Effect of a novel video game on stroke knowledge of 9- to 10-year-old, low-income children.

Effect of a novel video game on stroke knowledge of 9- to 10-year-old, low-income children.
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新颖的视频游戏对9至10岁低收入儿童的中风知识的影响。

DOI:
10.1161/strokeaha.113.002906
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发表时间:
2014-03
期刊:
影响因子:
8.3
通讯作者:
Noble JM
Noble JM
中科院分区:
医学1区
文献类型:
--
作者:
Williams O;Hecht MF;DeSorbo AL;Huq S;Noble JM

文献摘要

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提高目击者或旁观者(在某些情况下是儿童)的可采取行动的卒中知识可能会改善对急性卒中事件的反应。我们使用了准实验前测(PT)后测设计,以评估210名9-10岁儿童的可操作中风知识,以应对在学校计算机实验室进行的中风教育视频游戏的单一15分钟曝光。在立即进行测试后(IP),我们提供了远程密码保护的在线视频游戏访问,并鼓励孩子们在家里玩休闲游戏。七周后,一个未经宣布的延迟后测试(DP)发生了。210名儿童完成了PT,205名完成了IP,而198名完成了DP。156名(74%)儿童可以在家中上网,41名(26%)儿童(大部分是女孩)远程玩视频游戏。卒中症状综合评分、呼叫911和所有单独的卒中知识项目(包括测试序列中的干扰项)均有显著改善(p<0.05)。远程玩视频游戏的儿童与未远程玩视频游戏的儿童相比,在一种症状(突然失衡)的知识方面表现出显着改善(p<0.05),尽管总体综合得分没有差异。脑卒中教育电子游戏可能是提高和维持儿童脑卒中知识的新方法。
Improving actionable stroke knowledge of a witness or bystander, which in some cases are children, may improve response to an acute stroke event. We used a quasi-experimental pretest (PT) post-test design to evaluate actionable stroke knowledge of 210 children aged 9–10 years in response to a single 15-minute exposure to a stroke education video game conducted in the school computer lab. Following immediate post-testing (IP) we provided remote password-protected online video game access, and encouraged children play at their leisure from home. An unannounced delayed post-test (DP) occurred seven weeks later. Two hundred ten children completed PT, 205 completed IP, while 198 completed DP. 156 (74%) children had home Internet access, and 41 (26%), mostly girls, played the video game remotely. There was significant improvement of stroke symptom composite scores, calling 911 and all individual stroke knowledge items, including a distractor across the testing sequence (p<0.05). Children who played the video game remotely demonstrated significant improvement in knowledge of one symptom (sudden imbalance) compared to children who did not (p<0.05), although overall composite scores showed no difference. Stroke education video games may represent novel means for improving and sustaining actionable stroke knowledge of children.