The Effectiveness of Waiting Room Posters for Stroke Education

• ClinicalTrials.gov Identifier: NCT03391713
• Recruitment Status: Completed
• First Posted: January 5, 2018
• Last Update Posted: May 22, 2018
• Sponsor: University of Malaya
• Collaborator: Ministry of Health, Malaysia
• Information provided by (Responsible Party): Professor Su May Liew, University of Malaya

Study Description

Brief Summary:

The purpose of this study is to determine the effectiveness of posters in improving patient awareness and knowledge of the signs and symptoms of stroke. The control group study will be conducted in the first two weeks. Subsequently, the intervention arm will occur in the subsequent two weeks.

Condition or disease	Intervention/treatment	Phase
Stroke, Acute	Behavioral: Poster	Not Applicable

Detailed Description:

Stroke is a major health problem and a known cause of death and disability worldwide. In Malaysia, stroke is known to be top five causes of death and top ten causes of hospitalization Malaysia. Ischemic stroke accounts for more than 95% of all stroke cases (1). A recent study done in Malaysia showed that only 26% of patients with stroke symptoms presented to the hospital within 3 hours. One of the reasons was patients did not perceive the symptoms of stroke as being that of a serious illness (2). One of the modalities to raise awareness of stroke is through an educational poster. Posters in the waiting room can increase awareness of health promotion issues (3). Therefore, by placing poster regarding sign and symptoms of stroke in the waiting room in a government clinic, can increase awareness of early presentation of stroke.

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 1064 participants
• Allocation: Randomized
• Intervention Model: Sequential Assignment
• Masking: None (Open Label)
• Primary Purpose: Other
• Official Title: The Effectiveness of Waiting Room Posters in Improving Awareness and Knowledge of the Signs and Symptoms of Stroke
• Actual Study Start Date: March 19, 2018
• Actual Primary Completion Date: March 30, 2018
• Actual Study Completion Date: March 30, 2018

Arms and Interventions

Arm	Intervention/treatment
No Intervention: Control; No exposure to waiting room posters
Active Comparator: Intervention; During the second half of the study (two weeks), there will be an education poster in the waiting room of the clinic, fashioned after the Face, Arms, Speech, Time (FAST) poster developed by the American Heart Association (AHA), but in Malay.	Behavioral: Poster; The poster includes the FAST symptoms but translated to the Malay language (Ce.P.A.T) Cakap tak jelas (slurred speech - Speech slurring) Perubahan muka (face changes - Face drooping) Anggota lemah (weak limbs - Arm weakness) Terus ke Hospital (straight to the hospital - Time to call 911

Outcome Measures

Primary Outcome Measures :

1. Awareness of the signs and symptoms of stroke [ Time Frame: Within 24 hours ]

   Participants awareness of the signs and symptoms of stroke as assessed by a questionnaire. For the symptoms, patients are scored from 0-7, according to each correct answer given.

   For the action taken, and the time frame, a score of either 0 or 1 is given, 1 being the right answer given.

   A higher score would indicate a better awareness of the signs and symptoms of stroke.

Secondary Outcome Measures :

1. Improvement in the knowledge of the need for a quick transfer to the hospital [ Time Frame: Within 24 hours ]

   Knowledge of the need for a quick transfer to the hospital as assessed by a questionnaire. For the symptoms, patients are scored from 0-7, according to each correct answer given.

   For the action taken, and the time frame, a score of either 0 or 1 is given, 1 being the right answer given.

   A higher score would indicate a better awareness of the signs and symptoms of stroke.

Eligibility Criteria

• Ages Eligible for Study: 18 Years and older (Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Criteria

Inclusion Criteria:

• Adult age more than 18 years old and above
• Able to understand Malay
• Able to provide informed consent

Exclusion Criteria:

• None

Contacts and Locations

Locations

Malaysia

Klinik Kesihatan Kuala Lumpur

Kuala Lumpur, Malaysia, 53200

Sponsors and Collaborators

University of Malaya

Ministry of Health, Malaysia

Investigators

• Principal Investigator: Su May Liew; University of Malaya

More Information

Publications:

Cheah WK, Hor CP, Zariah AA, Looi I. A Review of Stroke Research in Malaysia from 2000 - 2014. Med J Malaysia. 2016 Jun;71(Suppl 1):58-69. Review.

Factors associated with delay in seeking treatment by patients with acute stroke: The National Neurology Registry (NNeuR) of Malaysia . Malinee Neelamegam1, Sharad Malavade1, Irene Looi2, Norsima Nazifah Sidek3, Zariah Abdul Aziz3. 2014

Ward K, Hawthorne K. Do patients read health promotion posters in the waiting room? A study in one general practice. Br J Gen Pract. 1994 Dec;44(389):583-5.

• Responsible Party: Professor Su May Liew, Associate Professor, University of Malaya
• ClinicalTrials.gov Identifier: NCT03391713
• Other Study ID Numbers: RU009-2017J
• First Posted: January 5, 2018
• Last Update Posted: May 22, 2018
• Last Verified: May 2018

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Professor Su May Liew, University of Malaya:

awareness; poster; stroke

Additional relevant MeSH terms:

Stroke; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases