title: A Systematic Review of Tests Assessing Stroke Knowledge.
abstract: BACKGROUND
  Accurate assessment of stroke knowledge (SK) is fundamental to the successful understanding of, monitoring of, and intervening to improve the SK of patients and the public.
  
  
  OBJECTIVE
  The purpose of this study is to perform a systematic review of the existing SK tests and appraise their conceptual basis, feasibility, and psychometric properties. We conducted 2-step searching of MEDLINE, CINAHL, PsycINFO, and Scopus electronic databases from January 1, 2000, to December 31, 2014, to identify relevant SK tests for the appraisal.
  
  
  RESULTS
  Our study found 59 SK tests, out of a total of 93 articles, with full content available that had been referred to in the published literature. Ten of them had been used in more than 1 study, and 2 (the Stroke Knowledge Test and the Stroke Action Test) of them have had at least 1 of their psychometric properties validated. Only 1 test (the Stroke Knowledge Test) was developed using rigorous methodology, covers a wide range of concepts, and met all feasibility criteria; however, its limitations include no articulated conceptual basis, inadequate internal consistency reliability (α = .65), and lack of some validated psychometric properties.
  
  
  CONCLUSIONS
  Our study revealed that current available tools are not sufficiently able to accurately and reliably assess SK to promote stroke prevention and management.
  
  
  CONCLUSIONS
  This study highlights the attention of applying current SK tests and need for revising existing tests or developing a new test.
authors.affiliation: Wen-Hsuan Hou, MD, PhD Associate Professor, Master Program in Long-Term Care and School of Gerontology Health Management, College of Nursing, and Center of Evidence-Based Medicine, Taipei Medical University; and Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taiwan. Tammy Hoffmann, PhD Professor of Clinical Epidemiology, Centre for Research in Evidence-Based Practice, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Australia. Yi-Jing Huang, BS PhD student, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan. Tzu-Yi Wu, PhD Postdoctoral Fellow, Institute of Economics, Academia Sinica, Taipei, Taiwan. Sheng-Shiung Chen, MS Occupational Therapist, Department of Physical Medicine and Rehabilitation, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan. Ching-Lin Hsieh, PhD Professor, School of Occupational Therapy, College of Medicine, National Taiwan University, and Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: Wen-Hsuan
authors.initials: WH
authors.lastname: Hou
authors.forename: Tammy
authors.initials: T
authors.lastname: Hoffmann
authors.forename: Yi-Jing
authors.initials: YJ
authors.lastname: Huang
authors.forename: Tzu-Yi
authors.initials: TY
authors.lastname: Wu
authors.forename: Sheng-Shiung
authors.initials: SS
authors.lastname: Chen
authors.forename: Ching-Lin
authors.initials: CL
authors.lastname: Hsieh
mesh_terms: D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D011594:Psychometrics; D015203:Reproducibility of Results; D020521:Stroke / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy; D011795:Surveys and Questionnaires