Enhancing stroke response in school children: Efficacy of the
HOBIT program - a cluster randomized trial

J 2025

Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trial

VOLEVACH, Ekaterina; Hana MARŠÁLKOVÁ a Robert MIKULÍK

Základní údaje

Originální název

Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trial

Autoři

VOLEVACH, Ekaterina; Hana MARŠÁLKOVÁ a Robert MIKULÍK

Vydání

Preventive Medicine Reports, AMSTERDAM, ELSEVIER, 2025, 2211-3355

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30210 Clinical neurology

Stát vydavatele

Nizozemské království

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.500 v roce 2023

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.1016/j.pmedr.2025.103049

UT WoS

999

EID Scopus

999

Klíčová slova anglicky

Cluster randomized trial; School; Children; Intervention; Stroke awareness; Health education

Štítky

14110127

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 14. 4. 2025 11:49, Mgr. Tereza Miškechová

Anotace

V originále

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.

Citovat

VOLEVACH, Ekaterina; Hana MARŠÁLKOVÁ a Robert MIKULÍK. Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trial. Preventive Medicine Reports. AMSTERDAM: ELSEVIER, 2025. ISSN 2211-3355. Dostupné z: https://dx.doi.org/10.1016/j.pmedr.2025.103049.

@article{2490100,
   author = {Volevach, Ekaterina and Maršálková, Hana and Mikulík, Robert},
   article_location = {AMSTERDAM},
   doi = {http://dx.doi.org/10.1016/j.pmedr.2025.103049},
   keywords = {Cluster randomized trial; School; Children; Intervention; Stroke awareness; Health education},
   language = {eng},
   issn = {2211-3355},
   journal = {Preventive Medicine Reports},
   title = {Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trial},
   url = {https://www.sciencedirect.com/science/article/pii/S2211335525000889?via%3Dihub},
   year = {2025}
}

TY  - JOUR
ID  - 2490100
AU  - Volevach, Ekaterina - Maršálková, Hana - Mikulík, Robert
PY  - 2025
TI  - Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trial
JF  - Preventive Medicine Reports
PB  - ELSEVIER
SN  - 22113355
KW  - Cluster randomized trial
KW  - School
KW  - Children
KW  - Intervention
KW  - Stroke awareness
KW  - Health education
UR  - https://www.sciencedirect.com/science/article/pii/S2211335525000889?via%3Dihub
N2  - 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.
ER  -

VOLEVACH, Ekaterina; Hana MARŠÁLKOVÁ a Robert MIKULÍK. Enhancing stroke response in school children: Efficacy of the HOBIT program - a cluster randomized trial. \textit{Preventive Medicine Reports}. AMSTERDAM: ELSEVIER, 2025. ISSN~2211-3355. Dostupné z: https://dx.doi.org/10.1016/j.pmedr.2025.103049.

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