Video-based educational intervention associated with improved stroke literacy, self-efficacy, and patient satisfaction.
OBJECTIVE
Interventions are needed to improve stroke literacy among recent stroke survivors. We developed an educational video for patients hospitalized with acute ischemic stroke (AIS) and intracerebral hemorrhage (ICH).


METHODS
A 5-minute stroke education video was shown to our AIS and ICH patients admitted from March to June 2015. Demographics and a 5-minute protocol Montreal Cognitive Assessment were also collected. Questions related to stroke knowledge, self-efficacy, and patient satisfaction were answered before, immediately after, and 30 days after the video.


RESULTS
Among 250 screened, 102 patients consented, and 93 completed the video intervention. There was a significant difference between pre-video median knowledge score of 6 (IQR 4-7) and the post-video score of 7 (IQR 6-8; p<0.001) and between pre-video and the 30 day score of 7 (IQR 5-8; p = 0.04). There was a significant difference between the proportion of patients who were very certain in recognizing symptoms of a stroke pre- and post-video, which was maintained at 30-days (35.5% vs. 53.5%, p = 0.01; 35.5% vs. 54.4%, p = 0.02). The proportion who were "very satisfied" with their education post-video (74.2%) was significantly higher than pre-video (49.5%, p<0.01), and this was maintained at 30 days (75.4%, p<0.01). There was no association between MoCA scores and stroke knowledge acquisition or retention. There was no association between stroke knowledge acquisition and rates of home blood pressure monitoring or primary care provider follow-up.


CONCLUSIONS
An educational video was associated with improved stroke knowledge, self-efficacy in recognizing stroke symptoms, and satisfaction with education in hospitalized stroke patients, which was maintained at 30 days after discharge.
Department of Neurology, Stroke Program, UTHealth, Houston, Texas, United States of America.|Department of Neurology, MedStar Georgetown University Hospital, Washington, DC, United States of America.
Mary Carter
http://orcid.org/0000-0002-7003-1748
MC
Denny
Department of Neurology, Stroke Program, UTHealth, Houston, Texas, United States of America.
Farhaan
F
Vahidy
Memorial Hermann Hospital-Texas Medical Center, Houston, Texas, United States of America.
Kim Y T
KY
Vu
Department of Neurology, Stroke Program, UTHealth, Houston, Texas, United States of America.
Anjail Z
AZ
Sharrief
Department of Neurology, Stroke Program, UTHealth, Houston, Texas, United States of America.
Sean I
SI
Savitz
D000368:Aged; D002543:Cerebral Hemorrhage / Q000503:physiopathology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006760:Hospitalization; D006801:Humans; D000067010:Literacy; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D017060:Patient Satisfaction; D011446:Prospective Studies; D020377:Self Efficacy; D020521:Stroke / Q000503:physiopathology*; D014743:Videotape Recording / Q000379:methods