Retention of Stroke Education Provided during Hospitalization

Does Provision of Required Education Increase Stroke Knowledge?

Brenda Johnson, Diane Handler, Victor Urrutia, Anne Alexandrov

Research output: Contribution to journalArticle

Abstract

Background: Provision of stroke education to patients is a Centers for Medicare/Medicaid (CMS) requirement. However, little is known about retention of the educational content. Methods: Two pilot studies were conducted: Pilot A delivered CMS-required stroke education during hospitalization in a standardized manner and tested knowledge retention in patients returning to the Stroke Clinic for 1-month follow-up; Pilot B randomized patients to either a control group with standardized education or a test-enhanced learning group (target), with measurement of stroke knowledge retention at hospital discharge. Results: A total of 198 patients/caregivers participated in Pilot A, with only 25% scoring 100% correct on required stroke education items. The question most commonly answered incorrectly (n = 117; 59%) was "personal risk factors for stroke," and 74 (37%) could not correctly identify stroke signs and symptoms. Pilot B found that significantly more target group patients could identify their personal stroke risk factors (100 vs. 67%; p = 0.04) and the purpose of their secondary prevention medications (87 vs. 40%; p = 0.02) compared to controls. Discussion: While stroke education is required during hospitalization, its ability to produce retention may be poor. We propose study of test-enhanced learning methods through the Targeted Education in Stroke Trial (TEST) to examine the effect of novel teaching methods on patient/caregiver knowledge retention.

Original languageEnglish (US)
Pages (from-to)471-478
Number of pages8
JournalInterventional Neurology
Volume7
Issue number6
DOIs
StatePublished - Oct 1 2018

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Hospitalization
Stroke
Education
Caregivers
Learning
Aptitude
Medicaid
Patient Education
Medicare
Secondary Prevention
Signs and Symptoms
Teaching
Control Groups

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

Cite this

Retention of Stroke Education Provided during Hospitalization : Does Provision of Required Education Increase Stroke Knowledge? / Johnson, Brenda; Handler, Diane; Urrutia, Victor; Alexandrov, Anne.

In: Interventional Neurology, Vol. 7, No. 6, 01.10.2018, p. 471-478.

Research output: Contribution to journalArticle

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