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Risk communication in acute stroke patients - from qualitative data to a pilot randomised controlled trial

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Risk communication in acute stroke patients - from qualitative data to a pilot randomised controlled trial. / Artmann, Anna; Rahn, Anne Christin; Köpke, Sascha; Thomalla, Götz; Heesen, Christoph; Alegiani, Anna Christina.

In: Z EVIDENZ FORTBILD Q, Vol. 169, 04.2022, p. 19-27.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Artmann, A, Rahn, AC, Köpke, S, Thomalla, G, Heesen, C & Alegiani, AC 2022, 'Risk communication in acute stroke patients - from qualitative data to a pilot randomised controlled trial', Z EVIDENZ FORTBILD Q, vol. 169, pp. 19-27. https://doi.org/10.1016/j.zefq.2022.01.001

APA

Artmann, A., Rahn, A. C., Köpke, S., Thomalla, G., Heesen, C., & Alegiani, A. C. (2022). Risk communication in acute stroke patients - from qualitative data to a pilot randomised controlled trial. Z EVIDENZ FORTBILD Q, 169, 19-27. https://doi.org/10.1016/j.zefq.2022.01.001

Vancouver

Artmann A, Rahn AC, Köpke S, Thomalla G, Heesen C, Alegiani AC. Risk communication in acute stroke patients - from qualitative data to a pilot randomised controlled trial. Z EVIDENZ FORTBILD Q. 2022 Apr;169:19-27. https://doi.org/10.1016/j.zefq.2022.01.001

Bibtex

@article{6ccfecdbe24e4bd498d6db8cde8cc121,
title = "Risk communication in acute stroke patients - from qualitative data to a pilot randomised controlled trial",
abstract = "OBJECTIVES: The probability of recurring strokes in patients with atrial fibrillation is high. Within 1.8 years, 6.6 % of the patients suffered a new stroke. While effective secondary prevention options exist, low adherence challenges effective medical treatment. The aim of our study was to examine the risk understanding of acute stroke patients and to find the best way to communicate risk reduction.MATERIALS AND METHODS: Risk communication had three formats: a text, a pictogram, and a cube diagram. All three were developed on the basis of the criteria of evidence-based patient information. Patients who were admitted to the stroke unit and diagnosed with acute stroke, assessed the information material. Data on secondary prevention using acetylsalicylic acid were taken as an example, with no reference to actual patient treatment. In a first step, we interviewed a focus group to check the feasibility of the questionnaire (qualitative study). In the second step, the information material was tested in a pilot randomized controlled trial.RESULTS: Acute stroke patients (qualitative study, n=13) understood the information and were interested in numerical risk communication. The visualized representations were superior in terms of understandability of the numbers communicated (pilot randomized controlled trial, n=60, 50 % correct answers for question 1, p value of 0.502, and 55 % correct answers for question 2, p value of 0.338). Stroke-related neurologic deficits, measured with the National Institute of Health Stroke Scale (NIHSS) on admission, revealed a significant influence on the number of correct answers to stroke risk questions, whereas the type of stroke and education did not.CONCLUSIONS: Acute stroke patients were able to understand risk communication. Visualization helped them capture information on stroke risk.",
keywords = "Communication, Germany, Humans, Pilot Projects, Stroke/prevention & control, Surveys and Questionnaires",
author = "Anna Artmann and Rahn, {Anne Christin} and Sascha K{\"o}pke and G{\"o}tz Thomalla and Christoph Heesen and Alegiani, {Anna Christina}",
note = "Copyright {\textcopyright} 2022. Published by Elsevier GmbH.",
year = "2022",
month = apr,
doi = "10.1016/j.zefq.2022.01.001",
language = "English",
volume = "169",
pages = "19--27",
journal = "Z EVIDENZ FORTBILD Q",
issn = "1865-9217",
publisher = "Urban und Fischer Verlag Jena",

}

RIS

TY - JOUR

T1 - Risk communication in acute stroke patients - from qualitative data to a pilot randomised controlled trial

AU - Artmann, Anna

AU - Rahn, Anne Christin

AU - Köpke, Sascha

AU - Thomalla, Götz

AU - Heesen, Christoph

AU - Alegiani, Anna Christina

N1 - Copyright © 2022. Published by Elsevier GmbH.

PY - 2022/4

Y1 - 2022/4

N2 - OBJECTIVES: The probability of recurring strokes in patients with atrial fibrillation is high. Within 1.8 years, 6.6 % of the patients suffered a new stroke. While effective secondary prevention options exist, low adherence challenges effective medical treatment. The aim of our study was to examine the risk understanding of acute stroke patients and to find the best way to communicate risk reduction.MATERIALS AND METHODS: Risk communication had three formats: a text, a pictogram, and a cube diagram. All three were developed on the basis of the criteria of evidence-based patient information. Patients who were admitted to the stroke unit and diagnosed with acute stroke, assessed the information material. Data on secondary prevention using acetylsalicylic acid were taken as an example, with no reference to actual patient treatment. In a first step, we interviewed a focus group to check the feasibility of the questionnaire (qualitative study). In the second step, the information material was tested in a pilot randomized controlled trial.RESULTS: Acute stroke patients (qualitative study, n=13) understood the information and were interested in numerical risk communication. The visualized representations were superior in terms of understandability of the numbers communicated (pilot randomized controlled trial, n=60, 50 % correct answers for question 1, p value of 0.502, and 55 % correct answers for question 2, p value of 0.338). Stroke-related neurologic deficits, measured with the National Institute of Health Stroke Scale (NIHSS) on admission, revealed a significant influence on the number of correct answers to stroke risk questions, whereas the type of stroke and education did not.CONCLUSIONS: Acute stroke patients were able to understand risk communication. Visualization helped them capture information on stroke risk.

AB - OBJECTIVES: The probability of recurring strokes in patients with atrial fibrillation is high. Within 1.8 years, 6.6 % of the patients suffered a new stroke. While effective secondary prevention options exist, low adherence challenges effective medical treatment. The aim of our study was to examine the risk understanding of acute stroke patients and to find the best way to communicate risk reduction.MATERIALS AND METHODS: Risk communication had three formats: a text, a pictogram, and a cube diagram. All three were developed on the basis of the criteria of evidence-based patient information. Patients who were admitted to the stroke unit and diagnosed with acute stroke, assessed the information material. Data on secondary prevention using acetylsalicylic acid were taken as an example, with no reference to actual patient treatment. In a first step, we interviewed a focus group to check the feasibility of the questionnaire (qualitative study). In the second step, the information material was tested in a pilot randomized controlled trial.RESULTS: Acute stroke patients (qualitative study, n=13) understood the information and were interested in numerical risk communication. The visualized representations were superior in terms of understandability of the numbers communicated (pilot randomized controlled trial, n=60, 50 % correct answers for question 1, p value of 0.502, and 55 % correct answers for question 2, p value of 0.338). Stroke-related neurologic deficits, measured with the National Institute of Health Stroke Scale (NIHSS) on admission, revealed a significant influence on the number of correct answers to stroke risk questions, whereas the type of stroke and education did not.CONCLUSIONS: Acute stroke patients were able to understand risk communication. Visualization helped them capture information on stroke risk.

KW - Communication

KW - Germany

KW - Humans

KW - Pilot Projects

KW - Stroke/prevention & control

KW - Surveys and Questionnaires

U2 - 10.1016/j.zefq.2022.01.001

DO - 10.1016/j.zefq.2022.01.001

M3 - SCORING: Journal article

C2 - 35227636

VL - 169

SP - 19

EP - 27

JO - Z EVIDENZ FORTBILD Q

JF - Z EVIDENZ FORTBILD Q

SN - 1865-9217

ER -