Mass Media Campaigns' Influence on Prehospital Behavior for Acute Coronary Syndromes

An Evaluation of the Australian Heart Foundation's Warning Signs Campaign

Janet Elizabeth Bray, Dion Stub, Philip J Ngu, Susie Cartledge, Lahn David John Straney, Michelle Stewart, Wendy Keech, Harry Patsamanis, James Shaw, Judith C Finn

Research output: Contribution to journalArticleResearchpeer-review

24 Citations (Scopus)

Abstract

BACKGROUND: The aim of this study was to examine the awareness of a recent mass media campaign, and its influence on knowledge and prehospital times, in a cohort of acute coronary syndrome (ACS) patients admitted to an Australian hospital.

METHODS AND RESULTS: We conducted 199 semistructured interviews with consecutive ACS patients who were aged 35 to 75 years, competent to provide consent, and English speaking. Questions addressed the factors known to predict prehospital delay, awareness of the campaign, and whether it increased knowledge and influenced actions. Multivariable logistic regression was used to examine the association between campaign awareness and a 1-hour delay in deciding to seek medical attention (patient delay) and a 2-hour delay in presenting to hospital (prehospital delay). The median age was 62 years (IQR=53 to 68 years), and 68% (n=136) were male. Awareness of the campaign was reported by 127 (64%) patients, with most of these patients stating the campaign (1) increased their understanding of what is a heart attack (63%), (2) increased their awareness of the signs and symptoms of heart attack (68%), and (3) influenced their actions in response to symptoms (43%). After adjustment for other predictors, awareness of the campaign was significantly associated with patient delay time of ≤1 hour (adjusted odds ratio [AOR]=2.25, 95% CI: 1.03 to 4.91, P=0.04) and prehospital delay time ≤2 hours (AOR=3.11, 95% CI: 1.36 to 7.08, P=0.007).

CONCLUSIONS: Our study showed reasonably high awareness of the warning signs campaign, which was significantly associated with shorter prehospital decision-making and faster presentation to hospital.

Original languageEnglish
Number of pages9
JournalAmerican Heart Association. Journal. Cardiovascular and Cerebrovascular Disease
Volume4
Issue number7
DOIs
Publication statusPublished - 6 Jul 2015

Keywords

  • acute coronary syndrome
  • emergency medical services
  • health education
  • mass media
  • prehospital delay

Cite this

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title = "Mass Media Campaigns' Influence on Prehospital Behavior for Acute Coronary Syndromes: An Evaluation of the Australian Heart Foundation's Warning Signs Campaign",
abstract = "BACKGROUND: The aim of this study was to examine the awareness of a recent mass media campaign, and its influence on knowledge and prehospital times, in a cohort of acute coronary syndrome (ACS) patients admitted to an Australian hospital.METHODS AND RESULTS: We conducted 199 semistructured interviews with consecutive ACS patients who were aged 35 to 75 years, competent to provide consent, and English speaking. Questions addressed the factors known to predict prehospital delay, awareness of the campaign, and whether it increased knowledge and influenced actions. Multivariable logistic regression was used to examine the association between campaign awareness and a 1-hour delay in deciding to seek medical attention (patient delay) and a 2-hour delay in presenting to hospital (prehospital delay). The median age was 62 years (IQR=53 to 68 years), and 68{\%} (n=136) were male. Awareness of the campaign was reported by 127 (64{\%}) patients, with most of these patients stating the campaign (1) increased their understanding of what is a heart attack (63{\%}), (2) increased their awareness of the signs and symptoms of heart attack (68{\%}), and (3) influenced their actions in response to symptoms (43{\%}). After adjustment for other predictors, awareness of the campaign was significantly associated with patient delay time of ≤1 hour (adjusted odds ratio [AOR]=2.25, 95{\%} CI: 1.03 to 4.91, P=0.04) and prehospital delay time ≤2 hours (AOR=3.11, 95{\%} CI: 1.36 to 7.08, P=0.007).CONCLUSIONS: Our study showed reasonably high awareness of the warning signs campaign, which was significantly associated with shorter prehospital decision-making and faster presentation to hospital.",
keywords = "acute coronary syndrome, emergency medical services, health education, mass media, prehospital delay",
author = "Bray, {Janet Elizabeth} and Dion Stub and Ngu, {Philip J} and Susie Cartledge and Straney, {Lahn David John} and Michelle Stewart and Wendy Keech and Harry Patsamanis and James Shaw and Finn, {Judith C}",
year = "2015",
month = "7",
day = "6",
doi = "10.1161/JAHA.115.001927",
language = "English",
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journal = "American Heart Association. Journal. Cardiovascular and Cerebrovascular Disease",
issn = "2047-9980",
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TY - JOUR

T1 - Mass Media Campaigns' Influence on Prehospital Behavior for Acute Coronary Syndromes

T2 - An Evaluation of the Australian Heart Foundation's Warning Signs Campaign

AU - Bray, Janet Elizabeth

AU - Stub, Dion

AU - Ngu, Philip J

AU - Cartledge, Susie

AU - Straney, Lahn David John

AU - Stewart, Michelle

AU - Keech, Wendy

AU - Patsamanis, Harry

AU - Shaw, James

AU - Finn, Judith C

PY - 2015/7/6

Y1 - 2015/7/6

N2 - BACKGROUND: The aim of this study was to examine the awareness of a recent mass media campaign, and its influence on knowledge and prehospital times, in a cohort of acute coronary syndrome (ACS) patients admitted to an Australian hospital.METHODS AND RESULTS: We conducted 199 semistructured interviews with consecutive ACS patients who were aged 35 to 75 years, competent to provide consent, and English speaking. Questions addressed the factors known to predict prehospital delay, awareness of the campaign, and whether it increased knowledge and influenced actions. Multivariable logistic regression was used to examine the association between campaign awareness and a 1-hour delay in deciding to seek medical attention (patient delay) and a 2-hour delay in presenting to hospital (prehospital delay). The median age was 62 years (IQR=53 to 68 years), and 68% (n=136) were male. Awareness of the campaign was reported by 127 (64%) patients, with most of these patients stating the campaign (1) increased their understanding of what is a heart attack (63%), (2) increased their awareness of the signs and symptoms of heart attack (68%), and (3) influenced their actions in response to symptoms (43%). After adjustment for other predictors, awareness of the campaign was significantly associated with patient delay time of ≤1 hour (adjusted odds ratio [AOR]=2.25, 95% CI: 1.03 to 4.91, P=0.04) and prehospital delay time ≤2 hours (AOR=3.11, 95% CI: 1.36 to 7.08, P=0.007).CONCLUSIONS: Our study showed reasonably high awareness of the warning signs campaign, which was significantly associated with shorter prehospital decision-making and faster presentation to hospital.

AB - BACKGROUND: The aim of this study was to examine the awareness of a recent mass media campaign, and its influence on knowledge and prehospital times, in a cohort of acute coronary syndrome (ACS) patients admitted to an Australian hospital.METHODS AND RESULTS: We conducted 199 semistructured interviews with consecutive ACS patients who were aged 35 to 75 years, competent to provide consent, and English speaking. Questions addressed the factors known to predict prehospital delay, awareness of the campaign, and whether it increased knowledge and influenced actions. Multivariable logistic regression was used to examine the association between campaign awareness and a 1-hour delay in deciding to seek medical attention (patient delay) and a 2-hour delay in presenting to hospital (prehospital delay). The median age was 62 years (IQR=53 to 68 years), and 68% (n=136) were male. Awareness of the campaign was reported by 127 (64%) patients, with most of these patients stating the campaign (1) increased their understanding of what is a heart attack (63%), (2) increased their awareness of the signs and symptoms of heart attack (68%), and (3) influenced their actions in response to symptoms (43%). After adjustment for other predictors, awareness of the campaign was significantly associated with patient delay time of ≤1 hour (adjusted odds ratio [AOR]=2.25, 95% CI: 1.03 to 4.91, P=0.04) and prehospital delay time ≤2 hours (AOR=3.11, 95% CI: 1.36 to 7.08, P=0.007).CONCLUSIONS: Our study showed reasonably high awareness of the warning signs campaign, which was significantly associated with shorter prehospital decision-making and faster presentation to hospital.

KW - acute coronary syndrome

KW - emergency medical services

KW - health education

KW - mass media

KW - prehospital delay

UR - http://www.scopus.com/inward/record.url?scp=85018224513&partnerID=8YFLogxK

U2 - 10.1161/JAHA.115.001927

DO - 10.1161/JAHA.115.001927

M3 - Article

VL - 4

JO - American Heart Association. Journal. Cardiovascular and Cerebrovascular Disease

JF - American Heart Association. Journal. Cardiovascular and Cerebrovascular Disease

SN - 2047-9980

IS - 7

ER -