Effect of Health Education on Level of Awareness and Knowledge of Nigerian In-School adolescents on Stroke and Its Risk Factors |
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| Institution: | 2. Department of Paediatrics and Child Health, Obafemi Awolowo University/Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria;3. Department of Community Health, Obafemi Awolowo University/Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria;2. Internal Medicine Department, College of Medicine (Alexandria Faculty of Medicine), Alexandria University, Egypt;3. High Institute of Public Health, Alexandria University, Egypt;1. Division of Health Sciences, University of Warwick Medical School, Coventry, CV4 7AL, UK;2. Warwick-Centre for Applied Health Research and Delivery (WCAHRD), Division of Health Sciences, University of Warwick Medical School, Coventry, UK;3. Liverpool School of Tropical Medicine, International Health Group, Liverpool, UK;4. Department of Preventive and Social Medicine, University of Port Harcourt, Port Harcourt, Nigeria;5. School of the Built Environment, University of Salford, M5 4WT, UK;6. Department of Internal Medicine, University of Port Harcourt, Port Harcourt, Nigeria;7. Department of Population Health, Luxembourg Institute of Health (LIH), 1A-B, rue Thomas Edison, L-1445 Strassen, Luxembourg;8. Department of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada;9. Department of Mathematics and Information Sciences, Faculty of Engineering and Environment, Northumbria University, Newcastle upon Tyne, NE1 8ST, UK;10. University of Agder, Faculty of Health and Sport Sciences, Kristiansand, Norway;11. University of the Witwatersrand, Division of Epidemiology and Biostatistics, School of Public Health, Johannesburg, South Africa;1. Centre for Global Health Research, Usher Institute, University of Edinburgh, UK;2. RcDavies Evidence-based Medicine, Lagos, Nigeria;3. British Association of Dermatologists, London, UK;4. School of Pharmacy and Biomedical Sciences, University of Central Lancashire, Fylde Road, Preston, UK;5. WHO Nigeria Country Office, Abuja, Nigeria;6. Federal Ministry of Health, Abuja, Nigeria;7. Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine University of Pennsylvania Philadelphia, Pennsylvania, USA;8. Palliative and Advanced Illness Research (PAIR) Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA;9. International Health Consultancy, Atlanta, Georgia, USA;1. Neurology Department, Faculty of Medicine, Cairo University, Egypt;2. Neurology Department, Faculty of Medicine, Beni-Suef University, Egypt;3. Neurology Department, Faculty of Medicine, Tanta University, Egypt;4. Neurology Department, Faculty of Medicine, Assiut University, Egypt;5. Public Health and Community Medicine Department, Faculty of Medicine, Cairo University, Egypt |
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| Abstract: | Background: Stroke education in adolescents has been established as an effective method of creating awareness about stroke, its warning signs and risk factors. It contributes to desired behavioural change in the adolescents as well as their parents. Thus, we aimed to determine the baseline knowledge of school attending adolescents about stroke and its risk factors as well as the effect of stroke education on their stroke awareness. Methods: This study employed a quasi-experimental study design and was conducted in secondary schools in Ile-Ife, Osun State, Nigeria. The schools were divided into intervention and control groups. We assessed the baseline knowledge of the students on stroke, its risk factors, warning signs, and ways of preventing it using a pre-tested structured questionnaire in both intervention and control groups. In the intervention group, health talks on stroke consisting of oral presentation and distribution of fliers were presented for 30 minutes in each selected school. Each school was visited 2 weeks after the health education intervention to assess their knowledge on stroke, its risk factors, and ways of preventing it. The control group was also visited after 2 weeks for a re-assessment of their stroke knowledge and the conduct of heath talk on other aspects of neurology such as sleep, epilepsy, etc. Results: A total of 1259 adolescents were studied with 661 in the intervention group and 598 in the control group. The mean age of the respondents was 13.56 ± 2.87 the intervention group and 13.38 ± 2.06 in the control group. There were higher mean scores on knowledge of stroke and its risk factors among the intervention group than seen in the control group after the stroke education. Conclusions: Stroke education is an effective way of creating and maintaining stroke awareness among school-attending adolescents. |
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