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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
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Systematic Development of Structured Semi-interactive Stroke Prevention Package for Secondary Stroke Prevention
Mahesh Pundlik Kate1, Shweta Jain Verma2, Deepti Arora2
1Department of Clinical Neurosciences, Alberta Health Services, Edmonton, Canada.
Annals of Indian Academy of Neurology
|February 24, 2021
Summary
A new multilingual patient education package using SMS, print, and video was developed to improve medication compliance and reduce vascular risk factors in stroke patients. Its effectiveness in preventing major cardiovascular events is currently under investigation.
Area of Science:
- Neurology
- Public Health
- Health Communication
Background:
- Poor medication adherence and uncontrolled risk factors increase recurrent stroke and acute coronary syndrome risk in stroke survivors.
- Multimodal patient education can enhance adherence and promote non-pharmacological measures for vascular risk reduction.
- A multilingual patient education package (SMS, print, audio-visual) was developed for secondary stroke prevention.
Purpose of the Study:
- To develop a complex, multilingual patient education package for secondary stroke prevention.
- To assess the feasibility and acceptability of the developed educational materials.
- To prepare for a randomized control trial evaluating the package's efficacy in preventing major cardiovascular and cerebrovascular events.
Main Methods:
- A formative stage involved developing intervention materials (SMS, video, workbook).
- An acceptability stage included assessment and modification by stakeholders and language experts.
- An implementation stage tested the package for usability and identified any issues.
Main Results:
- Developed 69 SMS, 6 videos, and a 11-chapter workbook with 15 activities, all in English.
- 355 stakeholders (patients, caregivers, healthcare professionals) participated in acceptability testing.
- High understandability scores (over 95%) were achieved for all material formats across languages; no implementation issues were reported.
Conclusions:
- A stepwise approach successfully developed an implementable, complex, multilingual patient education material.
- The developed package is undergoing efficacy testing in the SPRINT INDIA study to prevent major adverse cardiovascular events.
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