title: Knowledge of stroke risk, signs of stroke, and the need for stroke education among children with sickle cell disease and their caregivers.
abstract: OBJECTIVE
  This study assessed stroke knowledge and the need for stroke education among children with sickle cell disease (SCD) and their caregivers.
  
  
  METHODS
  A cross-sectional study was conducted and includes: (1) structured interviews of 44 children with SCD and their 50 caregivers, and (2) a self-administered survey completed by medical directors of 22 SCD centers. The participants were interviewed regarding stroke knowledge and stroke educational materials.
  
  
  RESULTS
  Among the caregivers, only 34% named stroke as a complication associated with SCD, 36% were aware that their children were at higher risk, and 46% were not able to identify any warning signs of stroke. Only 11% of the children could accurately describe a stroke. Although 82% of the medical directors provided stroke information to caregivers, only 50% provided stroke educational materials to children. Caregivers and children were interested in receiving information about stroke. The preferred format for the educational material was a pamphlet for adults and a video for the children.
  
  
  CONCLUSIONS
  Children with SCD, caregivers, and healthcare providers need and desire educational materials about stroke. Educational materials to improve knowledge about stroke may be an important strategy to increase completion of stroke screening tests.
authors.affiliation: Department of Public Health, Temple University, Philadelphia, USA. katz.114@osu.edu
authors.forename: Mira L
authors.initials: ML
authors.lastname: Katz
authors.forename: Kim
authors.initials: K
authors.lastname: Smith-Whitley
authors.forename: Sheryl B
authors.initials: SB
authors.lastname: Ruzek
authors.forename: Kwaku
authors.initials: K
authors.lastname: Ohene-Frempong
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000193:education; D000755:Anemia, Sickle Cell / Q000150:complications* / Q000523:psychology; D002170:Canada / Q000453:epidemiology; D017028:Caregivers / Q000193:education*; D002648:Child; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D020380:Needs Assessment; D015143:Philadelphia / Q000453:epidemiology; D008486:Physician Executives; D012307:Risk Factors; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology*; D017585:Ultrasonography, Doppler, Transcranial; D014481:United States / Q000453:epidemiology