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Article Dans Une Revue Journal of Stroke and Cerebrovascular Diseases Année : 2020

Impact of a Pre-Discharge Education Session on Stroke Knowledge: a Randomized Trial

Résumé

Background and purposes: Stroke knowledge, awareness of risk factors and stroke warning symptoms is very poor among stroke survivors. We investigated whether a pre-discharge education intervention in the stroke unit could improve stroke knowledge in patients with TIA or minor stroke. Methods: We performed a prospective single-center, randomized controlled trial (2013-2016) in patients with TIA or minor stroke. The intervention consisted in an interactive group session focused on stroke education, within the stroke unit before hospital discharge. Primary outcome was the 3-month change in stroke knowledge score (SKS) from randomization. Secondary outcomes were the 12-month change in SKS, the number of risk factors and warning signs named, control of risk factors and self-reported adherence. Results: A total of 199 patients (mean [SD] age, 63.5 [12.4] years; 67 [33.7%] women) were randomized (99 in stroke education session). Intervention was associated with a greater improvement in SKS than in the control group (baseline-adjusted mean between-group difference, 1.6 point [95%CI, 1.4 to 1.9]; p=0.001). This difference was significantly maintained at 12 months. The number of risk factors and warning signs named were significantly increased in the intervention group at 3 months. Control of risk factors and self-reported adherence did not differ significantly between the two groups. Conclusions: An interactive education session in the stroke unit significantly improved stroke knowledge at 3 months and 12 months in patients with TIA or minor stroke.
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hal-03109150 , version 1 (21-09-2022)

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Charline Benoit, Delphine Lopez, Murielle Loiseau, Julien Labreuche, Maéva Kyheng, et al.. Impact of a Pre-Discharge Education Session on Stroke Knowledge: a Randomized Trial. Journal of Stroke and Cerebrovascular Diseases, 2020, 29 (12), ⟨10.1016/j.jstrokecerebrovasdis.2020.105272⟩. ⟨hal-03109150⟩
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