From FAST to FAST BEE - Video-Based Stroke Mnemonic Pilot (FAST BEE)

A Questionnaire-Based Evaluation of Knowledge Recall, Application, and Action Awareness After Viewing the FAST BEE Stroke Education Video

This online study evaluates immediate learning outcomes after viewing a short animated FAST BEE stroke-education video (1 minute 51 seconds). After providing electronic consent (and for adolescents aged 13-17 years, parental/guardian consent plus participant assent), participants will watch the video and complete a brief online questionnaire.

The questionnaire assesses (1) recall of FAST BEE elements, (2) ability to apply FAST BEE to a stroke scenario involving balance and double vision, and (3) intention to take emergency action (calling emergency services).

Study Overview

• Status: Completed
• Conditions: Healthy
• Intervention / Treatment: Other: FAST BEE Stroke Education Video (1 minute 51 seconds)

Detailed Description

Traditional stroke-recognition campaigns commonly teach the FAST mnemonic (Face, Arm, Speech, Time to call emergency services). While FAST captures frequent stroke presentations, it may not highlight symptoms that can occur in posterior circulation strokes, such as sudden imbalance (ataxia/vertigo) or visual disturbance (blurred vision/double vision). The FAST BEE mnemonic (Face, Arm, Speech, Time, Balance, Eyes, Emergency) was developed by the World Stroke Organization Prehospital Care Task Force to address this gap by adding Balance and Eyes checks and reinforcing emergency action.

This study is an educational, minimal-risk evaluation using an ultra-brief (1 minute 51 seconds) animated FAST BEE video embedded in an online survey to standardise exposure and assess immediate learning outcomes. The study is conducted via institutional Google Forms as an online-only activity.

• Study Type: Interventional
• Enrollment (Actual): 318
• Phase: Not Applicable

Contacts and Locations

Study Locations

• India
  • Kerala
    • Thrissur, Kerala, India
      • Jubilee Mission Medical Collage & Research Institute

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

Adults (aged ≥18)who are able to give consent.

Ability to view and understand the video (in English) and complete the online

Minors (<18 years, >13 years) only if accompanied by documented parental/guardian consent and child assent, in accordance with ICMR guidelines.

Exclusion Criteria:

Declines participation or exits before completing the survey.

Duplicate or blank submissions: responses with identical timestamps/data or >50% missing primary endpoint items will be removed.

For minors: lack of parental consent or child assent.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: FAST BEE Video Educational Intervention; Participants complete electronic informed consent, view a 1 minute 51 second FAST BEE animated educational video (Face, Arm, Speech, Time, Balance, Eyes, Emergency), and immediately complete a structured online questionnaire assessing recall, scenario application, and action awareness (6-8 minutes total). The study is conducted online via institutional Google Form.

Other: FAST BEE Stroke Education Video (1 minute 51 seconds); A 1 minute 51 second animated educational video introducing the FAST BEE mnemonic (Face, Arm, Speech, Time, Balance, Eyes, Emergency). The video depicts stroke scenarios including balance problems and double vision and emphasises calling emergency services (112) at "Time" and again at the end. The video is embedded within a Google Form (online-only) for standardised exposure. Immediately after viewing, participants complete a questionnaire assessing recall, scenario application, and action awareness.; Other Names: FAST BEE animated video; FAST BEE questionnaire

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Recall Score (Q1)	Number of mnemonic elements correctly recalled (0-7 points: F, A, S, T, B, E (eyes), E (emergency)).	Immediately after video viewing (same sitting)
Action Awareness (Q3/Q5b)	Likert score (1-5) on intent to call 112; we take the higher of two related items (Q3: "likelihood to call," Q5b: "usefulness for action").	Immediately after video viewing (same sitting)
Composite Endpoint - Usefulness Index (0-100%)	A weighted score combining recall, scenario, and action awareness (higher indicates better performance). Calculation: 40%(Q1/7) + 30%(Q2/2) + 30%*(max(Q3,Q5b)/5). Interpretation (pilot): Mean ≥70% suggests good mnemonic retention/action; 50-69% mixed results; <50% poor retention/application.	Immediately after video viewing (same sitting)
Scenario Application (Q2)	Score 1 point each for recognizing balance/diplopia as stroke signs and mentioning emergency action. Score range; 0-2	Immediately after video viewing (same sitting)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Perceived Usefulness of FAST BEE	Participants' perceived usefulness of FAST BEE for recognising stroke signs (Q5a) and for remembering to act (Q5b), compared amongst different demographic subgroups.	Immediately after video viewing (same sitting)
Memorability Comparison: FAST BEE versus BE FAST	Comparison of participants' perceived memorability of FAST BEE versus the standard BE FAST mnemonic (Q4), analysed amongst different demographic subgroups.	Immediately after video viewing (same sitting)
Qualitative Feedback on FAST BEE	Free-text qualitative feedback on FAST BEE (clarity, suggestions) to refine the mnemonic and video for public and school settings.	Immediately after video viewing (same sitting)

Collaborators and Investigators

• Sponsor: Jubilee Mission Medical College and Research Institute

Study record dates

Study Major Dates

• Study Start (Actual): February 22, 2026
• Primary Completion (Actual): April 1, 2026
• Study Completion (Actual): April 2, 2026

Study Registration Dates

• First Submitted: February 23, 2026
• First Submitted That Met QC Criteria: February 23, 2026
• First Posted (Actual): February 27, 2026

Study Record Updates

• Last Update Posted (Actual): April 8, 2026
• Last Update Submitted That Met QC Criteria: April 2, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Keywords: stroke; FAST; stroke awareness; FAST BEE; BE FAST; Health education / public education
• Additional Relevant MeSH Terms: Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Behavior; Treatment Adherence and Compliance; Health Behavior; Patient Compliance; Patient Acceptance of Health Care; Adherence Interventions; Medication Adherence; Stroke; Health Education
• Other Study ID Numbers: 10/26/IEC/JMMC&RI; U1111-1334-4700 (Other Identifier: World Health Organisation)

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No