Assessment of knowledge change regarding stroke among 11th-grade students after the SomosUm course
DOI:
https://doi.org/10.29352/mill0221e.43040Keywords:
Keywords: knowledge; nursing; students; strokeAbstract
Introduction: Stroke is one of the leading causes of death and disability in Portugal and worldwide, and the population is known to have a reduced level of knowledge about this condition.
Objective: To analyse the change in mean stroke knowledge among 11th-grade students at a secondary school in northern Portugal following the SomosUm® course.
Methods: A cross-sectional quasi-experimental pre- and post-intervention study was conducted. The target population included 132 11th-grade students enrolled in the 2023/24 academic year, from which a non-probabilistic convenience sample of 83 participants was obtained. Data collection was carried out on the 10th and 17th of April 2024 using a questionnaire. The study received approval from the ethics committee.
Results: Participants were aged between 15 and 20 years; 50.6% were female, and 55.4% were enrolled in vocational courses. An increase in the mean level of stroke knowledge was observed after the intervention. No statistically significant relationships were found between sociodemographic characteristics and mean stroke knowledge.
Conclusion: The mean level of stroke knowledge among 11th-grade students increased following the intervention, with no association observed with sociodemographic variables. These findings suggest that the SomosUm® course had a positive impact, supporting its continued implementation in this and other populations.
Downloads
References
Angélico, M. (2021). Fatores de risco e sinais de alerta do acidente vascular cerebral: Conhecimentos do cidadão comum [Dissertação de mestrado, Instituto Politécnico de Viseu]. Repositório Instituto Politécnico de Viseu. https://repositorio.ipv.pt/entities/publication/19bb975b-912d-41d6-9a37-20957288ec28
Arriaga, M., Santos, B., Leiras, G., Carvalho, A., Pinto, A., Raposo, B., Mata, F., Monterrozo, M., Leão, R., Justo, A., & Freitas, G. (2023). Plano Nacional de Literacia em Saúde e Ciências do Comportamento 2023–2030: Plano estratégico. Direção-Geral da Saúde. https://www.dgs.pt/ficheiros-de-upload-2013/pnlscc-2023-2030-pdf.aspx
Benjamin, E. J., Muntener, P., Alonso, A., Bitterncourt, M. S., Callaway, C. W., Jimenez, M. C., Keshwarzi, S. H., Lacey, S. E., Maddock, J. E., Ma, J., Misra, S., Miedema, M. D., Mussolino, M. E., Nasir, K., Perak, A. M., Reeves, M. J., Satou, G. M., Tirschwell, D. L., Travis, P. K., & Virani, S. S. (2019). Heart disease and stroke statistics—2019 update: A report from the American Heart Association. Circulation, 139(10). https://doi.org/10.1161/CIR.0000000000000659
Bröder, J., Okan, O., Bauer, U., Bruland, D., Schlupp, S., Bollweg, T. M., & Pinheiro, P. (2017). Health literacy in childhood and youth: A systematic review of definitions and models. BMC Public Health, 17, 361. https://doi.org/10.1186/s12889-017-4267-y
Bukhari, S., Yaghi, S., & Bashir, Z. (2023). Stroke in young adults. Journal of Clinical Medicine, 12(15), 4999. https://doi.org/10.3390/jcm12154999
Cabral, A. (2020). Literacia em saúde: Os conhecimentos dos prestadores de cuidados em lares de idosos sobre acidente vascular cerebral e o impacto de uma ação de formação [Dissertação de mestrado não publicada, Politécnico de Leiria]. Repositório Institucional do Politécnico de Leiria.
Cherfane, M., Safwan, J., Haddad, C., Sacre, H., Salameh, P., Elkerenawy, R., Abou El Kheir, T., Al Nuaimi, M., Abou Mattar, L., Hosseini, H., Sakr, F., & Iskandar, K. (2025). Improving stroke awareness through a culturally adapted audiovisual intervention in the United Arab Emirates. Frontiers in Neurology, 16, 1608381. https://doi.org/10.3389/fneur.2025.1608381
Costa, R., Nunes, G., Rodrigues, F., Coelho, P., & Pires, J. (2022). O grau de literacia em AVC: Impacto na atividade do serviço de emergência. Revista Científica da Escola Superior de Saúde Dr. Lopes Dias, 4(7), 9–16. https://abrir.link/JLumf
European Stroke Organization. (2018). Plano de ação para o AVC na Europa 2018–2030. SAFE – Stroke Alliance for Europe. https://www.safestroke.eu/wp-content/uploads/2019/05/sap-portugal-s.pdf
Feigin, V., Brainin, M., Norrving, B., Martins, S., Hacke, W., Fisher, M., Pandian, J., & Lindsay, P. (2022). World Stroke Organization global stroke fact sheet. International Journal of Stroke, 17(1), 18–29. https://doi.org/10.1177/17474930211065917
Instituto Nacional de Estatística. (2021). Tábuas de mortalidade – NUTS II. https://ine.pt
Kleindorfer, D. O., Towfighi, A., Chaturvedi, S., Cockroft, K. M., Gutierrez, J., Lombardi, G., & Williams, L. S. (2021). 2021 guideline for the prevention of stroke in patients with stroke and transient ischemic attack. Stroke, 52(7), e364–e467. https://doi.org/10.1161/STR.0000000000000375
Li, X.-Y., Kong, X.-M., Yang, C.-H., Cheng, Z.-F., Lv, J.-J., Guo, H., & Liu, X.-H. (2024). Global, regional, and national burden of ischemic stroke, 1990–2021: An analysis from the Global Burden of Disease Study 2021. eClinicalMedicine, 75, 102758. https://doi.org/10.1016/j.eclinm.2024.102758
Machado, V., Hahn, L., Martins, M., & Marrone, L. (2020). Conhecimento da população sobre acidente vascular cerebral em Torres, RS. Revista Brasileira de Neurologia, 56(3), 11–14. https://docs.bvsalud.org/biblioref/2020/09/1120376/rbn_563-versao-final-11-14.pdf
Martins, M. (2021). Literacia em saúde: Conhecimento dos estudantes do ensino secundário sobre acidente vascular cerebral e adesão à dieta mediterrânica [Dissertação de mestrado, Instituto Politécnico de Leiria]. Reportório Institucional do Politécnico de Leiria. https://docs.bvsalud.org/biblioref/2022/06/1373433/literacia-em-saude_martins-maria-joao-tavares.pdf
McLernon, S., Appiah, B., Moorley, C., Thomas, N., Mussa, R., Gonzales, S., Werring, D., Olawade, D. B., & Flood, C. (2025). Public awareness of stroke risk factors in high-income countries: A systematic review. Journal of Stroke and Cerebrovascular Diseases, 34(12), 108501. https://doi.org/10.1016/j.jstrokecerebrovasdis.2025.108501
Nascimento, J., Nascimento, K., Regino, D., Alves, M., Oliveira, J., & Dalri, M. (2021). Debriefing: Desenvolvimento e validação de um roteiro para simulação do suporte básico de vida. Cogitare Enfermagem, 26, e79537. https://doi.org/10.5380/ce.v26i0.79537
Nunes, C., & Vaz de Almeida, C. (2020). Literacia em saúde em faixas etárias mais jovens: Perceções sobre cuidados com a saúde. Associação Portuguesa de Documentação e Informação de Saúde. https://shre.ink/5ETv
Ordem dos Enfermeiros. (2019). Regulamento das competências comuns do enfermeiro especialista (Regulamento n.º 140/2019). Diário da República. https://shre.ink/5ETG
Peixoto, A. (2023). Cuidado transicional ao cuidador informal da pessoa com acidente vascular cerebral [Dissertação de mestrado, Escola Superior de Enfermagem de Lisboa]. Repositório Comum. https://comum.rcaap.pt/entities/publication/ae014601-7a0f-4c28-a456-ee98e0f1b841
Projeto Somos Um. (2022). Projeto SomosUm®. https://www.projetosomosum.pt
Rodrigues, M. S., Santana, L. F. E., Fernandes Castro, A. P., Almeida Coelho, K. K., Guimarães, M. P., Gomes, O. V., Schwingel, P. A., Cerqueira Filho, R. B., Guimarães, M. D., & Moura, J. C. (2022). Awareness towards stroke among high school students in Brazil: A cross-sectional study. São Paulo Medical Journal, 140(4), 525–530. https://doi.org/10.1590/1516-3180.2021.0659.R2.13102021
Sim-Sim, M., Abrantes, M., Reis, M., Pires, E., Fernandes, M., & Barros, M. (2019). Young adults’ knowledge about stroke in a Portuguese south town. Enfermería Global, 18(56), 447–458. https://doi.org/10.6018/eglobal.18.4.346851
Tomek, A., Roaldsen, M., Pezzella, F., Wilkie, A., & Christensen, H. (2024). Stroke action plan for Europe. European Stroke Organization. https://doi.org/10.17925/USN.2024.20.2.2
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Millenium - Journal of Education, Technologies, and Health
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who submit proposals for this journal agree to the following terms:
a) Articles are published under the Licença Creative Commons (CC BY 4.0), in full open-access, without any cost or fees of any kind to the author or the reader;
b) The authors retain copyright and grant the journal right of first publication, allowing the free sharing of work, provided it is correctly attributed the authorship and initial publication in this journal;
c) The authors are permitted to take on additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, post it to an institutional repository or as a book), with an acknowledgment of its initial publication in this journal;
d) Authors are permitted and encouraged to publish and distribute their work online (eg, in institutional repositories or on their website) as it can lead to productive exchanges, as well as increase the impact and citation of published work
Documents required for submission
Article template (Editable format)
