Evidence map›Paper›PMID 26441211›Full record

ArticleJournal of epidemiology2016

Effects of a Public Education Campaign on the Association Between Knowledge of Early Stroke Symptoms and Intention to Call an Ambulance at Stroke Onset: The Acquisition of Stroke Knowledge (ASK) Study.

Tomofumi Nishikawa, Tomonori Okamura, Hirofumi Nakayama, Naomi Miyamatsu, Akiko Morimoto, Kazunori Toyoda, Kazuo Suzuki, Akihiro Toyota, Takashi Hata, Takenori Yamaguchi

Registry-linked trialAbstract readEvaluation Study
In one paragraph

Article in Journal of epidemiology, 2016. 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

NCT03759691 completednot on this mapstarted 2018, after this paper: background citation

Stroke Awareness and Help-seeking Behaviour: Predictors for Prehospital Delay in Stroke Treatment

TypeobservationalSponsorUniversity of AarhusRan2018 to 2020Enrolled650ConditionsStrokeArmsStructured interview
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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  5. Article
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

10 authors.

Tomofumi NishikawaDepartment of Health Science, Kyoto Koka Women's University.
Tomonori Okamura
Hirofumi Nakayama
Naomi Miyamatsu
Akiko Morimoto
Kazunori Toyoda
Kazuo Suzuki
Akihiro Toyota
Takashi Hata
Takenori Yamaguchi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn immediate ambulance call offers the greatest opportunity for acute stroke therapy. Effectively using ambulance services requires strengthening the association between knowledge of early stroke symptoms and intention to call an ambulance at stroke onset, and encouraging the public to use ambulance services.

methodsThe present study utilized data from the Acquisition of Stroke Knowledge (ASK) study, which administered multiple-choice, mail-in surveys regarding awareness of early stroke symptoms and response to a stroke attack before and after a 2-year stroke education campaign in two areas subject to intensive and moderate intervention, as well as in a control area, in Japan. In these three areas, 3833 individuals (1680, 1088 and 1065 participants in intensive intervention, moderate intervention, and control areas, respectively), aged 40 to 74 years, who responded appropriately to each survey were included in the present study.

resultsAfter the intervention, the number of correctly identified symptoms significantly associated with intention to call an ambulance (P < 0.05) increased (eg, from 4 to 5 correctly identified symptoms), without increasing choice of decoy symptoms in the intensive intervention area. Meanwhile, in other areas, rate of identification of not only correct symptoms but also decoy symptoms associated with intention to call an ambulance increased. Furthermore, the association between improvement in the knowledge of stroke symptoms and intention to call an ambulance was observed only in the intensive intervention area (P = 0.009).

conclusionsOur results indicate that intensive interventions are useful for strengthening the association between correct knowledge of early stroke symptoms and intention to call an ambulance, without strengthening the association between incorrect knowledge and intention to call an ambulance.

Indexed as

Health EducationHealth Knowledge, Attitudes, PracticeIntentionAdultAgedAmbulancesFemaleHumansJapanMaleMiddle AgedProgram EvaluationStroke

Identifiers

PMID26441211
PMCPMC4773487

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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.