Stroke education program of act FAST for junior high school students and their parents

J Stroke Cerebrovasc Dis. May-Jun 2014;23(5):1040-5. doi: 10.1016/j.jstrokecerebrovasdis.2013.08.021. Epub 2013 Oct 2.

Abstract

Background: We produced a stroke education program using the FAST (facial droop, arm weakness, speech disturbance, time to call an ambulance) mnemonic.

Aims: The aim of this study is to examine efficacy of our education program for junior high school students and their parents.

Methods: One hundred ninety students of 3 junior high schools (aged 12-13 years) and their parents were enrolled. Students received a 45-minute lesson of stroke enlightenment using the FAST mnemonic. Enlightenment items, such as a magnet poster, were distributed. Parents were educated indirectly from their child. Surveys of stroke knowledge were examined at baseline, immediately after the lesson, and at 3 months after the lesson.

Results: For the students, correct answers at 3 months were significantly higher than those at baseline in questions of facial palsy (98% versus 33%), speech disturbance (98% versus 54%), numbness on one side (64% versus 42%), weakness on one side (80% versus 51%), calling an ambulance (88% versus 60%), alcohol drinking (85% versus 65%), smoking (70% versus 43%), dyslipidemia (58% versus 46%), hyperglycemia (59% versus 48%), and obesity (47% versus 23%). At 3 months, the parents answered more correctly questions of facial palsy (93% versus 66%), calling an ambulance (95% versus 88%), and alcohol drinking (65% versus 51%) than at baseline. At 3 months, 96% of students and 78% of parents answered the FAST mnemonic correctly.

Conclusions: Our stroke education program improved stroke knowledge, especially the FAST message, for junior high school students and their parents.

Keywords: School-based intervention; emergent medical service; prehospital delay; stroke enlightenment; stroke knowledge.

MeSH terms

  • Abbreviations as Topic*
  • Adolescent
  • Ambulances*
  • Cartoons as Topic
  • Child
  • Comprehension
  • Facial Paralysis / diagnosis
  • Facial Paralysis / etiology
  • Facial Paralysis / physiopathology
  • Health Education*
  • Health Knowledge, Attitudes, Practice*
  • Health Literacy
  • Humans
  • Japan
  • Muscle Weakness / diagnosis
  • Muscle Weakness / etiology
  • Muscle Weakness / physiopathology
  • Muscle, Skeletal / physiopathology
  • Parents / psychology*
  • Program Evaluation
  • School Health Services*
  • Speech Disorders / diagnosis
  • Speech Disorders / etiology
  • Stroke / complications*
  • Stroke / diagnosis
  • Stroke / physiopathology
  • Stroke / therapy
  • Students / psychology*
  • Surveys and Questionnaires
  • Time Factors
  • Time-to-Treatment
  • Upper Extremity