{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:56:12Z","timestamp":1790294172902,"version":"4.1.0"},"reference-count":27,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T00:00:00Z","timestamp":1707264000000},"content-version":"unspecified","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2024,1,11]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate attitude and knowledge of stroke in a rural community in southern Thailand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A community in southern Thailand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>All community members aged \u226518 years who were at home during the survey were invited to participate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>Level of attitude and knowledge score towards stroke were assessed, and the associated factors were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The questionnaire used in this survey was developed from a literature review, and the content validity and reliability were tested before use. Logistic and linear regression were used to determine factors associated with the level of attitude and knowledge score towards stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 247 participants, most were Muslim and the median age was 54.0 years. The median (Q1, Q3) score of stroke risk factors was 5 (2, 7) (full score: 9). Participants who knew about stroke, had an acquaintance diagnosed with stroke and had a high level of attitude had significantly higher scores. Two-thirds of the participants had a low-to-moderate level of attitude. Furthermore, most high-risk participants (99\/113) had a low to no chance awareness of their risk to stroke. The median (Q1, Q3) score of stroke warning symptoms was 6 (3, 7) (full score: 10). The participants who had received education via the Face Arm Speech Time (FAST) campaign demonstrated a significantly higher proportion of correct answers to the symptoms mentioned in the FAST.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>About half of the participants in this community did not know some of the risk factors and warning symptoms of stroke. Moreover, most participants had a low-to-moderate level of attitude and underestimated their risk to stroke even in the high cardiovascular risk participants. The FAST may help people memorise the typical warning symptoms of stroke.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-080269","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T23:07:57Z","timestamp":1707347277000},"page":"e080269","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Knowledge and attitude towards stroke among the population of one rural community in southern Thailand: a survey"],"prefix":"10.1136","volume":"14","author":[{"given":"Worawit","family":"Wanichanon","sequence":"first","affiliation":[{"name":"Department of Family and Preventive Medicine, Prince of Songkla University, Hat Yai, Songkhla Province, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3386-242X","authenticated-orcid":false,"given":"Thareerat","family":"Ananchaisarp","sequence":"additional","affiliation":[{"name":"Department of Family and Preventive Medicine, Prince of Songkla University, Hat Yai, Songkhla Province, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Napakkawat","family":"Buathong","sequence":"additional","affiliation":[{"name":"Department of Family and Preventive Medicine, Prince of Songkla University, Hat Yai, Songkhla Province, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kittisakdi","family":"Choomalee","sequence":"additional","affiliation":[{"name":"Department of Family and Preventive Medicine, Prince of Songkla University, Hat Yai, Songkhla Province, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,2,7]]},"reference":[{"key":"2025121408131424000_14.2.e080269.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(21)00252-0"},{"key":"2025121408131424000_14.2.e080269.2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.3058"},{"key":"2025121408131424000_14.2.e080269.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)15692-4"},{"key":"2025121408131424000_14.2.e080269.4","doi-asserted-by":"crossref","first-page":"1446","DOI":"10.1016\/j.mayocp.2020.08.050","article-title":"Time is Brain: prehospital emergency medical services response times for suspected stroke and effects of prehospital interventions","volume":"96","author":"Heemskerk","year":"2021","journal-title":"Mayo Clin Proc"},{"key":"2025121408131424000_14.2.e080269.5","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.ajem.2020.02.006","article-title":"Prehospital time intervals and management of ischemic stroke patients","volume":"42","author":"Li","year":"2021","journal-title":"Am J Emerg Med"},{"key":"2025121408131424000_14.2.e080269.6","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1177\/01939459221105827","article-title":"Decision Delay Is a Significant Contributor to Prehospital Delay for Stroke Symptoms","volume":"45","author":"Potisopha","year":"2023","journal-title":"West J Nurs Res"},{"key":"2025121408131424000_14.2.e080269.7","first-page":"48","article-title":"Impact of the national public \u201cFAST\u201d campaigns","volume":"132","author":"Gordon","year":"2019","journal-title":"N Z Med J"},{"key":"2025121408131424000_14.2.e080269.8","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.116.015169"},{"key":"2025121408131424000_14.2.e080269.9","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.107.484329"},{"key":"2025121408131424000_14.2.e080269.10","first-page":"359","article-title":"Awareness of stroke warning signs--17 states and the U.S. Virgin Islands, 2001","volume":"53","year":"2004","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2025121408131424000_14.2.e080269.11","doi-asserted-by":"crossref","DOI":"10.5334\/aogh.2885","article-title":"Level of knowledge on stroke and associated factors: a cross-sectional study at primary health care centers in Morocco","volume":"86","author":"Kharbach","year":"2020","journal-title":"Ann Glob Health"},{"key":"2025121408131424000_14.2.e080269.12","unstructured":"Tharisara C . Knowledge attitude and stroke risk behaviors among young university lecturer with risk factors. J Kasetsart Educ Rev;2021:184\u2013200."},{"key":"2025121408131424000_14.2.e080269.13","unstructured":"Centers for Disease Control and Prevention . Awareness of stroke warning symptoms --- 13 States and the District of Columbia. 2005. Available: https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm5718a2.htm"},{"key":"2025121408131424000_14.2.e080269.14","unstructured":"KOMPILO N . Knowledge, attitude and risk behaviors of stroke among people with hypertension in Maeta hospital Maeta district. Lampang,"},{"key":"2025121408131424000_14.2.e080269.15","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.107.493908"},{"key":"2025121408131424000_14.2.e080269.16","doi-asserted-by":"crossref","first-page":"107228","DOI":"10.1016\/j.jstrokecerebrovasdis.2023.107228","article-title":"Recognition, reaction, risk factors and adequate knowledge of stroke: a Brazilian populational survey","volume":"32","author":"de M\u00e9lo Silva J\u00fanior","year":"2023","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"2025121408131424000_14.2.e080269.17","article-title":"Rural community knowledge of stroke warning signs and risk factors","volume":"2","author":"Blades","year":"2005","journal-title":"Prev Chronic Dis"},{"key":"2025121408131424000_14.2.e080269.18","doi-asserted-by":"publisher","DOI":"10.1080\/10810730305725"},{"key":"2025121408131424000_14.2.e080269.19","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1177\/2396987317753453","article-title":"Does stroke health promotion increase awareness of appropriate behavioural response? Impact of the face, arm, speech and time (FAST) campaign on population knowledge of stroke risk factors, warning signs and emergency response","volume":"3","author":"Hickey","year":"2018","journal-title":"Eur Stroke J"},{"key":"2025121408131424000_14.2.e080269.20","unstructured":"Roongprasert K . The production of motion Graphics to knowledge and attitudes toward stroke prevention. Bangkok, Rajamangala University of Technology, 2018"},{"key":"2025121408131424000_14.2.e080269.21","unstructured":"Health Data . Mortality rate from cerebrovascular disease. 2023. Available: https:\/\/plg.hdc.moph.go.th\/hdc\/reports\/report.php?&cat_id=6a1fdf282fd28180eed7d1cfe0155e11&id=9bf46fa15f85178a05b665ae986bd467"},{"key":"2025121408131424000_14.2.e080269.22","first-page":"96","article-title":"Java Health Center Information System","volume":"43","author":"Sukthawee","year":"2017","journal-title":"JHCIS Dis Control J"},{"key":"2025121408131424000_14.2.e080269.23","unstructured":"Best JW . Research in education. 3rd ed. Englewood Cliffs, NJ: Prentice-Hall, 1977: 403."},{"key":"2025121408131424000_14.2.e080269.24","unstructured":"Mahidol University . Thai CV risk score. 2023. Available: https:\/\/www.rama.mahidol.ac.th\/cardio_vascular_risk\/thai_cv_risk_score\/"},{"key":"2025121408131424000_14.2.e080269.25","first-page":"36","article-title":"Validation of the Tests","volume":"44","author":"Ongiem","year":"2018","journal-title":"Thai J Anesthesiol"},{"key":"2025121408131424000_14.2.e080269.26","doi-asserted-by":"crossref","DOI":"10.1186\/s12883-023-03327-y","article-title":"Different words for stroke: the same concept? an analysis of associated symptoms and intended reaction in Brazil","volume":"23","author":"de M\u00e9lo Silva J\u00fanior","year":"2023","journal-title":"BMC Neurol"},{"key":"2025121408131424000_14.2.e080269.27","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2021.765069","article-title":"A systematic review and meta-analysis comparing FAST and BEFAST in acute stroke patients","volume":"12","author":"Chen","year":"2021","journal-title":"Front Neurol"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2023-080269","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T16:13:24Z","timestamp":1765728804000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2023-080269"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":27,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,2,7]]},"published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1136\/bmjopen-2023-080269"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2023-080269","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2]]}}}