SynthesisBMC public health2010
Systematic review of mass media interventions designed to improve public recognition of stroke symptoms, emergency response and early treatment.
Synthesis in BMC public health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03759691 (Stroke Awareness and Help-seeking Behaviour), which is not on this map. Cited by 79 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Stroke Awareness and Help-seeking Behaviour: Predictors for Prehospital Delay in Stroke Treatment
Who cites it
79 citing papers in PubMed, 3 syntheses or guidelines pooled it, 206 citations in OpenAlex.
- Interventions to increase patient and family involvement in escalation of care for acute life-threatening illness in community health and hospital settings.The Cochrane database of systematic reviews · 2020Pooled it
- Does socioeconomic position affect knowledge of the risk factors and warning signs of stroke in the WHO European region? A systematic literature review.BMC public health · 2020Pooled it
- Health promotion interventions for increasing stroke awareness in ethnic minorities: a systematic review of the literature.BMC public health · 2014Pooled it
- Efficacy of five strategies to improve stroke action awareness in Spanish-speaking adults: A randomized comparison.International journal of stroke : official journal of the International Stroke Society · 2026Trial
- Why Patients Delay Their First Contact with Health Services After Stroke? A Qualitative Focus Group-Based Study.PloS one · 2016Trial
- Tailored approaches to stroke health education (TASHE): study protocol for a randomized controlled trial.Trials · 2015Trial
- Perceptions of Signs of Addiction Among Opioid Naive Patients Prescribed Opioids in the Emergency Department.Journal of addiction medicineTrial
- Factors associated with prehospital delay in stroke: A multicentre study from eastern India.The Indian journal of medical research · 2026Article
- Disparities in Prehospital Stroke Care: Neighbourhood Socioeconomic Status and Delays in Hospital Presentation.Cerebrovascular diseases (Basel, Switzerland) · 2026Article
- Race- and Ethnicity-Specific Hospital Arrival and Emergency Medicine Service Activation Times by US State for Ischemic Stroke.Journal of the American Heart Association · 2026Article
- Examining Stroke Symptom Messages Implemented Globally: A Need for Contextually Relevant Stroke Symptom Messaging.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026Article
- Barriers to Early Hospital Presentation in Acute Stroke: Findings from a Cohort Study.Annals of Indian Academy of Neurology · 2025Article
- Lifestyle Knowledge and Behavior Among Stroke and High-Risk Younger Adult Patients Through Sex, Age and Stroke Status Differences: A Cross-Sectional Study.American journal of lifestyle medicine · 2025Article
- Article
- Stroke knowledge and attitudes influence early hospital arrival in acute ischemic stroke: a multicenter cross-sectional survey from Hubei Province, China.Frontiers in neurology · 2025Article
- Improving stroke awareness through a culturally adapted audiovisual intervention in the United Arab Emirates.Frontiers in neurology · 2025Article
- Stroke Experiences and Unmet Needs of Individuals of African Descent Living in High-Income Economy Countries: a Qualitative Meta-Synthesis.Journal of racial and ethnic health disparities · 2024Review
- Predictive models for delay in medical decision-making among older patients with acute ischemic stroke: a comparative study using logistic regression analysis and lightGBM algorithm.BMC public health · 2024Article
- Article
- Trends in Stroke Thrombolysis Care Metrics and Outcomes by Race and Ethnicity, 2003-2021.JAMA network open · 2024Article
19 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundMass media interventions have been implemented to improve emergency response to stroke given the emergence of effective acute treatments, but their impact is unclear.
methodsSystematic review of mass media interventions aimed at improving emergency response to stroke, with narrative synthesis and review of intervention development.
resultsTen studies were included (six targeted the public, four both public and professionals) published between 1992 and 2010. Only three were controlled before and after studies, and only one had reported how the intervention was developed. Campaigns aimed only at the public reported significant increase in awareness of symptoms/signs, but little impact on awareness of need for emergency response. Of the two controlled before and after studies, one reported no impact on those over 65 years, the age group at increased risk of stroke and most likely to witness a stroke, and the other found a significant increase in awareness of two or more warning signs of stroke in the same group post-intervention. One campaign targeted at public and professionals did not reduce time to presentation at hospital to within two hours, but increased and sustained thrombolysis rates. This suggests the campaign had a primary impact on professionals and improved the way that services for stroke were organised.
conclusionsCampaigns aimed at the public may raise awareness of symptoms/signs of stroke, but have limited impact on behaviour. Campaigns aimed at both public and professionals may have more impact on professionals than the public. New campaigns should follow the principles of good design and be robustly evaluated.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.