Patient-centric stroke prevention education in a high-risk rural population resulted in lower 12-month ASCVD scores compared to control (median 25 vs 30; p=0.002) and improved stroke literacy.
Cohort (n=143)
Yes
Does patient-centric stroke prevention education improve stroke literacy and healthy lifestyle adoption in high-risk rural patients?
A targeted stroke education program in a high-risk rural population significantly improved stroke literacy and promoted healthy lifestyle adoption at 12 months.
Absolute Event Rate: 25% vs 30%
p-value: p=0.002
Abstract Background and aims Rural communities have a high incidence of stroke driven by high prevalence of risk factors. We hypothesize that patient centric stroke prevention education can be delivered in rural communities. Methods High risk patients defined as Atherosclerotic Cardiovascular Disease (ASCVD) 10-year risk of ≥ 20% cardio-cerebrovascular events were identified through electronic medical records receiving primary care in Greenville and Lakeview (intervention sites) and Muskegon (control site) were included. Education material included lifestyle modification and stroke signs-symptoms information. Patients completed a pre-intervention survey, recieved standardized stroke education, and were assessed for knowledge retention through quarterly telephone follow-ups and completed a 12-month post-intervention survey. Total study cost is 130, 000 over 18 months. Results High ASCVD score was identified in 758 (Intervention) and 1128 (Control) patients. 70 intervention and 73 control patients were enrolled. Time spent consenting patients and delivering education is 5 minutes with additional 10-15 minutes at each 3-month follow-up call. 65 intervention patients completed 12 month follow up. Intervention vs. Control; Median: IQR: Age 74 (68-76) vs. 73 (68-75) years; p=0. 20; Initial ASCVD 24. 5 (22-30) vs. 28. 6 (26-37) ; p0. 001, 12-month ASCVD [25 (21-30) vs. 30 (24-39) ; p=0. 002). Post-intervention survey showed significant improvement in recognition of stroke risk factors (p0. 001) and stroke signs-symptoms (p0. 001). 49 (75%) patients adopted healthy lifestyle at 12-month follow up. Conclusions A primary stroke prevention cost-effective education program can be successfully implemented in a high-risk rural population, demonstrating improved stroke literacy and healthy lifestyle adoption. Conflict of interest
Khan et al. (Fri,) conducted a cohort in High risk for stroke (n=143). Patient-centric stroke prevention education vs. Control site was evaluated on 12-month ASCVD score (p=0.002). Patient-centric stroke prevention education in a high-risk rural population resulted in lower 12-month ASCVD scores compared to control (median 25 vs 30; p=0.002) and improved stroke literacy.