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dc.contributor.authorRiechel, Christina
dc.contributor.authorAlegiani, Anna Christina
dc.contributor.authorKöpke, Sascha
dc.contributor.authorKasper, Jürgen
dc.contributor.authorRosenkranz, Michael
dc.contributor.authorThomalla, Götz
dc.contributor.authorHeesen, Christoph
dc.date.accessioned2017-03-08T16:04:44Z
dc.date.available2017-03-08T16:04:44Z
dc.date.issued2016-08-02
dc.description.abstractBackground: Risk knowledge and active role preferences are important for patient involvement in treatment decision-making and adherence. Although knowledge about stroke warning signs and risk factors has received considerable attention, objective knowledge on secondary prevention and further self-esteem subjective knowledge have rarely been studied. The aim of our study was to investigate knowledge and treatment decisional role preferences in cerebrovascular patients compared to controls. Methods: We performed a survey on subjective and objective stroke risk knowledge and autonomy preferences in cerebrovascular patients from our stroke outpatient clinic (n=262) and from pedestrians on the street taken as controls during a “World Stroke Day” (n=274). The questionnaire includes measures for knowledge and decisional role preferences from previously published questionnaires and newly developed measures, for example, subjective knowledge, revealed on a visual analog scale. Results: The overall stroke knowledge was low to moderate, with no differences between patients and controls. Knowledge about secondary prevention was particularly low. Only 10%–15% of participants correctly estimated the stroke absolute risk reduction potential of aspirin. The medical data interpretation competence was moderate in both groups. Age and basic mathematical and statistical understanding (numeracy) were the only independent predictors of objective stroke knowledge, whereas previous stroke had no impact on stroke knowledge. However, patients were thought to be better informed than controls. Approximately 60% of both patients and controls claimed to prefer a shared decision-making approach in treatment decisions. Conclusion: The level of stroke risk knowledge in patients with cerebrovascular diseases was as low as in randomly selected pedestrians, although patients felt better informed. Both groups preferred involvement in treatment decision-making. We conclude that educational concepts for increasing awareness of knowledge gaps as well as for stroke risk and for prevention strategies are needed.en_US
dc.descriptionPublished version. Source at <a href=http://doi.org/10.2147/PPA.S98342>http://doi.org/10.2147/PPA.S98342</a>. License <a href=https://creativecommons.org/licenses/by-nc/3.0/>CC BY-NC 3.0</a>.en_US
dc.identifier.citationRiechel, Alegiani, Köpke S, Kasper J, Rosenkranz, Thomalla, Heesen C. Subjective and objective knowledge and decisional role preferences in cerebrovascular patients compared to controls. Patient Preference and Adherence. 2016;10:1453-1460en_US
dc.identifier.issn1177-889X
dc.identifier.otherFRIDAID 1421804
dc.identifier.other10.2147/PPA.S98342
dc.identifier.urihttp://hdl.handle.net/10037/10492
dc.language.isoengen_US
dc.publisherDove Pressen_US
dc.relation.journalPatient Preference and Adherence
dc.rights.accessRightsopenAccessen_US
dc.subjectknowledgeen_US
dc.subjectdecisional role preferencesen_US
dc.subjectcerebrovascular patientsen_US
dc.subjectstrokeen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750en_US
dc.titleSubjective and objective knowledge and decisional role preferences in cerebrovascular patients compared to controlsen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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