A Systematic Review of Tests Assessing Stroke Knowledge. Issue 3 (May 2017)

• Record Type: Journal Article
• Authors: Hou, Wen-Hsuan; Hoffmann, Tammy; Huang, Yi-Jing; Wu, Tzu-Yi; Chen, Sheng-Shiung; Hsieh, Ching-Lin
• Is Part Of: Journal of cardiovascular nursing. Volume 32:Issue 3(2017)
• Publication Date: 2017-05
• Subjects: cerebrovascular disorders -- knowledge -- psychometrics -- questionnaires -- stroke; Cardiovascular system -- Diseases -- Nursing -- Periodicals; Cardiovascular system -- Diseases -- Prevention -- Periodicals; Heart -- Diseases -- Nursing -- Periodicals; Heart -- Diseases -- Prevention -- Periodicals; 616.10231
• DOI: 10.1097/JCN.0000000000000345
• Languages: English
• ISSNs: 0889-4655

Abstract

Abstract : Background: Accurate assessment of stroke knowledge (SK) is fundamental to the successful understanding of, monitoring of, and intervening to improve the SK of patients and the public. Purpose: The purpose of this study is to perform a systematic review of the existing SK tests and appraise their conceptual basis, feasibility, and psychometric properties. We conducted 2-step searching of MEDLINE, CINAHL, PsycINFO, and Scopus electronic databases from January 1, 2000, to December 31, 2014, to identify relevant SK tests for the appraisal. Results: Our study found 59 SK tests, out of a total of 93 articles, with full content available that had been referred to in the published literature. Ten of them had been used in more than 1 study, and 2 (the Stroke Knowledge Test and the Stroke Action Test) of them have had at least 1 of their psychometric properties validated. Only 1 test (the Stroke Knowledge Test) was developed using rigorous methodology, covers a wide range of concepts, and met all feasibility criteria; however, its limitations include no articulated conceptual basis, inadequate internal consistency reliability ( α = .65), and lack of some validated psychometric properties. Conclusions: Our study revealed that current available tools are not sufficiently able to accurately and reliably assess SK to promote stroke prevention and management. Clinical Implications: This study highlights the attention of applying current SK tests and need for revising existing tests or developing a new test.