The effectiveness of stroke awareness campaign in promoting knowledge on stroke among the public in Malaysia

Introduction: Inadequate public knowledge and healthcare-seeking behavior regarding stroke impede efforts to reduce its burden, particularly in developing nations. This study evaluates the impact of stroke awareness campaigns on public knowledge and healthcare-seeking behavior in Malaysia. Materials and methods: A cross-sectional study with pre- and post-survey design was conducted among adults aged 18 and older who registered for the Virtual ResQ Stroke Run event (May-November 2021), part of the ResQ Stroke Campaign (RSC) for World Stroke Day. 178 participants were recruited. Validated questionnaires assessing stroke knowledge, treatment attitudes, and actions during a stroke incident were administered before and after the campaign. Participants engaged in stroke awareness activities, including online forums, virtual runs, and social media campaigns promoting stroke recognition. SPSS version 28 was used for data analysis, with non-parametric methods due to non-normal distribution. McNemar's test compared pre- and post-campaign data. Results: Post-RSC, respondents were 80% more likely to recognize FAST stroke signs compared to pre-RSC. For actions, positive outcomes were observed, with most respondents stating they would call an ambulance or go to the hospital within the recommended 4.5 hours on the same day (pre: 66.9%, post: 91%). However, attitudes toward stroke require improvement, as 48% indicated they would seek non-emergency medical help, despite 96.1% stating they would go to the hospital. Conclusion: Knowledge, actions, and attitudes toward stroke improved after the media-driven RSC. However, continuous campaigns are needed to maintain public awareness of stroke symptoms and appropriate action.

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