ArticleBMJ open2017
Effects of a school-based stroke education program on stroke-related knowledge and behaviour modification-school class based intervention study for elementary school students and parental guardians in a Japanese rural area.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 25 citations in OpenAlex.
- Article
- The Stroke Alert Project: A Longitudinal Evaluation of a School-Based Stroke Knowledge Intervention.Cureus · 2025Article
- A culturally-specific education strategy to improve stroke health literacy in Vietnamese communities in South Western Sydney.Dialogues in health · 2025Article
- Effect of an educational intervention to increase stroke awareness among Italian high school students: A prospective study in Tuscany.European stroke journal · 2023Article
- The use of comics to promote health awareness: A template using nonalcoholic fatty liver disease.European journal of clinical investigation · 2022Review
- FAST Heroes: Results of Cross-Country Implementation of a Global School-Based Stroke Education Campaign.Frontiers in public health · 2022Article
- Basic life support by citizens in Kawasaki City, Japan - a descriptive epidemiological study of out-of-hospital cardiac arrest patients.Acute medicine & surgery · 2019Article
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Authors and funding
16 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to determine the effect of a stroke education programme on elementary school students and their parental guardians in a rural area in Japan that has high stroke mortality.
designSchool class based intervention study.
settingEleven public elementary schools in Tochigi Prefecture, Japan.
participants268 students aged 11-12 years and 267 parental guardians.
interventionsStudents received lessons about stroke featuring animated cartoons and were instructed to communicate their knowledge about stroke to their parental guardians using material (comic books) distributed in the lessons. Stroke knowledge (symptoms, risk factors and attitude towards stroke) and behavioural change for risk factors were assessed at baseline, immediately after the programme and at 3 months. We also evaluated behavioural change for risk factors among parental guardians.
resultsThe percentage of students with all correct answers for stroke symptoms, risk factors and the recommended response to stroke was significantly increased at 3 months P<0.001). We observed a significant increase in the percentage of guardians who chose all correct symptoms (P<0.001: 61.0% vs 85.4%) and risk factors (P<0.001: 41.2% vs 59.9%) at 3 months compared with baseline. The percentage of parental guardians with a high behavioural response to improving risk factors was significantly increased at 3 months compared with baseline (P<0.001).
conclusionsIn a rural population with high stroke mortality, stroke education can improve knowledge about stroke in elementary school students and their parental guardians. ETHICS AND DISSEMINATION: We conducted the intervention as a part of compulsory education; this study was not a clinical trial. This study was approved by the Ethics Committee of the National Cerebral and Cardiovascular Center (M27-026).
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