Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trial
Objective: Stroke treatment is often hampered by delayed Emergency Medical Services activation. Public campaigns to improve the response to stroke symptoms are either costly or not working. We evaluate the effectiveness of a school-based HOBIT program in improving Emergency Medical Services activati...
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| Language: | English |
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Elsevier
2025-05-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335525000889 |
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| author | Ekaterina Volevach Hana Maršálková Robert Mikulik |
| author_facet | Ekaterina Volevach Hana Maršálková Robert Mikulik |
| author_sort | Ekaterina Volevach |
| collection | DOAJ |
| description | Objective: Stroke treatment is often hampered by delayed Emergency Medical Services activation. Public campaigns to improve the response to stroke symptoms are either costly or not working. We evaluate the effectiveness of a school-based HOBIT program in improving Emergency Medical Services activation.Methods: This cluster randomized trial was conducted from May to June 2023 at 13 schools in the South Moravian region of Czechia. Schools were randomized to the HOBIT intervention or control group with a 3:1 ratio. Both groups had knowledge assessments at baseline and follow-up. The primary outcome was the percentage change from the pretest to the follow-up test in the intervention group compared to the control group in 4 domains: 1) knowledge, 2) self-efficacy, 3) outcome expectations, 4) behavioral intentions.Results: The baseline knowledge was greater than 50 % in most metrics except for knowledge of the FAST test, which was only 16 %. The intervention effect was 16 % (95 % CI 12–21) for knowledge, 10 % (95 % CI 4–15) for self-efficacy,10 % (95 % CI 5–15) for outcome expectations, 8 % (95 % CI 2–11) for behavioral intentions.Conclusions: In school children, even those with high baseline, “HOBIT” intervention can improve determinants and behavioral intentions of Emergency Medical Services activation for suspected stroke. |
| format | Article |
| id | doaj-art-948fd2e16b2546509331e1a950a21bcc |
| institution | OA Journals |
| issn | 2211-3355 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj-art-948fd2e16b2546509331e1a950a21bcc2025-08-20T02:08:20ZengElsevierPreventive Medicine Reports2211-33552025-05-015310304910.1016/j.pmedr.2025.103049Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trialEkaterina Volevach0Hana Maršálková1Robert Mikulik2International Clinical Research Centre, St. Anne's University Hospital Brno, Brno, Czech Republic; First Department of Neurology, Faculty of Medicine, Masaryk University and St. Anne's University Hospital Brno, Brno, Czech Republic; Corresponding author at: International Clinical Research Centre, St. Anne's University Hospital Brno, Brno, Czech RepublicInternational Clinical Research Centre, St. Anne's University Hospital Brno, Brno, Czech RepublicInternational Clinical Research Centre, St. Anne's University Hospital Brno, Brno, Czech Republic; First Department of Neurology, Faculty of Medicine, Masaryk University and St. Anne's University Hospital Brno, Brno, Czech RepublicObjective: Stroke treatment is often hampered by delayed Emergency Medical Services activation. Public campaigns to improve the response to stroke symptoms are either costly or not working. We evaluate the effectiveness of a school-based HOBIT program in improving Emergency Medical Services activation.Methods: This cluster randomized trial was conducted from May to June 2023 at 13 schools in the South Moravian region of Czechia. Schools were randomized to the HOBIT intervention or control group with a 3:1 ratio. Both groups had knowledge assessments at baseline and follow-up. The primary outcome was the percentage change from the pretest to the follow-up test in the intervention group compared to the control group in 4 domains: 1) knowledge, 2) self-efficacy, 3) outcome expectations, 4) behavioral intentions.Results: The baseline knowledge was greater than 50 % in most metrics except for knowledge of the FAST test, which was only 16 %. The intervention effect was 16 % (95 % CI 12–21) for knowledge, 10 % (95 % CI 4–15) for self-efficacy,10 % (95 % CI 5–15) for outcome expectations, 8 % (95 % CI 2–11) for behavioral intentions.Conclusions: In school children, even those with high baseline, “HOBIT” intervention can improve determinants and behavioral intentions of Emergency Medical Services activation for suspected stroke.http://www.sciencedirect.com/science/article/pii/S2211335525000889Cluster randomized trialSchoolChildrenInterventionStroke awarenessHealth education |
| spellingShingle | Ekaterina Volevach Hana Maršálková Robert Mikulik Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trial Preventive Medicine Reports Cluster randomized trial School Children Intervention Stroke awareness Health education |
| title | Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trial |
| title_full | Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trial |
| title_fullStr | Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trial |
| title_full_unstemmed | Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trial |
| title_short | Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trial |
| title_sort | enhancing stroke response in school children efficacy of the hobit program a cluster randomized trial |
| topic | Cluster randomized trial School Children Intervention Stroke awareness Health education |
| url | http://www.sciencedirect.com/science/article/pii/S2211335525000889 |
| work_keys_str_mv | AT ekaterinavolevach enhancingstrokeresponseinschoolchildrenefficacyofthehobitprogramaclusterrandomizedtrial AT hanamarsalkova enhancingstrokeresponseinschoolchildrenefficacyofthehobitprogramaclusterrandomizedtrial AT robertmikulik enhancingstrokeresponseinschoolchildrenefficacyofthehobitprogramaclusterrandomizedtrial |