Peer Reviewed

1

Document Type

Article

Publication Date

7-2013

Keywords

Acute Stroke, Thrombolytic Therapy, Stroke Symptoms, Health Education

Funder/Sponsor

Health Research Board Ireland

Comments

The original article is available at http://emj.bmj.com/

Abstract

BACKGROUND: Mass media campaigns for stroke awareness encourage the public to recognise stroke symptoms and respond to stroke in a timely manner. However, there is little evidence to suggest that media messages can influence behaviour after stroke onset. The F.A.S.T. (Face Arm Speech Time) test is a common stroke recognition tool used in public education campaigns.

OBJECTIVE: To assess the impact of the F.A.S.T. campaign on health service use in Ireland, which has had no previous exposure to a F.A.S.T. media campaign.

METHODS: An interrupted time series design was used to detect behaviour change after the introduction of the first Irish F.A.S.T. campaign in presentations of patients with suspected stroke to two emergency departments (EDs), serving a population of about 580 000.

RESULTS: There was a significant change in ED attendance of patients with reported stroke symptoms after the introduction of the F.A.S.T. campaign (β=0.84, 95% CI 0.43 to 1.24; p

CONCLUSIONS: This first Irish F.A.S.T. campaign had an initial impact on ED attendance of patients with stroke symptoms. However, the campaign effects were not sustained in the long term. Results indicate that prehospital delay in accessing acute stroke services is a complex process with involvement of factors other than stroke knowledge and intention to call 911.

Disciplines

Psychology

Citation

Mellon L, Hickey A, Doyle F, Dolan E, Williams D. Can a media campaign change health service use in a population with stroke symptoms? Examination of the first Irish stroke awareness campaign. Emergency Medicine Journal. 2013;31(7):536-540

PubMed ID

23892414

DOI Link

10.1136/emermed-2012-202280

Included in

Psychology Commons

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