Knowledge of Acute Stroke Management Among Healthcare Professionals: Development and Validation of Acute Stroke Management Questionnaire (ASMaQ)
Background: Around 15.0% of all strokes occurred in hospitalised patients and studies showed significant delay in the stroke recognition and lack of awareness on thrombolytic therapy for acute ischaemic stroke (AIS) which lead to higher mortality for in-hospital stroke. We aimed to develop and va...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | en |
| Published: |
Elsevier
2021
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| Subjects: | |
| Online Access: | http://ir.unimas.my/id/eprint/32884/1/S1052305720308399 http://ir.unimas.my/id/eprint/32884/ https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.105421 |
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| Summary: | Background: Around 15.0% of all strokes occurred in hospitalised patients and studies
showed significant delay in the stroke recognition and lack of awareness on
thrombolytic therapy for acute ischaemic stroke (AIS) which lead to higher mortality
for in-hospital stroke. We aimed to develop and validate a new instrument
known as acute stroke management questionnaire (ASMaQ) to evaluate the awareness
of healthcare professionals in managing acute ischaemic stroke cases.
Methods: This study consisted of 3 steps; the formulation of ASMaQ draft, content
validation and construct validity. A total of 110 questions were drafted with 5-point
Likert scale answers. From the list, 31 were selected and subsequently tested on 158
participants. The results were analysed and validated using exploratory factor analysis
on SPSS. Components were extracted and questions with low factor loading
were removed. The internal consistency was then measured with Cronbach’s alpha.
Results: Following analysis, 3 components were extracted and named as general
stroke knowledge, hyperacute stroke care and advanced stroke management. Two
items were deleted leaving 29 out of 31 questions for the final validated ASMaQ.
Internal consistency showed high reliability with Cronbach’s alpha of 0.82. Our
respondents scored a total cumulative mean of 113.62 marks or 66.6%. A sub analysis
by occupation showed that medical assistants scored the lowest in the group
with a score of 57% whilst specialists including neurologists scored the highest at
79.4%. Conclusion: The ASMaQ is a newly developed and validated questionnaire
consisting of 29 questions testing the respondents’ acute stroke management
knowledge. |
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