title: Effects of stroke education of junior high school students on stroke knowledge of their parents: Tochigi project.
abstract: OBJECTIVE
  Educating the youth about stroke is a promising approach for spreading stroke knowledge. The aim of this study was to verify communication of stroke knowledge to parents by educating junior high school students about stroke.
  
  
  METHODS
  We enrolled 1127 junior high school students (age, 13-15 years) and their parents in the Tochigi prefecture, Japan. All students received a stroke lesson, watched an animated cartoon, and read the related Manga comic as educational aids. The students took back home the Manga and discussed what they learned with their parents. Questionnaires on stroke knowledge were given to all at baseline and immediately after the lesson.
  
  
  RESULTS
  A total of 1125 students and 915 parents answered the questionnaires. In the students, the frequency of correct answers increased significantly for all questions on stroke symptoms except for headache, and for all questions on risk factors after the lesson. In the parents, the correct answer rates increased for stroke symptoms except for headache and numbness in one side of the body, and for all questions on risk factors except for hypertension. Ninety-one percent of students and 92.7% of parents correctly understood the Face, Arm, Speech, and Time (FAST) mnemonic after the lesson.
  
  
  CONCLUSIONS
  Improvement of stroke knowledge immediately after the stroke lesson was observed in parents as well as their children, which indicated that our teaching materials using the Manga was effective in delivering the stroke knowledge to parents through their children.
authors.affiliation: From the Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (K. Matsuzono, C.Y., S.O., A.I., K.O., K.T., K. Minematsu); Department of Neurology, Dokkyo Medical University, Tochigi, Japan (H.T.); Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (T.O.); Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan (N.M.); Japan Stroke Association, Osaka, Japan (H.N.); and Departments of Preventive Medicine and Epidemiologic Informatics (K.N., Y.M.) and Preventive Cardiology (Y.M.), National Cerebral and Cardiovascular Center, Osaka, Japan.
authors.forename: Kosuke
authors.initials: K
authors.lastname: Matsuzono
authors.affiliation: From the Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (K. Matsuzono, C.Y., S.O., A.I., K.O., K.T., K. Minematsu); Department of Neurology, Dokkyo Medical University, Tochigi, Japan (H.T.); Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (T.O.); Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan (N.M.); Japan Stroke Association, Osaka, Japan (H.N.); and Departments of Preventive Medicine and Epidemiologic Informatics (K.N., Y.M.) and Preventive Cardiology (Y.M.), National Cerebral and Cardiovascular Center, Osaka, Japan. cyokota@ncvc.go.jp.
authors.forename: Chiaki
authors.initials: C
authors.lastname: Yokota
authors.affiliation: From the Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (K. Matsuzono, C.Y., S.O., A.I., K.O., K.T., K. Minematsu); Department of Neurology, Dokkyo Medical University, Tochigi, Japan (H.T.); Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (T.O.); Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan (N.M.); Japan Stroke Association, Osaka, Japan (H.N.); and Departments of Preventive Medicine and Epidemiologic Informatics (K.N., Y.M.) and Preventive Cardiology (Y.M.), National Cerebral and Cardiovascular Center, Osaka, Japan.
authors.forename: Hidehiro
authors.initials: H
authors.lastname: Takekawa
authors.affiliation: From the Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (K. Matsuzono, C.Y., S.O., A.I., K.O., K.T., K. Minematsu); Department of Neurology, Dokkyo Medical University, Tochigi, Japan (H.T.); Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (T.O.); Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan (N.M.); Japan Stroke Association, Osaka, Japan (H.N.); and Departments of Preventive Medicine and Epidemiologic Informatics (K.N., Y.M.) and Preventive Cardiology (Y.M.), National Cerebral and Cardiovascular Center, Osaka, Japan.
authors.forename: Tomonori
authors.initials: T
authors.lastname: Okamura
authors.affiliation: From the Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (K. Matsuzono, C.Y., S.O., A.I., K.O., K.T., K. Minematsu); Department of Neurology, Dokkyo Medical University, Tochigi, Japan (H.T.); Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (T.O.); Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan (N.M.); Japan Stroke Association, Osaka, Japan (H.N.); and Departments of Preventive Medicine and Epidemiologic Informatics (K.N., Y.M.) and Preventive Cardiology (Y.M.), National Cerebral and Cardiovascular Center, Osaka, Japan.
authors.forename: Naomi
authors.initials: N
authors.lastname: Miyamatsu
authors.affiliation: From the Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (K. Matsuzono, C.Y., S.O., A.I., K.O., K.T., K. Minematsu); Department of Neurology, Dokkyo Medical University, Tochigi, Japan (H.T.); Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (T.O.); Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan (N.M.); Japan Stroke Association, Osaka, Japan (H.N.); and Departments of Preventive Medicine and Epidemiologic Informatics (K.N., Y.M.) and Preventive Cardiology (Y.M.), National Cerebral and Cardiovascular Center, Osaka, Japan.
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Nakayama
authors.affiliation: From the Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (K. Matsuzono, C.Y., S.O., A.I., K.O., K.T., K. Minematsu); Department of Neurology, Dokkyo Medical University, Tochigi, Japan (H.T.); Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (T.O.); Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan (N.M.); Japan Stroke Association, Osaka, Japan (H.N.); and Departments of Preventive Medicine and Epidemiologic Informatics (K.N., Y.M.) and Preventive Cardiology (Y.M.), National Cerebral and Cardiovascular Center, Osaka, Japan.
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Nishimura
authors.affiliation: From the Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (K. Matsuzono, C.Y., S.O., A.I., K.O., K.T., K. Minematsu); Department of Neurology, Dokkyo Medical University, Tochigi, Japan (H.T.); Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (T.O.); Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan (N.M.); Japan Stroke Association, Osaka, Japan (H.N.); and Departments of Preventive Medicine and Epidemiologic Informatics (K.N., Y.M.) and Preventive Cardiology (Y.M.), National Cerebral and Cardiovascular Center, Osaka, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ohyama
authors.affiliation: From the Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (K. Matsuzono, C.Y., S.O., A.I., K.O., K.T., K. Minematsu); Department of Neurology, Dokkyo Medical University, Tochigi, Japan (H.T.); Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (T.O.); Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan (N.M.); Japan Stroke Association, Osaka, Japan (H.N.); and Departments of Preventive Medicine and Epidemiologic Informatics (K.N., Y.M.) and Preventive Cardiology (Y.M.), National Cerebral and Cardiovascular Center, Osaka, Japan.
authors.forename: Akiko
authors.initials: A
authors.lastname: Ishigami
authors.affiliation: From the Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (K. Matsuzono, C.Y., S.O., A.I., K.O., K.T., K. Minematsu); Department of Neurology, Dokkyo Medical University, Tochigi, Japan (H.T.); Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (T.O.); Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan (N.M.); Japan Stroke Association, Osaka, Japan (H.N.); and Departments of Preventive Medicine and Epidemiologic Informatics (K.N., Y.M.) and Preventive Cardiology (Y.M.), National Cerebral and Cardiovascular Center, Osaka, Japan.
authors.forename: Kosuke
authors.initials: K
authors.lastname: Okumura
authors.affiliation: From the Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (K. Matsuzono, C.Y., S.O., A.I., K.O., K.T., K. Minematsu); Department of Neurology, Dokkyo Medical University, Tochigi, Japan (H.T.); Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (T.O.); Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan (N.M.); Japan Stroke Association, Osaka, Japan (H.N.); and Departments of Preventive Medicine and Epidemiologic Informatics (K.N., Y.M.) and Preventive Cardiology (Y.M.), National Cerebral and Cardiovascular Center, Osaka, Japan.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Toyoda
authors.affiliation: From the Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (K. Matsuzono, C.Y., S.O., A.I., K.O., K.T., K. Minematsu); Department of Neurology, Dokkyo Medical University, Tochigi, Japan (H.T.); Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (T.O.); Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan (N.M.); Japan Stroke Association, Osaka, Japan (H.N.); and Departments of Preventive Medicine and Epidemiologic Informatics (K.N., Y.M.) and Preventive Cardiology (Y.M.), National Cerebral and Cardiovascular Center, Osaka, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Miyamoto
authors.affiliation: From the Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan (K. Matsuzono, C.Y., S.O., A.I., K.O., K.T., K. Minematsu); Department of Neurology, Dokkyo Medical University, Tochigi, Japan (H.T.); Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan (T.O.); Department of Clinical Nursing, Shiga University of Medical Science, Shiga, Japan (N.M.); Japan Stroke Association, Osaka, Japan (H.N.); and Departments of Preventive Medicine and Epidemiologic Informatics (K.N., Y.M.) and Preventive Cardiology (Y.M.), National Cerebral and Cardiovascular Center, Osaka, Japan.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Minematsu
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D010287:Parent-Child Relations / Q000208:ethnology*; D010290:Parents; D010353:Patient Education as Topic / Q000379:methods*; D012307:Risk Factors; D012574:Schools; D020521:Stroke / Q000208:ethnology* / Q000517:prevention & control; D013334:Students
keywords: acute stroke; health education; schools