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Research ArticleOriginal Article
Open Access

Effect of an educational intervention on knowledge and perception of individuals at risk for stroke in Tabuk, Saudi Arabia

Mohammed F. Albalawi, Tariq Shaqran, Saleh H. Alhawiti, Abdulrahman S. Alwadiee, Yara M. Albalawi and Wafa H. Albalawi
Neurosciences Journal January 2020, 25 (1) 18-24; DOI: https://doi.org/10.17712/nsj.2020.1.20190018
Mohammed F. Albalawi
From the Department of Neurology (Albalawi M), Prince Sultan Medical Military City, from the Department of Ophthalmology (Albalawi Y), King Faisal Specialist Hospital & Research Center, Riyadh, and from the Department of Health Education (Shaqran), Department of Internal Medicine (Alhawiti), King Salman Armed Forces Hospital, and from the Department of Radiology (Alwadiee), King Khalid Hospital, Faculty of Medicine (Albalawi W), Tabuk University,Tabuk, Kingdom of Saudi Arabia.
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Tariq Shaqran
From the Department of Neurology (Albalawi M), Prince Sultan Medical Military City, from the Department of Ophthalmology (Albalawi Y), King Faisal Specialist Hospital & Research Center, Riyadh, and from the Department of Health Education (Shaqran), Department of Internal Medicine (Alhawiti), King Salman Armed Forces Hospital, and from the Department of Radiology (Alwadiee), King Khalid Hospital, Faculty of Medicine (Albalawi W), Tabuk University,Tabuk, Kingdom of Saudi Arabia.
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Saleh H. Alhawiti
From the Department of Neurology (Albalawi M), Prince Sultan Medical Military City, from the Department of Ophthalmology (Albalawi Y), King Faisal Specialist Hospital & Research Center, Riyadh, and from the Department of Health Education (Shaqran), Department of Internal Medicine (Alhawiti), King Salman Armed Forces Hospital, and from the Department of Radiology (Alwadiee), King Khalid Hospital, Faculty of Medicine (Albalawi W), Tabuk University,Tabuk, Kingdom of Saudi Arabia.
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Abdulrahman S. Alwadiee
From the Department of Neurology (Albalawi M), Prince Sultan Medical Military City, from the Department of Ophthalmology (Albalawi Y), King Faisal Specialist Hospital & Research Center, Riyadh, and from the Department of Health Education (Shaqran), Department of Internal Medicine (Alhawiti), King Salman Armed Forces Hospital, and from the Department of Radiology (Alwadiee), King Khalid Hospital, Faculty of Medicine (Albalawi W), Tabuk University,Tabuk, Kingdom of Saudi Arabia.
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Yara M. Albalawi
From the Department of Neurology (Albalawi M), Prince Sultan Medical Military City, from the Department of Ophthalmology (Albalawi Y), King Faisal Specialist Hospital & Research Center, Riyadh, and from the Department of Health Education (Shaqran), Department of Internal Medicine (Alhawiti), King Salman Armed Forces Hospital, and from the Department of Radiology (Alwadiee), King Khalid Hospital, Faculty of Medicine (Albalawi W), Tabuk University,Tabuk, Kingdom of Saudi Arabia.
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Wafa H. Albalawi
From the Department of Neurology (Albalawi M), Prince Sultan Medical Military City, from the Department of Ophthalmology (Albalawi Y), King Faisal Specialist Hospital & Research Center, Riyadh, and from the Department of Health Education (Shaqran), Department of Internal Medicine (Alhawiti), King Salman Armed Forces Hospital, and from the Department of Radiology (Alwadiee), King Khalid Hospital, Faculty of Medicine (Albalawi W), Tabuk University,Tabuk, Kingdom of Saudi Arabia.
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Article Figures & Data

Tables

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    Table 1

    Socio-demographic characteristics of participants. N=313

    Characteristicsn (%)
    Age
    <20 years46 (14.7)
    20-39161 (51.4)
    40-5984 (26.8)
    60-8022 (7)
    Gender
    Male154 (49.2)
    Female159 (50.8)
    Education
    Never attended school27 (8.6)
    Secondary school and lower113 (36.1)
    College and above173 (55.3)
    Marital status
    Married181 (57.8)
    Single109 (34.8)
    Divorced8 (2.6)
    Widow15 (4.8)
    • View popup
    Table 2

    Knowledge of stroke warning symptoms as reported by participants before and after intervention.

    StatementsPre Intervention (n = 313)Post Intervention(n = 313)P-value
    Concept of stroke pre & post interventionn (%)<0.001
    Sudden loss of brain functions because of disturbance in blood flow to the brain199(63.6)304(97.1)
    Collection of fluids within the brain37(11.8)5(1.6)
    Abnormal growth of tissues within the brain15(4.8)1(0.3)
    I don’t know62(19.8)3(1)
    Do you know any stroke Warning Symptoms?
    Yes109(34.8)308(98.4)
    No204(65.2)5(1.6)
    If Yes109(34.8)308 (98.4)
    Face dropping/ facial asymmetry20(18.3)267(86.6)<0.001
    Arm/ one side of the body weakness or Paralysis68(62.3)292(94.8)<0.001
    Speech/reading difficulty31(28.4)278(90.2)<0.001
    Numbness/dead sensation22(20.1)83(26.9)0.162
    Walking / balance difficulties4(3.6)32(10.3)0.031
    Visual difficulty/ loss of vision6(5.5)26(8.4)0.322
    Fainting/ loss of consciousness25(22.9)25(8.1)<0.001
    Sudden severe headache12(11)64(20.7)0.023
    Dizziness7(6.4)18(5.8)0.827
    Temporary loss of memory4(3.6)5(1.6)0.206
    Seizures3(2.7)4(1.2)0.312
    Shortness of breath/Chest Pain4(3.6)0(0)-
    Migraine1(0.3)0(0)-
    Significant at p-value<0.05
  • Knowledge of stroke risk factors as reported by participants before and after intervention.

    Pre Intervention (n = 313)Post Intervention (n = 313)P-value
    n (%)
    Do you know any stroke Risk factors?
    Yes130(41.5)296(94.6)
    No183(58.5)17(5.4)
    If Yes130(41.5)296(94.6)
    Old Age8(6.1)34(11.4)0.089
    Diabetes mellitus32(24.6)225(76)<0.001
    Hypertension62.(47.6)255(86.1)<0.001
    Stress24(18.4)49(16.5)0.630
    Obesity14(10.7)106(35.8)0.000
    Cigarette smoking17(13)156(52.7)<0.001
    Heart disease5(3.8)20(6.7)0.233
    Family history (hereditary)9(6.9)51(17.2)0.005
    High cholesterol24(18.4)94(31.7)0.005
    Arthrosclerosis7(5.3)25(8.4)0.270
    No physical activity5(3.8)17(5.7)0.415
    Previous stroke5(3.8)13(4.3)0.796
    Vessels occlusion/ less blood supply11(8.4)7(2.3)0.004
    *Cultural beliefs16(5.1)2(0.6)<0.001
    • Significant at p-value <0.05,

    • ↵* Cultural beliefs (envy/ witchcraft/ cold weather cold water/ sunstroke/ lack of drinking water)

    • View popup
    Table 4

    Participants’ Perception and Concerns, About Stroke.

    Statementsn (%)
    Have you thought about stroke before?
    Yes71 (22.6)
    No242 (77.3)
    If Yes (Possibility of you having a stroke in your lifetime?)
    High Chance3 (4.2)
    Moderate Chance16 (22.5)
    Low Chance40 (56.3)
    No Chance12 (16.9)
    Is stroke preventable?Pre intervention (n=313)Post intervention (n=313)
    Yes189 (60.4)308 (98.4)
    No20 (6.4)1 (0.3)
    I don’t know104 (41.5)4 (1.3)
    Can a person have stroke more than once?
    Yes150(47.9%)299(95.5)
    No33(10.5%)4(1.3)
    I don’t know130(41.5%)10(3.2)
    Significant at p-value<0.05
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Effect of an educational intervention on knowledge and perception of individuals at risk for stroke in Tabuk, Saudi Arabia
Mohammed F. Albalawi, Tariq Shaqran, Saleh H. Alhawiti, Abdulrahman S. Alwadiee, Yara M. Albalawi, Wafa H. Albalawi
Neurosciences Journal Jan 2020, 25 (1) 18-24; DOI: 10.17712/nsj.2020.1.20190018

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Effect of an educational intervention on knowledge and perception of individuals at risk for stroke in Tabuk, Saudi Arabia
Mohammed F. Albalawi, Tariq Shaqran, Saleh H. Alhawiti, Abdulrahman S. Alwadiee, Yara M. Albalawi, Wafa H. Albalawi
Neurosciences Journal Jan 2020, 25 (1) 18-24; DOI: 10.17712/nsj.2020.1.20190018
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