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The effects of education on knowledge of stroke prevention and attitude towards aging among elderly individuals: a randomized controlled clinical trial study
Rahmanian A, Dehghani A, Mansouri P
Aging Medicine and Healthcare 2023 Aug;14(2):92-98
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND/PURPOSE: Aging is characterized by physiological and mental changes that can affect attitude towards aging. The risk of chronic diseases including stroke increases with aging. This study aimed to assess the effect of training on elderly people's knowledge of stroke prevention and their attitude to aging. METHODS: This randomized controlled clinical trial study was performed on 180 elderly residents of the Jahandidegan Center of Jahrom from December 2018 to November 2019. The participants were selected by convenience sampling and were randomly assigned to intervention control groups. The training was conducted through six 45 to 60 min sessions, once a week in the intervention group. The control group received the center's routine education. The data were collected using a researcher-made questionnaire on the knowledge of stroke prevention and attitude to aging questionnaire before, immediately, and one month after the intervention. The data were analyzed using the SPSS 21 software, Independent t-test, Chi-square, Fisher's exact, Friedman, and Mann-Whitney tests. The significance level was set <= 0.05. RESULTS: The results revealed a significant improvement in the intervention group's mean scores of knowledge of stroke prevention (24.42 +/- 2.47 versus 2.32 +/- 1.07), attitude towards aging (94.76 +/- 9.777 versus 37.40 +/- 13.16), and their dimensions immediately and one month after the intervention (p < 0.0001). Additionally, a significant difference was observed between the two groups regarding these mean scores after the intervention (p < 0.0001). CONCLUSIONS: The study findings indicated that training enhanced the elderly individuals' knowledge of stroke prevention and promoted their attitude towards aging. Therefore, training can play a key role in the prevention of stroke and changing attitudes to aging.

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