Stroke
Conditions
Keywords
Stroke Awareness, Intention to Seek Help, Primary Health Care Centers, Health Campaign
Brief summary
This study aims to evaluate the effectiveness of a one-week multifaceted Stroke Urgency Recognition, and Action Awareness (SURA'A) consultation-based campaign in increasing stroke awareness and the intention to seek emergency medical help among adults. The research will be conducted at primary health care centers to determine if this specific educational approach can improve the community's response to stroke symptoms.
Detailed description
The study will employ a multifaceted campaign based on the SURA'A consultation framework over a period of one week. Participants from primary health care centers will be involved to assess their baseline knowledge and intention regarding stroke. Following the intervention, changes in their awareness levels and help-seeking intentions will be measured and analyzed. This research is approved by the Research Ethical Approval Committee at the University of Baghdad, College of Nursing.
Interventions
The intervention consists of a one-week multifaceted SURA'A consultation-based campaign. This campaign is designed to increase stroke awareness and the intention to seek help among adults attending Primary Health Care Centers. The multifaceted approach likely includes: Targeted Consultations: Providing direct information to participants regarding stroke symptoms and emergency protocols. Educational Outreach: Utilizing the SURA'A framework-which typically focuses on rapid response (Sura'a meaning "speed" in Arabic)-to emphasize the importance of time-sensitive medical intervention. Community Integration: Implementing the campaign within the primary care setting to reach a diverse adult population during their routine health visits.
Sponsors
Study design
Intervention model description
Participants will be randomly assigned to either an intervention group, which receives the one-week multifaceted SURA'A consultation-based campaign, or a control group. The primary outcomes will be compared between the two groups
Eligibility
Inclusion criteria
Participants will be eligible if they: 1. Age * Adults aged ≥18 years residing in Diwaniyah. 2. Residence o Living in Diwaniyah communities for at least 6 academic months prior to the study. 3. Access to Primary Health Centers (PHCs) * Attending in selected primary health centers where the SURA'A campaign will be implemented. 4. Cognitive ability o Able to understand and answer the survey questions in Arabic. 5. Consent o Willing to provide informed consent to participate in pre- and post- awareness intervention assessments. Availability for follow-up o Agree to participate in both baseline (pre-campaign) and follow-up (post-campaign) assessments.
Exclusion criteria
Participants will be excluded if they: 1. Have a previous confirmed diagnosis of stroke (to avoid bias in baseline awareness). 2. Severe cognitive impairment * Have diagnosed dementia, severe mental illness, or cognitive impairment that prevents reliable responses. 3. Communication barriers o Cannot communicate in Arabic or has severe hearing/speech impairment that prevents participation. 4. Health professionals o Physicians, nurses, paramedics, or students of medical and health colleges (to avoid overestimation of awareness). 5. Temporary visitors o Non-residents or individuals visiting Diwaniyah temporarily. 6. Refusal or withdrawal o Decline to participate or withdraw at any stage of the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Stroke Action Test (STAT) | Baseline (before the campaign) and 1 week later (immediately after the campaign). | The Stroke Action Test (STAT) is a validated tool used to assess the participants' knowledge of stroke symptoms and their intended behavioral response (intention to seek help) when witnessing a stroke. It consists of multiple scenarios or questions. Scores are calculated based on correct identified actions, with higher scores indicating better knowledge and more appropriate intended response to stroke symptoms. |
| action/intention medical help-seeking sub-scale | Baseline (before the campaign) and 1 week later (immediately after the campaign | This sub-scale is a component of the Stroke Action Test (STAT). It specifically measures the participants' behavioral intentions and their promptness in seeking medical emergency services (e.g., calling an ambulance) when recognizing stroke signs. It presents various scenarios to evaluate whether the participant would take the correct life-saving action. |