- 作者：Fumio Miyashita ; MD&lowast ; ; Chiaki Yokota ; MD&lowast ; ; cyokota@ncvc.go.jp" class="auth_mail ; Kunihiro Nishimura ; MD&dagger ; ; Tatsuo Amano ; MD&lowast ; ; Yasuteru Inoue ; MD&lowast ; ; Yuya Shigehatake ; MD&lowast ; ; Yuki Sakamoto ; MD&lowast ; ; Shoko Tani ; PhD&Dagger ; ; Hiroshi Narazaki ; MS§ ; ; Kazunori Toyoda ; MD&lowast ; ; Kazuo Nakazawa ; PhD&Dagger ; ; Kazuo Minematsu ; MD&lowast ;
- 关键词：School-based intervention ; stroke enlightenment ; FAST ; online system
- 刊名：Journal of Stroke and Cerebrovascular Diseases
- 出版年：July 2014
- 年：2014
- 卷：23
- 期：6
- 页码：1385-1390
- 全文大小：467 K
Methods
A stroke neurologist gave a stroke lesson to 25 students (S group) and a schoolteacher through our stroke education system. After instruction, the schoolteacher performed the same lesson using the same education system to another 75 students (T group). Questionnaires on stroke knowledge were examined at baseline, immediately after the lesson (IL), and at 3 months after the lesson (3M). We analyzed the results of stroke knowledge assessment by linear mixed effects models adjusted for gender and class difference using the student number.
Results
We assessed 24 students in the S group and 72 students in the T group. There were no significant differences in the changes of predicted scores of symptoms and risk factors adjusted for gender, class difference, and each student knowledge level until 3M between the 2 groups. Correct answer rates for the meaning of the FAST (facial droop, arm weakness, speech disturbance, time to call 119) at IL were 92% in the S group and 72% in the T group, respectively. At 3M, they were 83% in the S group and 84% in the T group. The correct answer rates of FAST at 3M were not significantly different adjusted for group, gender, class difference, and correct answer rate at IL.
Conclusions
A schoolteacher can conduct the FAST message lesson to junior high school students with a similar outcome as a stroke neurologist using our stroke education system.