title: An evaluation of stroke education in AVAIL registry hospitals.
abstract: The purpose of this study is to explore factors associated with recall of medication education and satisfaction with healthcare provider communication in patients with acute stroke or transient ischemic attack. This is an analysis of data from the AVAIL (Adherence Evaluation of Acute Ischemic Stroke Longitudinal) study. At 3 months after discharge, 2,219 stroke patients from 99 sites were interviewed and asked about their perceptions of education and communication with their healthcare providers as well as their current medication use and knowledge. Results show that less than 2% of the respondents reported not understanding how to take their medications, 4% did not know how to refill their medications, and 5% did not know the reason they were taking them. A vast majority (92%) of participants reported high levels of satisfaction in their communications with healthcare providers after discharge. Although overall understanding and satisfaction was high, older subjects were less likely to recall receiving medication information at discharge or to understand their medications. Similarly, African Americans and patients discharged from an academic hospital were less likely to report receiving a written medication list. This report highlights the success of education efforts and potential areas for additional improvement.
authors.affiliation: Neuroscience/Stroke, at Long Beach Memorial Medical Center, Long Beach, CA, USA.
authors.forename: Angie
authors.initials: A
authors.lastname: West
authors.forename: Margueritte
authors.initials: M
authors.lastname: Cox
authors.forename: Louise O
authors.initials: LO
authors.lastname: Zimmer
authors.forename: Wende
authors.initials: W
authors.lastname: Fedder
authors.forename: Cheryl
authors.initials: C
authors.lastname: Weber
authors.forename: Laura
authors.initials: L
authors.lastname: Drew
authors.forename: Eric D
authors.initials: ED
authors.lastname: Peterson
authors.forename: Cheryl
authors.initials: C
authors.lastname: Bushnell
authors.forename: Daiwai M
authors.initials: DM
authors.lastname: Olson
mesh_terms: D000328:Adult; D002545:Brain Ischemia / Q000453:epidemiology* / Q000451:nursing / Q000517:prevention & control*; D005260:Female; D006761:Hospitals / Q000706:statistics & numerical data; D006801:Humans; D002546:Ischemic Attack, Transient / Q000453:epidemiology / Q000451:nursing / Q000517:prevention & control; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009462:Neurology / Q000592:standards / Q000706:statistics & numerical data; D010348:Patient Care Team / Q000592:standards / Q000706:statistics & numerical data; D010351:Patient Discharge / Q000592:standards / Q000706:statistics & numerical data*; D010353:Patient Education as Topic / Q000592:standards / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D011446:Prospective Studies; D012042:Registries / Q000706:statistics & numerical data; D012307:Risk Factors; D013041:Specialties, Nursing / Q000592:standards / Q000706:statistics & numerical data; D020521:Stroke / Q000453:epidemiology* / Q000451:nursing / Q000517:prevention & control*; D014481:United States / Q000453:epidemiology; D016903:Drug Monitoring