Evidence map›Paper›PMID 26419968›Full record

ArticleStroke2015

Differences Between US and UK Adults in Stroke Preparedness: Evidence From Parallel Population-Based Community Surveys.

Stephan U Dombrowski, Gary A Ford, Lewis B Morgenstern, Martin White, Falko F Sniehotta, Joan E Mackintosh, Paul Gellert, Lesli E Skolarus

Open access · hybridAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Stroke, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

Stephan U DombrowskiFrom the Division of Psychology, School of Natural Sciences, University of Stirling, Stirling, UK (S.U.D.); Institute for Ageing & Health (G.A.F.) and Institute of Health & Society (M.W., F.F.S., J.E.M.), Newcastle University, Newcastle upon Tyne, UK; Medical Sciences Division, University of Oxford, John Radcliffe Hospital, Oxford, UK (G.A.F.); Stroke Program, Department of Neurology, University of Michigan (L.B.M., L.E.S.); Centre for Diet & Activity Research (CEDAR), MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, UK (M.W.); Fuse, UKCRC Centre for Translation Research in Public Health, Newcastle University, Newcastle upon Tyne, UK (F.F.S.); and Institute of Medical Sociology, Charité-Universitätsmedizin Berlin, Berlin, Germany (P.G.). s.u.dombrowski@stir.ac.uk.
Gary A FordFrom the Division of Psychology, School of Natural Sciences, University of Stirling, Stirling, UK (S.U.D.); Institute for Ageing & Health (G.A.F.) and Institute of Health & Society (M.W., F.F.S., J.E.M.), Newcastle University, Newcastle upon Tyne, UK; Medical Sciences Division, University of Oxford, John Radcliffe Hospital, Oxford, UK (G.A.F.); Stroke Program, Department of Neurology, University of Michigan (L.B.M., L.E.S.); Centre for Diet & Activity Research (CEDAR), MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, UK (M.W.); Fuse, UKCRC Centre for Translation Research in Public Health, Newcastle University, Newcastle upon Tyne, UK (F.F.S.); and Institute of Medical Sociology, Charité-Universitätsmedizin Berlin, Berlin, Germany (P.G.).
Lewis B MorgensternFrom the Division of Psychology, School of Natural Sciences, University of Stirling, Stirling, UK (S.U.D.); Institute for Ageing & Health (G.A.F.) and Institute of Health & Society (M.W., F.F.S., J.E.M.), Newcastle University, Newcastle upon Tyne, UK; Medical Sciences Division, University of Oxford, John Radcliffe Hospital, Oxford, UK (G.A.F.); Stroke Program, Department of Neurology, University of Michigan (L.B.M., L.E.S.); Centre for Diet & Activity Research (CEDAR), MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, UK (M.W.); Fuse, UKCRC Centre for Translation Research in Public Health, Newcastle University, Newcastle upon Tyne, UK (F.F.S.); and Institute of Medical Sociology, Charité-Universitätsmedizin Berlin, Berlin, Germany (P.G.).
Martin WhiteFrom the Division of Psychology, School of Natural Sciences, University of Stirling, Stirling, UK (S.U.D.); Institute for Ageing & Health (G.A.F.) and Institute of Health & Society (M.W., F.F.S., J.E.M.), Newcastle University, Newcastle upon Tyne, UK; Medical Sciences Division, University of Oxford, John Radcliffe Hospital, Oxford, UK (G.A.F.); Stroke Program, Department of Neurology, University of Michigan (L.B.M., L.E.S.); Centre for Diet & Activity Research (CEDAR), MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, UK (M.W.); Fuse, UKCRC Centre for Translation Research in Public Health, Newcastle University, Newcastle upon Tyne, UK (F.F.S.); and Institute of Medical Sociology, Charité-Universitätsmedizin Berlin, Berlin, Germany (P.G.).
Falko F SniehottaFrom the Division of Psychology, School of Natural Sciences, University of Stirling, Stirling, UK (S.U.D.); Institute for Ageing & Health (G.A.F.) and Institute of Health & Society (M.W., F.F.S., J.E.M.), Newcastle University, Newcastle upon Tyne, UK; Medical Sciences Division, University of Oxford, John Radcliffe Hospital, Oxford, UK (G.A.F.); Stroke Program, Department of Neurology, University of Michigan (L.B.M., L.E.S.); Centre for Diet & Activity Research (CEDAR), MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, UK (M.W.); Fuse, UKCRC Centre for Translation Research in Public Health, Newcastle University, Newcastle upon Tyne, UK (F.F.S.); and Institute of Medical Sociology, Charité-Universitätsmedizin Berlin, Berlin, Germany (P.G.).
Joan E MackintoshFrom the Division of Psychology, School of Natural Sciences, University of Stirling, Stirling, UK (S.U.D.); Institute for Ageing & Health (G.A.F.) and Institute of Health & Society (M.W., F.F.S., J.E.M.), Newcastle University, Newcastle upon Tyne, UK; Medical Sciences Division, University of Oxford, John Radcliffe Hospital, Oxford, UK (G.A.F.); Stroke Program, Department of Neurology, University of Michigan (L.B.M., L.E.S.); Centre for Diet & Activity Research (CEDAR), MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, UK (M.W.); Fuse, UKCRC Centre for Translation Research in Public Health, Newcastle University, Newcastle upon Tyne, UK (F.F.S.); and Institute of Medical Sociology, Charité-Universitätsmedizin Berlin, Berlin, Germany (P.G.).
Paul GellertFrom the Division of Psychology, School of Natural Sciences, University of Stirling, Stirling, UK (S.U.D.); Institute for Ageing & Health (G.A.F.) and Institute of Health & Society (M.W., F.F.S., J.E.M.), Newcastle University, Newcastle upon Tyne, UK; Medical Sciences Division, University of Oxford, John Radcliffe Hospital, Oxford, UK (G.A.F.); Stroke Program, Department of Neurology, University of Michigan (L.B.M., L.E.S.); Centre for Diet & Activity Research (CEDAR), MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, UK (M.W.); Fuse, UKCRC Centre for Translation Research in Public Health, Newcastle University, Newcastle upon Tyne, UK (F.F.S.); and Institute of Medical Sociology, Charité-Universitätsmedizin Berlin, Berlin, Germany (P.G.).
Lesli E SkolarusFrom the Division of Psychology, School of Natural Sciences, University of Stirling, Stirling, UK (S.U.D.); Institute for Ageing & Health (G.A.F.) and Institute of Health & Society (M.W., F.F.S., J.E.M.), Newcastle University, Newcastle upon Tyne, UK; Medical Sciences Division, University of Oxford, John Radcliffe Hospital, Oxford, UK (G.A.F.); Stroke Program, Department of Neurology, University of Michigan (L.B.M., L.E.S.); Centre for Diet & Activity Research (CEDAR), MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, UK (M.W.); Fuse, UKCRC Centre for Translation Research in Public Health, Newcastle University, Newcastle upon Tyne, UK (F.F.S.); and Institute of Medical Sociology, Charité-Universitätsmedizin Berlin, Berlin, Germany (P.G.).
John Radcliffe Hospital · GBUniversity of Michigan–Ann Arbor · USMRC Epidemiology Unit · GBNewcastle University · GBUniversity of Cambridge · GB

Funding

A Community Partnership to Treat StrokeK23NS073685 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SKOLARUS, LESLI ELIZABETH · 2011 to 2016
$924k
Department of Health RP-PG-0606-1241Medical Research Council MR/K02325X/1NINDS NIH HHS K23 NS073685NINDS NIH HHS K23NS073685
6 · The paper itself

Abstract

background and purposeAlthough time-dependent treatment is available, most people delay contacting emergency medical services for stroke. Given differences in the healthcare system and public health campaigns, exploring between-country differences in stroke preparedness may identify novel ways to increase acute stroke treatment.

methodsA survey was mailed to population-based samples in Ingham County, Michigan, US (n=2500), and Newcastle upon Tyne, UK (n=2500). Surveys included stroke perceptions and stroke/nonstroke scenarios to assess recognition and response to stroke. Between-country differences and associations with stroke preparedness were examined using t tests and linear mixed models.

resultsOverall response rate was 27.4%. The mean age of participants was 55 years, and 58% were female. US participants were better in recognizing stroke (70% versus 63%, d=0.27) and were more likely to call emergency medical services (55% versus 52%, d=0.11). After controlling for demographics and comorbidities, US participants remained more likely to recognize stroke but were not more likely to respond appropriately. A greater belief that medical treatment can help with stroke and understanding of stroke was associated with improved stroke recognition and response.

conclusionsOverall, stroke recognition and response were moderate. US participants were modestly better at recognizing stroke, although there was little difference in response to stroke. Future stroke awareness interventions could focus more on stroke outcome expectations and developing a greater understanding of stroke among the public.

Indexed as

Health Knowledge, Attitudes, PracticeHealth PromotionStrokeAdultAgedEarly Medical InterventionEmergency Medical ServicesFemaleHumansLinear ModelsMaleMichiganMiddle AgedSurveys and QuestionnairesTime-to-TreatmentUnited Kingdombehaviorperceptionprehospital delaypreventionpsychologystroke

Identifiers

PMID26419968
PMCPMC4617289
OpenAlexW2098917998

What OpenQuestion holds

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Registered trials

None linked

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.