title: Do clinical rehabilitation education programs really improve stroke-related knowledge?
abstract: OBJECTIVE
  We evaluated the effectiveness of a clinical stroke education program for improving stroke-related health knowledge after inpatient rehabilitation in a "real world" setting.
  
  
  METHODS
  Thirty-four patients participated in an inpatient rehabilitation clinical stroke education program. Their stroke-related health knowledge in three key domains-risk factors, warning signs, and appropriate actions to take if a stroke is suspected-was evaluated at admission and 12 wks later using a single-group, pretest-posttest design. Pretest and posttest comparisons were conducted using the Marginal Homogeneity test and the McNemar test.
  
  
  RESULTS
  Small, nonsignificant improvements in stroke-related health knowledge were detected at posttest. Twelve weeks after the education program, 29% of participants were unable to name a single risk factor, 32% were unable to name a single warning sign, and 29% were unable to name appropriate emergency action in the event they suspected a stroke.
  
  
  CONCLUSIONS
  A substantial proportion of patients who completed our clinical stroke education program continued to have poor stroke-related health knowledge. We noted several limitations in our program that may have contributed to this outcome. Changes may be useful for improving the success of clinical stroke education programs, thereby reducing knowledge deficits.
authors.affiliation: Department of Occupational Therapy, School of Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
authors.forename: Elizabeth R
authors.initials: ER
authors.lastname: Skidmore
authors.forename: Kris L
authors.initials: KL
authors.lastname: Koenig
authors.forename: Michael C
authors.initials: MC
authors.lastname: Munin
authors.forename: Ellen M
authors.initials: EM
authors.lastname: Whyte
authors.forename: Lynn
authors.initials: L
authors.lastname: O'Donnell
authors.forename: Louis
authors.initials: L
authors.lastname: Penrod
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Lenze
mesh_terms: D000368:Aged; D004521:Educational Measurement; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007297:Inpatients; D008297:Male; D010353:Patient Education as Topic; D015397:Program Evaluation; D012307:Risk Factors; D020521:Stroke / Q000175:diagnosis / Q000209:etiology; D000071939:Stroke Rehabilitation