Effects of stroke education using an animated cartoon and a manga on elementary school children

J Stroke Cerebrovasc Dis. 2014 Aug;23(7):1877-81. doi: 10.1016/j.jstrokecerebrovasdis.2014.02.015. Epub 2014 May 1.


Background: Stroke education for the youth is expected to reduce prehospital delay by informing the bystander of appropriate action to take and providing knowledge to prevent onset of stroke in future. Previously, we developed effective teaching materials consisting of an animated cartoon and a Manga for junior high school students. The aim of this study was to evaluate the feasibility and effectiveness of our educational materials for stroke education taught by schoolteachers to elementary school children.

Methods: Using our teaching materials, a 30-minute lesson was given by trained general schoolteachers. Questionnaires on stroke knowledge (symptoms and risk factors) and action to take on identification of suspected stroke symptoms were filled out by school children before, immediately after, and at 3 months after completion of the lesson.

Results: A total of 219 children (aged 10 or 11 years) received the stroke lesson. Stroke knowledge significantly increased immediately after the lesson compared with before (symptoms, P < .001; risk factors, P < .001); however, correct answer rates decreased at 3 months immediately after completion of the lesson (symptoms, P = .002; risk factors, P = .045). The proportion of the number of children calling emergency medical service on identifying stroke symptoms was higher immediately after the lesson than baseline (P = .007) but returned to the baseline at 3 months after the lesson.

Conclusions: Stroke lesson by schoolteachers using our teaching materials consisting of an animated cartoon and a Manga that was previously used for junior high school students was feasible for elementary school children. However, revision of the materials is required for better retention of stroke knowledge for children.

Keywords: Manga; Stroke education; animated cartoon; elementary school children.

MeSH terms

  • Child
  • Feasibility Studies
  • Female
  • Health Education / methods*
  • Humans
  • Male
  • Motion Pictures*
  • Patient Acceptance of Health Care
  • Risk Factors
  • Schools
  • Stroke*
  • Students
  • Surveys and Questionnaires