The impact of the UK 'Act FAST' stroke awareness campaign: content analysis of patients, witness and primary care clinicians' perceptions.

The impact of the UK 'Act FAST' stroke awareness campaign: content analysis of patients, witness and primary care clinicians' perceptions.
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DOI:
10.1186/1471-2458-13-915
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发表时间:
2013-10-02
期刊:
影响因子:
4.5
通讯作者:
White M
White M
中科院分区:
医学2区
文献类型:
--
作者:
Dombrowski SU;Mackintosh JE;Sniehotta FF;Araujo-Soares V;Rodgers H;Thomson RG;Murtagh MJ;Ford GA;Eccles MP;White M

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英国大众媒体发起的“快速行动”运动旨在提高人们对中风的认识,以及在疑似中风发作时呼叫紧急服务的必要性。我们检查了运动在目标人群中的感知影响和观点,以确定优化卒中大众媒体干预的潜在方法。作为两项定性研究的一部分进行的半结构化访谈分析,研究影响患者/目击者对急性卒中症状的反应的因素(n = 19例卒中患者,n = 26例卒中目击者)和对提高初级保健中卒中意识的看法(n = 30名临床医生)。这两项研究都包括了关于“快速行动”运动的问题。访谈内容进行分析,以确定运动的意识,感知的影响,决策和响应中风,和运动的意见。大多数参与者都知道快速行动运动。一些患者和目击者报告说,这项运动影响了他们对中风的认识和反应,但大多数人报告说没有影响。临床医生通常认为运动在提高中风意识方面取得了成功,但很少有人认为它会改变反应行为。一些病人和证人,以及大多数初级保健临床医生对该运动表示积极的看法。一些更关键的参与者评论包括对戏剧性,无关紧要和潜在混乱内容的看法,例如突出的“大脑中的火”类比。快速行动对一些中风患者和目击者的中风识别和反应产生了一些影响,但大多数人报告说没有运动影响。初级保健临床医生对该活动持积极态度,并认为它对中风的认识和识别产生了影响,但对反应行为的影响表示怀疑。确定了优化和补充“快速行动”等大众媒体运动的潜在途径。
The English mass media campaign ‘Act FAST’ aimed to raise stroke awareness and the need to call emergency services at the onset of suspected stroke. We examined the perceived impact and views of the campaign in target populations to identify potential ways to optimise mass-media interventions for stroke. Analysis of semi-structured interviews conducted as part of two qualitative studies, which examined factors influencing patient/witness response to acute stroke symptoms (n = 19 stroke patients, n = 26 stroke witnesses) and perceptions about raising stroke awareness in primary care (n = 30 clinicians). Both studies included questions about the ‘Act FAST’ campaign. Interviews were content analysed to determine campaign awareness, perceived impact on decisions and response to stroke, and views of the campaign. Most participants were aware of the Act FAST campaign. Some patients and witnesses reported that the campaign impacted upon their stroke recognition and response, but the majority reported no impact. Clinicians often perceived campaign success in raising stroke awareness, but few thought it would change response behaviours. Some patients and witnesses, and most primary care clinicians expressed positive views towards the campaign. Some more critical participant comments included perceptions of dramatic, irrelevant, and potentially confusing content, such as a prominent ‘fire in the brain’ analogy. Act FAST has had some perceived impact on stroke recognition and response in some stroke patients and witnesses, but the majority reported no campaign impact. Primary care clinicians were positive about the campaign, and believed it had impacted on stroke awareness and recognition but doubted impact on response behaviour. Potential avenues for optimising and complementing mass media campaigns such as ‘Act FAST’ were identified.
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