Title

A systematic review of tests assessing stroke knowledge

Date of this Version

5-19-2016

Document Type

Journal Article

Publication Details

Citation only

Hou, W., Hoffmann, T., Huang, Y., Wu, T., Chen S,. & Hsieh, C. (2016). A systematic review of the tests assessing stroke knowledge. Journal of Cardiovascular Nursing.

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Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.

ISSN

1550-5049

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.

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This document has been peer reviewed.