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Higher education and prior stroke exposure linked to better KAP scores in 600 adults.

Higher education and prior stroke exposure linked to better KAP scores in 600 adults.
Photo by Keith Tanner / Unsplash
Key Takeaway
Note that higher education and prior exposure associate with better stroke KAP scores in this observational study.

This single-center retrospective cross-sectional study evaluated knowledge, attitudes, and practices (KAP) regarding stroke warning signs and emergency response among 600 eligible adults (≥18 years) in a hospital catchment. Data were derived from hospital and community health records. The analysis examined KAP scores alongside demographic characteristics and testing approaches.

Among the participants, 68% demonstrated the correct identification of at least two stroke warning signs. Additionally, 55% reported confidence in activating emergency services, and 42% engaged in appropriate help-seeking practices. The study found that higher education levels were significantly associated with better KAP scores, and prior exposure to stroke cases was also significantly associated with better KAP scores.

No adverse events or discontinuations were reported as this was a cross-sectional assessment of knowledge rather than an intervention trial. Because the study design is observational, the observed associations between education, prior exposure, and KAP scores cannot be interpreted as causal. These findings reflect the current state of awareness within this specific population and setting.

The practice relevance lies in identifying demographic factors like education and experience that correlate with better stroke recognition. Clinicians should note that while higher education is associated with better knowledge, gaps remain, as only 68% identified warning signs correctly and 42% practiced appropriate help-seeking.

Study Details

Study typeCohort
EvidenceLevel 3
PublishedApr 2026
View Original Abstract ↓
BackgroundStroke remains a major cause of disability and mortality worldwide, with timely recognition and rapid activation of emergency services being essential for better outcomes. Limited awareness of stroke warning signs and suboptimal help-seeking behavior contribute to delays in treatment. This study assessed knowledge, attitudes, and practices (KAP) regarding stroke warning signs and emergency response among adults in a hospital catchment population.MethodA retrospective cross-sectional study was conducted using hospital and community health records. A self-designed, validated questionnaire was applied to 600 eligible adults (≥18 years) from an initial screened sample of 750. Associations between KAP scores, demographic characteristics, and testing approaches were evaluated using logistic regression and descriptive statistical analysis.ResultsAmong participants, 68% correctly identified at least two stroke warning signs, while 55% expressed confidence in activating emergency services. Only 42% reported appropriate help-seeking practices. Higher education and prior exposure to stroke cases were significantly associated with better KAP scores (p 
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