Stroke preparedness in children: translating knowledge into behavioral intent: a systematic review and meta-analysis.
BACKGROUND
If translated into behavioral intent, improving stroke knowledge may potentially impact on better outcomes. Children are an attractive target population since they can drive familial behavioral changes. However, the impact of interventions on stroke knowledge among children is unclear. We performed a systematic review and meta-analysis to investigate whether educational interventions targeting children improve stroke knowledge and lead to behavioral changes.


METHODS
We searched Ovid, PubMed, and Embase between January 2000 and December 2014. We included studies written in English reporting the number of children aged 6-15 years undergoing educational interventions on stroke and providing the results for baseline and early and late postintervention tests. We compared the proportion of correct answers between baseline, early, and late responses for two endpoints: knowledge and behavioral intent.


RESULTS
Of the initial 58 articles found, we included nine that met the inclusion criteria. Compared with baseline tests (51·7%, 95% confidence interval 40·9-62·4), there was improvement in stroke knowledge in early (74·0%, 95% confidence interval 64·4-82·5, P = 0·002) and late (67·3%, 95% confidence interval 55·4-78·2, P = 0·027) responses. There was improvement in the early (92·1%, 95% confidence interval 86·0-96·6, P < 0·001) and late (83·9%, 95% confidence interval 73·5-92·1, P = 0·001) responses for behavioral intent compared with the baseline assessment (63·8%, 95% confidence interval 53·5-73·4).


CONCLUSIONS
Children are a potentially attractive target population for improvement in stroke knowledge and behavioral intent, both in the short and long term. Our findings may support the implementation of large-scale stroke educational initiatives targeting children.
Sunnybrook Health Sciences Centre, Toronto, ON, Canada.|St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
Cassandra
C
Ottawa
Department of Clinical Neurological Sciences, London Health Sciences Centre, University of Western Ontario, London, ON, Canada.
Luciano A
http://orcid.org/0000-0001-6425-9343
LA
Sposato
St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
Fadl
F
Nabbouh
St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
Gustavo
G
Saposnik
D000293:Adolescent; D001364:Awareness; D002648:Child; D016206:Databases, Bibliographic / Q000706:statistics & numerical data; D018479:Early Intervention, Educational; D006801:Humans; D010353:Patient Education as Topic; D020521:Stroke / Q000517:prevention & control* / Q000523:psychology*
awareness; behavior; children; education; knowledge; stroke