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BMC Public Health
Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

Systematic review of mass media interventions designed to improve public recognition of stroke symptoms, emergency response and early treatment

Authors: Jan Lecouturier, Helen Rodgers, Madeleine J Murtagh, Martin White, Gary A Ford, Richard G Thomson

Published in: BMC Public Health | Issue 1/2010

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Abstract

Background

Mass media interventions have been implemented to improve emergency response to stroke given the emergence of effective acute treatments, but their impact is unclear.

Methods

Systematic review of mass media interventions aimed at improving emergency response to stroke, with narrative synthesis and review of intervention development.

Results

Ten studies were included (six targeted the public, four both public and professionals) published between 1992 and 2010. Only three were controlled before and after studies, and only one had reported how the intervention was developed. Campaigns aimed only at the public reported significant increase in awareness of symptoms/signs, but little impact on awareness of need for emergency response. Of the two controlled before and after studies, one reported no impact on those over 65 years, the age group at increased risk of stroke and most likely to witness a stroke, and the other found a significant increase in awareness of two or more warning signs of stroke in the same group post-intervention. One campaign targeted at public and professionals did not reduce time to presentation at hospital to within two hours, but increased and sustained thrombolysis rates. This suggests the campaign had a primary impact on professionals and improved the way that services for stroke were organised.

Conclusions

Campaigns aimed at the public may raise awareness of symptoms/signs of stroke, but have limited impact on behaviour. Campaigns aimed at both public and professionals may have more impact on professionals than the public. New campaigns should follow the principles of good design and be robustly evaluated.
Appendix
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Metadata
Title
Systematic review of mass media interventions designed to improve public recognition of stroke symptoms, emergency response and early treatment
Authors
Jan Lecouturier
Helen Rodgers
Madeleine J Murtagh
Martin White
Gary A Ford
Richard G Thomson
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-784

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