{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T06:38:07Z","timestamp":1777012687607,"version":"3.51.4"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Self-funded Project of Chengde City, Hebei Province","award":["202406A023"],"award-info":[{"award-number":["202406A023"]}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Stroke 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A retrospective cross-sectional study was conducted using hospital and community health records. A self-designed, validated questionnaire was applied to 600 eligible adults (\u226518\u202fyears) 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 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 (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study highlights important gaps in public awareness and practices regarding stroke management. Strengthening community education and designing targeted health interventions could improve early recognition and timely medical response, thereby reducing preventable morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1712520","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T05:42:47Z","timestamp":1777009367000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge of stroke warning signs, attitudes to emergency activation, and help-seeking practices among adults in a hospital catchment: a single-center KAP study"],"prefix":"10.3389","volume":"14","author":[{"given":"Xiaoxu","family":"Guo","sequence":"first","affiliation":[{"name":"Department of Neurology, Affiliated Hospital of Chengde Medical University","place":["Chengde, Hebei, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhijie","family":"Dou","sequence":"additional","affiliation":[{"name":"Department of Neurology, Affiliated Hospital of Chengde Medical University","place":["Chengde, Hebei, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xue","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Neurology, Affiliated Hospital of Chengde Medical University","place":["Chengde, Hebei, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuezhi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology, Affiliated Hospital of Chengde Medical University","place":["Chengde, Hebei, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"3245","DOI":"10.1161\/STROKEAHA.124.050269","article-title":"fNIRS 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