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dc.contributor.authorWilhelm, Lea Oen
dc.contributor.authorGellert, Paulen
dc.contributor.authorWhite, Martinen
dc.contributor.authorAraujo-Soares, Veraen
dc.contributor.authorFord, Gary Aen
dc.contributor.authorMackintosh, Joan Een
dc.contributor.authorRodgers, Helenen
dc.contributor.authorSniehotta, Falko Fen
dc.contributor.authorThomson, Richard Gen
dc.contributor.authorDombrowski, Stephan Uen
dc.date.accessioned2019-10-29T00:31:43Z
dc.date.available2019-10-29T00:31:43Z
dc.date.issued2020-02en
dc.identifier.issn1052-3057
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/298157
dc.description.abstractBackground– Benefits of reperfusion therapies in acute ischemic stroke are highly time-dependent. It is crucial that people who witness the onset of symptoms call emergency medical services (EMS) immediately. The aim of this study was to examine whether there is a gap between recognition of stroke and responding correctly by calling EMS using a scenario-based measure. Methods– Population-based survey of 1,406 individuals from Newcastle upon Tyne, UK, examining stroke recognition and response knowledge using 12 scenario-based vignettes. The response rate was 32% out of 5,000 contacted individuals. In total, 16,574 responses to scenarios were examined to investigate whether respondents would recognise stroke symptoms and indicate to call EMS immediately. Results– In 16% of cases people recognised stroke but did not correctly respond by indicating to call EMS. In 49% of responses people recognised stroke and would respond correctly, while in 31% of cases people both failed to correctly recognise and failed to identify the correct response to the stroke scenario. In 5% of cases stroke was not identified but a correct response was indicated. When stroke was recognised, in 25% of responses people indicated that they would not call EMS. Recognition self-efficacy and response self-efficacy were associated with correct response. Conclusions– A recognition-response gap was identified among UK adults in hypothetical scenarios concerning stroke. Both recognition and translation to adequate EMS response should be explicitly addressed in interventions aiming to improve witness response to stroke. Self-efficacy may be a promising target to close the recognition-response gap.
dc.description.sponsorshipThe research formed part of a research program to Develop and evaluate Services for Hyperacute stroke (the DASH program), funded by the UK National Institute of Health Research (NIHR), grant number RP-PG-0606-1241. GAF and MW are supported by an NIHR Senior Investigator Award. LOW gratefully acknowledges a stipend from the German Academic Scholarship Foundation.
dc.format.mediumPrint-Electronicen
dc.languageengen
dc.publisherElsevier
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectHumansen
dc.subjectBrain Ischemiaen
dc.subjectReperfusionen
dc.subjectRisk Factorsen
dc.subjectHealth Knowledge, Attitudes, Practiceen
dc.subjectSelf Efficacyen
dc.subjectTime Factorsen
dc.subjectTelephoneen
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectAgeden
dc.subjectAged, 80 and overen
dc.subjectMiddle Ageden
dc.subjectEmergency Medical Servicesen
dc.subjectEnglanden
dc.subjectFemaleen
dc.subjectMaleen
dc.subjectStrokeen
dc.subjectYoung Adulten
dc.subjectTime-to-Treatmenten
dc.subjectSurveys and Questionnairesen
dc.subjectRecognition, Psychologyen
dc.titleThe Recognition-Response Gap in Acute Stroke: Examining the Relationship between Stroke Recognition and Response in a General Population Survey.en
dc.typeArticle
prism.issueIdentifier2en
prism.publicationDate2020en
prism.publicationNameJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Associationen
prism.startingPage104499
prism.volume29en
dc.identifier.doi10.17863/CAM.45214
dcterms.dateAccepted2019-10-23en
rioxxterms.versionofrecord10.1016/j.jstrokecerebrovasdis.2019.104499en
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2020-02en
dc.contributor.orcidWhite, Martin [0000-0002-1861-6757]
dc.identifier.eissn1532-8511
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idMRC (MR/K023187/1)
cam.orpheus.successThu Jan 30 10:36:29 GMT 2020 - Embargo updated*
rioxxterms.freetoread.startdate2020-11-19


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Attribution-NonCommercial-NoDerivatives 4.0 International
Except where otherwise noted, this item's licence is described as Attribution-NonCommercial-NoDerivatives 4.0 International