Abstract T P190: Are There Differences Between US and UK Adults in Stroke Preparedness? Evidence From Parallel Population-Based Community Surveys

Background: Given that pre-hospital delay is the main reason for tPA underutilization, increasing stroke preparedness (i.e. the ability to recognise stroke and contact EMS immediately) is crucial. We sought to determine whether between-country differences exist in stroke preparedness between two different health care systems; US (insurance-based) and UK (universal). Methods: A survey was mailed to population-based samples in Ingham County, Michigan, USA (n=2500) and Newcastle upon Tyne, UK (n=2500). Locations were chosen based on their similar population size and rates of unemployment. Newcastle upon Tyne has a higher population density and fewer racial/ethnic minorities than Ingham County. The survey included 12 stroke and 4 non-stroke scenarios followed by a stroke recognition and behavioural intent question and recorded respondent demographics and past stroke history. Descriptive statistics were used to summarize stroke recognition and preparedness. Linear regression models explored the association of ...

[1]  R. Thomson,et al.  The Stroke ‘Act FAST’ Campaign: Remembered but Not Understood? , 2015, International journal of stroke : official journal of the International Stroke Society.

[2]  Tertiary Secondary.  Stroke Improvement National Audit Programme (SINAP) , 2014 .

[3]  R. Thomson,et al.  The impact of the UK ‘Act FAST’ stroke awareness campaign: content analysis of patients, witness and primary care clinicians’ perceptions , 2013, BMC Public Health.

[4]  A. Thrift,et al.  Comparison of Stroke Warning Sign Campaigns in Australia, England, and Canada , 2013, International journal of stroke : official journal of the International Stroke Society.

[5]  Geoff Cohen,et al.  Recombinant tissue plasminogen activator for acute ischaemic stroke: an updated systematic review and meta-analysis , 2012, The Lancet.

[6]  Dawn Kleindorfer,et al.  Recombinant Tissue-Type Plasminogen Activator Use for Ischemic Stroke in the United States: A Doubling of Treatment Rates Over the Course of 5 Years , 2011, Stroke.

[7]  M. Zimmerman,et al.  Community-Based Participatory Research: A New Approach to Engaging Community Members to Rapidly Call 911 for Stroke , 2011, Stroke.

[8]  M. C. Gibbons,et al.  Understanding Reasons for Delay in Seeking Acute Stroke Care in an Underserved Urban Population , 2011, Stroke.

[9]  B. O'Connell,et al.  Is FAST Stroke Smart? Do the Content and Language used in Awareness Campaigns Describe the Experience of Stroke Symptoms? , 2010, International journal of stroke : official journal of the International Stroke Society.

[10]  M. Brainin,et al.  Stroke Education: Discrepancies among Factors Influencing Prehospital Delay and Stroke Knowledge , 2010, International journal of stroke : official journal of the International Stroke Society.

[11]  Gregory W Albers,et al.  Time to treatment with intravenous alteplase and outcome in stroke: an updated pooled analysis of ECASS, ATLANTIS, NINDS, and EPITHET trials , 2010, The Lancet.

[12]  F. Giorgino,et al.  Feasibility and effectiveness of a disease and care management model in the primary health care system for patients with heart failure and diabetes (Project Leonardo) , 2010, Vascular health and risk management.

[13]  J. Broderick,et al.  Designing a Message for Public Education Regarding Stroke: Does FAST Capture Enough Stroke? , 2007, Stroke.

[14]  A. Go,et al.  Reducing Delay in Seeking Treatment by Patients With Acute Coronary Syndrome and Stroke: A Scientific Statement From the American Heart Association Council on Cardiovascular Nursing and Stroke Council* , 2006, Circulation.

[15]  Elizabeth Broadbent,et al.  The brief illness perception questionnaire. , 2006, Journal of psychosomatic research.

[16]  B. Neundörfer,et al.  [Stroke. Public knowledge and information sources]. , 2005, Der Nervenarzt.

[17]  E McColl,et al.  Design and use of questionnaires: a review of best practice applicable to surveys of health service staff and patients. , 2001, Health technology assessment.

[18]  Joseph P. Broderick,et al.  Tissue plasminogen activator for acute ischemic stroke. The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. , 1995 .

[19]  B. Efron.  Nonparametric estimates of standard error: The jackknife, the bootstrap and other methods , 1981 .