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Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

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open access

Published: 22 August 2023

Systematic Review in Population-Based General Understanding Surveys of Stroke Perception, Potential Risks, Treatments, and Perspectives for a Correlative Study on Public Awareness Between Different Age Groups and their Lifestyles

Nathakorn Pattanakul, Pratchayapong Yasri

Bangkok Christian College, King Mongkut's University of Technology Thonburi

journal of social and political sciences
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Pages: 64-80

Keywords: Stroke, Public Awareness, FAST Guideline, Stroke Knowledge Levels, Lifestyles, Age Groups


Background: Stroke is a major public health concern that may affect a patient's physical performance and ability to perform fundamental daily duties. Understanding the fundamentals of stroke is crucial for lowering mortality and disability rates among patients, as it allows for the preparation of a rapid and effective treatment and the comprehension of the therapy and treatment process following a stroke. Methods: A survey was distributed to 122 individuals, including 24.6% of high school pupils (12-17), 25.4% of young adults (18-25), 16.4% of adults (26-40), and 33.6% of middle-aged adults (41-60). After completion of data gathering, descriptive analysis was carried out. Results: the outcomes revealed that most participants scored higher on the general comprehension questionnaires than on the technical section. Notably, the level of comprehension of middle-aged adults (x = 9.50) appeared to be the highest. Moreover, those with direct experience with stroke or direct contact with stroke patients had a greater understanding of the disease and its treatment (x = 9.05, p = 0.08) than those without such experience/contact (x = 8.00, p = 0.08). Nevertheless, according to statistical analysis, there was a positive correlation between the age range of participants and their disease awareness. However, the self-care conducted was mostly found in adolescence. Discussion: Therefore, it is necessary for government organizations to encourage awareness and education about fundamental treatments that can assist individuals in avoiding possible risk factors by implementing the FAST guideline simultaneously with a public education effort on stroke response. The greater the number of individuals who comprehend the method for coping with the disease, the greater their protection against the disease.


  1. Adams, H. P., Jr, Brott, T. G., Crowell, R. M., Furlan, A. J., Gomez, C. R., Grotta, J., Helgason, C. M., Marler, J. R., Woolson, R. F., & Zivin, J. A. (1994). Guidelines for the management of patients with acute ischemic stroke. A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Circulation, 90(3), 1588–1601.

  2. Alberts, M. J. (1999). Diagnosis and treatment of ischemic stroke. The American journal of medicine, 106(2), 211-221.

  3. Brice, J. H., Griswell, J. K., Delbridge, T. R., & Key, C. B. (2002). Stroke: from recognition by the public to management by emergency medical services. Prehospital Emergency Care, 6(1), 99-106.

  4. Cauraugh, J. H., & Kim, S. B. (2003). Chronic stroke motor recovery: duration of active neuromuscular stimulation. Journal of the Neurological Sciences, 215(1-2), 13-19.

  5. Chemerinski, E., & Robinson, R. G. (2000). The neuropsychiatry of stroke. Psychosomatics, 41(1), 5-14.

  6. Das, S., & Das, S. K. (2013). Knowledge, attitude and practice of stroke in India versus other developed and developing countries. Annals of Indian Academy of Neurology, 16(4), 488–493.

  7. Das, S., Paul, N., Hazra, A., Ghosal, M., Ray, B. K., Banerjee, T. K., ... & Das, S. K. (2013). Cognitive dysfunction in stroke survivors: a community-based prospective study from Kolkata, India. Journal of Stroke and Cerebrovascular Diseases, 22(8), 1233-1242.

  8. Farrag, M. A., Oraby, M. I., Ghali, A. A., Ragab, O. A., Nasreldein, A., Shehata, G. A., Elfar, E., & Abd-Allah, F. (2018). Public stroke knowledge, awareness, and response to acute stroke: Multi-center study from 4 Egyptian governorates. Journal of the neurological sciences, 384, 46–49.

  9. Feigin, V. L., Brainin, M., Norrving, B., Martins, S., Sacco, R. L., Hacke, W., ... & Lindsay, P. (2022). World Stroke Organization (WSO): global stroke fact sheet 2022. International Journal of Stroke, 17(1), 18-29.

  10. Feigin, V. L., Krishnamurthi, R. V., Parmar, P., Norrving, B., Mensah, G. A., Bennett, D. A., Barker-Collo, S., Moran, A. E., Sacco, R. L., Truelsen, T., Davis, S., Pandian, J. D., Naghavi, M., Forouzanfar, M. H., Nguyen, G., Johnson, C. O., Vos, T., Meretoja, A., Murray, C. J., Roth, G. A., … GBD 2013 Stroke Panel Experts Group (2015). Update on the Global Burden of Ischemic and Hemorrhagic Stroke in 1990-2013: The GBD 2013 Study. Neuroepidemiology, 45(3), 161–176.

  11. Fogle, C. C., Oser, C. S., Troutman, T. P., McNamara, M., Williamson, A. P., Keller, M., ... & Harwell, T. S. (2008). Public education strategies to increase awareness of stroke warning signs and the need to call 911. Journal of Public Health Management and Practice, 14(3), e17-e22.

  12. Ganesan, V., Savvy, L., Chong, W. K., & Kirkham, F. J. (1999). Conventional cerebral angiography in children with ischemic stroke. Pediatric neurology, 20(1), 38-42.

  13. Green, A. R., & Shuaib, A. (2006). Therapeutic strategies for the treatment of stroke. Drug discovery today, 11(15-16), 681-693

  14. Hossmann, K. A. (2006). Pathophysiology and therapy of experimental stroke. Cellular and molecular neurobiology, 26, 1055-1081.

  15. Hsia, A. W., Castle, A., Wing, J. J., Edwards, D. F., Brown, N. C., Higgins, T. M., Wallace, J. L., Koslosky, S. S., Gibbons, M. C., Sánchez, B. N., Fokar, A., Shara, N., Morgenstern, L. B., & Kidwell, C. S. (2011). Understanding reasons for delay in seeking acute stroke care in an underserved urban population. Stroke, 42(6), 1697–1701.

  16. Kaddumukasa, M., Kayima, J., Kaddumukasa, M. N., Ddumba, E., Mugenyi, L., Pundik, S., ... & Katabira, E. (2015). Knowledge, attitudes and perceptions of stroke: a cross-sectional survey in rural and urban Uganda. BMC research notes, 8(1), 1-7.

  17. Kim, J. S., Choi, S., Kwon, S. U., & Seo, Y. S. (2002). Inability to control anger or aggression after stroke. Neurology, 58(7), 1106-1108.

  18. Kleindorfer, D. O., Miller, R., Moomaw, C. J., Alwell, K., Broderick, J. P., Khoury, J., ... & Kissela, B. M. (2007). Designing a message for public education regarding stroke: does FAST capture enough stroke?. Stroke, 38(10), 2864-2868.

  19. Kothari, R., Sauerbeck, L., Jauch, E., Broderick, J., Brott, T., Khoury, J., & Liu, T. (1997). Patients' awareness of stroke signs, symptoms, and risk factors. Stroke, 28(10), 1871–1875.

  20. Luan, S., Yang, Y., Huang, Y., & McDowell, M. (2021). Public knowledge of stroke and heart attack symptoms in China: a cross-sectional survey. BMJ open, 11(1), e043220.

  21. Madsen, T. E., Baird, K. A., Silver, B., & Gjelsvik, A. (2015). Analysis of Gender Differences in Knowledge of Stroke Warning Signs. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 24(7), 1540–1547.

  22. Melnikov, S., Itzhaki, M., & Koton, S. (2018). Age-Group and Gender Differences in Stroke Knowledge in an Israeli Jewish Adult Population. The Journal of cardiovascular nursing, 33(1), 55–61.

  23. Murphy, S. J., & Werring, D. J. (2020). Stroke: causes and clinical features. Medicine, 48(9), 561-566.

  24. Naguib, Rania, et al. "Awareness about stroke and proper actions to be taken; a room for improvement." Journal of Stroke and Cerebrovascular Diseases 29.6 (2020): 104794.

  25. Nicol, M. B., & Thrift, A. G. (2005). Knowledge of risk factors and warning signs of stroke. Vascular health and risk management, 1(2), 137–147.

  26. Paul, N., Das, S., Hazra, A., Ghosal, M. K., Ray, B. K., Banerjee, T. K., ... & Das, S. K. (2013). Depression among stroke survivors: a community-based, prospective study from Kolkata, India. The American Journal of Geriatric Psychiatry, 21(9), 821-831.

  27. Pedersen, P. M., Stig Jørgensen, H., Nakayama, H., Raaschou, H. O., & Olsen, T. S. (1995). Aphasia in acute stroke: incidence, determinants, and recovery. Annals of Neurology: Official Journal of the American Neurological Association and the Child Neurology Society, 38(4), 659-666.

  28. Pinkston, J. B., Alekseeva, N., & González Toledo, E. (2009). Stroke and dementia. Neurological research, 31(8), 824-831

  29. Ranawaka, U., Mettananda, C., Thilakarathna, C., Peiris, A., Kasturiratna, A., & Tilakaratna, Y. (2020). Stroke Awareness in Patients with Incident Stroke Compared to Patients without Stroke or Ischemic Heart Disease. Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 29(6), 104790.

  30. Rodgers, H., Atkinson, C., Bond, S., Suddes, M., Dobson, R., & Curless, R. (1999). Randomized controlled trial of a comprehensive stroke education program for patients and caregivers. Stroke, 30(12), 2585–2591.

  31. Sadeghi-Hokmabadi, E., Vahdati, S. S., Rikhtegar, R., Ghasempour, K., & Rezabakhsh, A. (2019). Public knowledge of people visiting Imam Reza hospital regarding stroke symptoms and risk factors. BMC emergency medicine, 19(1), 36.

  32. Skolarus, L. E., Murphy, J. B., Zimmerman, M. A., Bailey, S., Fowlkes, S., Brown, D. L., Lisabeth, L. D., Greenberg, E., & Morgenstern, L. B. (2013). Individual and community determinants of calling 911 for stroke among African Americans in an urban community. Circulation. Cardiovascular quality and outcomes, 6(3), 278–283.

  33. Sowtali, S. N., Harith, S., Mohamed, M., & Yusoff, D. M. (2016). Stroke knowledge level among stroke patients admitted to hospital Raja Perempuan Zainab II, Kelantan, Malaysia. J Exp Stroke Transl Med, 9(1), 1-11.

  34. Sullivan, K., & Waugh, D. (2005). Stroke knowledge and misconceptions among survivors of stroke and a non-stroke survivor sample. Topics in stroke rehabilitation, 12(2), 72–81.

  35. Sun, H., Chen, S., Jiang, B., Zhao, X., Wu, S., Liu, Y., ... & Wang, W. (2011). Public knowledge of stroke in Chinese urban residents: a community questionnaire study. Neurological research, 33(5), 536-540.

  36. Wall, Hilary K et al. “Addressing stroke signs and symptoms through public education: the Stroke Heroes Act FAST campaign.” Preventing chronic disease vol. 5,2 (2008): A49.

  37. Yew, K. S., & Cheng, E. (2009). Acute stroke diagnosis. American family physician, 80(1), 33.

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