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IRCT20230706058688N1 IRCT 2023-08-04 Tehran University of Medical Sciences Investigating the impact of education on high-risk patients, their families and pre-hospital emergency personnel The effect of education to high-risk patients, their families and pre-hospital emergency personnel about strokes on patients’ timely referral to the hospital 2023-08-06 anticipated 1000 Complete https://irct.ir/trial/71136 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Other design features: Community-based randomized trial, Randomization description: A cluster sampling method will be used in which one of four urban centers and nearby rural centers will be randomly selected as the intervention group and other centers will be included as the control group, Blinding description: The intervention group (including high-risk patients and their families in the selected cluster which is selected randomly out of 4 centers in Shahindej city) and the main researcher will know the center which is trained about the timely referral of suspected stroke patients to the hospital. But the data recorders (pre-hospital emergency personnel and emergency ward personnel of Shahin Dej Hospital) are unaware of whether the referred patients are in the intervention group or the control group, and the analyzers also do not know the grouping of the patients. N/A Stroke. Intervention 1: Intervention group: In the case of high-risk patients, the intervention is in the form of educational sessions and using slides in the simple and native language of the region as far as the audience can understand, as well as the use of educational animations in humorous language. Highlighting and answering possible questions will be done to complete the educational process. Intervention 2: Intervention group: In the case of pre-hospital emergency personnel, the intervention is in the form of retraining regarding the quick and accurate diagnosis of suspected stroke cases, for this purpose, in addition to the FAST tool, the BEFAST tool and the Iranian IRPSS tool aim to improve diagnosis, inform the hospital and announce the code. Stroke will be used to improve the correct and quick referral of the suspected patient and the time from the onset of symptoms to the transfer of the patient to the hospital. The training of pre-hospital emergency personnel will be done face-to-face and in groups in two two-hour interactive sessions using real scenarios. Then, the important points of the training sessions will be reviewed by sending short reminder messages in the WhatsApp group of medical emergencies, and the personnel will share their experience of using new tools with the aim of solving possible ambiguities. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is If it is done with ethical considerations, there will be no problem.
public Naeh Soltani
No. 9, Shahriar Ave.,Shahindej Town
Shahindej Iran (Islamic Republic of) 5981719164 +98 44 4633 2449 nasehsoltani@yahoo.com Tehran University of Medical Sciences scientific Naseh Soltani
No. 9, Shahriar Ave., Shahindej Town
Shahindej Iran (Islamic Republic of) 5981719164 +98 44 4633 2449 nasehsoltani@yahoo.com Tehran University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Having a record of blood pressure, diabetes or hyperlipidemia in comprehensive health service centers in the city of Shahindej and the affiliated villages of the selected center Willingness to participate in study and training session Access to a smart mobile phone to join the WhatsApp group to continue and repeat the training In the case of family members, the person who spends the most time with the patient will be chosen Being 30 years old or older 30 years no limit Both Not having a file as a high-risk patient (hypertension, diabetes, hyperlipidemia) G46.4 Cerebellar stroke syndrome Other Early detection Intervention group: In the case of high-risk patients, the intervention is in the form of educational sessions and using slides in the simple and native language of the region as far as the audience can understand, as well as the use of educational animations in humorous language. Highlighting and answering possible questions will be done to complete the educational process. Intervention group: In the case of pre-hospital emergency personnel, the intervention is in the form of retraining regarding the quick and accurate diagnosis of suspected stroke cases, for this purpose, in addition to the FAST tool, the BEFAST tool and the Iranian IRPSS tool aim to improve diagnosis, inform the hospital and announce the code. Stroke will be used to improve the correct and quick referral of the suspected patient and the time from the onset of symptoms to the transfer of the patient to the hospital. The training of pre-hospital emergency personnel will be done face-to-face and in groups in two two-hour interactive sessions using real scenarios. Then, the important points of the training sessions will be reviewed by sending short reminder messages in the WhatsApp group of medical emergencies, and the personnel will share their experience of using new tools with the aim of solving possible ambiguities. Fast identification and diagnosis. Timepoint: The necessary time periods are about 6 months after the intervention to analyze the obtained data. Method of measurement: The desired variable is quick identification and diagnosis, which will be expressed in minutes from the available documentation. Timely referal to the hospital,. Timepoint: After the educational intervention, the data will be gathered and analyzed up to 6 months later. Method of measurement: According to the data extracted from the available documents, the time will be calculated in minutes. Going to hospital by EMS service. Timepoint: After the educational intervention, the data will be gathered and analyzed up to 6 months later. Method of measurement: The ratio of patients admitted with suspected stroke to the hospital through EMS to the total number of patients admitted with suspected stroke. Tehran University of Medical Sciences Approved 2023-07-09 Working Group / Ethics Committee in Research Faculty of Nursing and Midwifery and Faculty of Rehabil 9, Shahriar Ave., Shahindej Town Shahindej West Azarbaijan Iran (Islamic Republic of)