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Transferring stroke knowledge from children to parents: A systematic review and meta-analysis of community stroke educational programs
Journal article   Peer reviewed

Transferring stroke knowledge from children to parents: A systematic review and meta-analysis of community stroke educational programs

Daudet Ilunga Tshiswaka, Laura E. Sikes, Juliet Iwelunmor, Gbenga Ogedegbe and Olajide Williams
Journal of Stroke & Cerebrovascular Diseases, Vol.27, pp.3187-3199
27
2018
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.07.014
Web of Science ID: WOS:000450569700039

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Abstract

Background: The purpose of this systematic review and meta-analysis on child-to-parent communication of stroke information (Child-Mediated Stroke Communication, CMSC) is to provide the highest levels of evidence supporting the role of this approach in community education. Methods: Databases such as PubMed, Google Scholar, PsycINFO, Web of Science, MEDLINE, and CINHAL were searched to gather information on CMSC followed by a meta-analysis. The eligibility criteria were as follows: (a) children aged 9-15 years and parents, (b) randomized or non-randomized trials, and (c) outcome variables that included the proportions of parents answering the pretest and post-test on stroke knowledge regarding risk factors, symptoms, and what to do in the event of stroke. Results: Of the 1668 retrieved studies, 9 articles were included. Meta-analytical findings yielded that the proportions of correct answers for stroke symptoms and its risk factors among parents were 0.686 (95% CI: 0.594-0.777) at baseline and increased to 0.847 (95% CI: 0.808-0.886) at immediate post-test and 0.845 (95% CI: 0.804-0.886) delayed post-test. The proportions of correct answers for behavioral intent to call 911 when witnessing stroke was 0.712 (95% CI: 0.578-0.846) at baseline, rising to 0.860 (95% CI: 0.767-0.953) at immediate post-test, and 0.846 (95% CI: 0.688-1.004) at delayed post-test. Conclusions: CMSC is effective for educating families. More work is needed to increase the use of validated stroke literacy instruments and behavioral theory, and to reduce parental attrition in research studies.

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