference in High Dependency Unit LOS. To adjust for the covariates in LOS, log linear regression analysis was performed. The telemedicine intervention, Acute Physiology and Chronic Health Evaluation II scores and inter-hospital transfers were found to contribute significantly to hospital LOS. The most important result of the study was that the proportion of inter-hospital transfers was lower in the telemedicine group (relative risk 0.88, 95% CI 0.80–0.98, P=0.03) compared to baseline. This means that critically ill patients in our regional centre can continue to receive specialist care remotely through tele-ICU consultations thus avoiding the need for patient transport. However, further study is needed to establish the benefits and risks of telemedicine intervention in ICUs in Australia.

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The Effect of Mental Health and Psychosocial Support (MHPS)Training on The Public Awareness of New Habitual Adaptations (NHA): A Pilot Research

Jurnal Keperawatan Soedirman ◽

10.20884/1.jks.2021.16.3.1869 ◽

2021 ◽

Vol 16 (3) ◽

Author(s):

Susanti Niman ◽

Habsyah Saparidah Agustina ◽

Sri Wahyuni ◽

Niken Yuniar Sari ◽

Retty Octi Syafrini ◽

...

Keyword(s):

Mental Health ◽

Psychosocial Support ◽

Public Awareness ◽

Health Condition ◽

P Value ◽

Increased Risk ◽

Significant Difference ◽

Before And After ◽

Quasi Experimental ◽

The Impact

Background: The COVID-19 pandemic has a physical impact and on the mental health condition of the community. The existence of psychological distress due to the Covid 19 pandemic will affect the body's physiological conditions, such as reduced immune system responses and increased risk of infection, and the impact on mental health. The COVID-19 pandemic demands a change in people's behavior. Mental health and psychosocial support training is very important for the community so that the community can actively maintain mental and physical health. The research objective is to identify the effect of DKJPS training on awareness of new adaptation readiness. Method: The research was conducted through a quasi-experimental pre-post-test without control on 44 participants in the DKJPS training. Result: there is a significant difference between awareness of adaptation new habits before and after training (p-value 0.001). Conclusion: Mental health and psychosocial support training conducted in the community can increase public awareness of new adaptation habits independently.

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