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Improving Parent Sign-Up for a Children's Stroke Awareness Program

4. august 2026 opdateret af: University of Macedonia

Behavioral Insights for Public Health Engagement: A Four-Arm School-Level Comparative Study on Parental Registration in FAST Heroes

Many families do not sign up for a school-based stroke awareness program (FAST Heroes) that teaches children and parents to recognize stroke symptoms and act quickly. This study compared four different ways of encouraging parents to complete online registration for the program: a printed letter sent home, an email, an email combined with follow-up reminders from teachers, and an email combined with teacher reminders plus an automated chatbot. Thirty-seven schools that had not previously had any parents register were assigned to one of these four approaches, and the study measured how many parents in each group registered within eight weeks. The goal was to identify practical, low-cost communication strategies that schools and public health programs can use to increase parent engagement with health education initiatives.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

FAST Heroes is a school-based education programme that teaches kindergarten-aged children and their families to recognize stroke symptoms (using the FAST acronym: Face, Arms, Speech, Time) and to call emergency services promptly. A key component of the programme requires parents to complete online registration, but registration rates have historically been low. This study was conducted to identify communication strategies that could improve parental registration.

Eligible schools were those that had implemented the FAST Heroes programme during the prior school year (2023-2024) with zero parental registrations recorded. From the pool of eligible schools, participating schools were allocated at the school level to one of four conditions using a pre-specified, non-random balanced allocation procedure intended to achieve comparability across conditions in pupil numbers and school settlement category (urban versus non-urban, per the 2021 Greek Census classification): (1) a printed letter sent home with pupils; (2) an email sent directly to parents; (3) an email combined with weekly teacher-delivered reminders to parents for five weeks; and (4) an email combined with weekly teacher reminders plus an automated chatbot (delivered via a messaging app chatbot) sending parents reminders over the same five-week period.

The primary outcome was the proportion of parents who completed online registration within eight weeks of the initial prompt in their assigned condition. Because schools (not individual pupils) were the unit of allocation while registration was assessed at the level of individual pupils/families, the primary analysis used mixed-effects logistic regression with a random intercept for school to account for clustering within schools. Exploratory analyses examined whether the effect of condition varied by school settlement category (urban vs. non-urban) and by class size.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

37

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Thessaloniki, Grækenland, 54636
        • University of Macedonia

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ja

Beskrivelse

Inclusion criteria:

  • School was implementing the FAST Heroes stroke awareness programme during the 2023-2024 school year
  • Zero parental registrations recorded for the school prior to the start of the study (2024-2025 school year)
  • School and/or parents provided informed consent to participate

Exclusion criteria:

  • Schools with one or more parental registrations already recorded prior to the study period
  • Schools that did not provide consent to participate
  • Schools not located in Greece

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Printed Letter
Schools in this condition received a printed letter sent home with pupils inviting parents to complete online registration for the FAST Heroes programme.
A printed letter sent home with pupils, inviting parents to complete online registration for the FAST Heroes stroke awareness programme.
Eksperimentel: E-mail
Schools in this condition received an email sent directly to parents inviting them to complete online registration for the FAST Heroes programme.
An e-mail sent directly to parents inviting them to complete online registration for the FAST Heroes stroke awareness programme.
Eksperimentel: E-mail Plus Teacher Feedback
Schools in this condition received an email invitation to register, followed by weekly teacher-delivered reminders to parents for five weeks.
An e-mail invitation to register, followed by weekly reminders delivered by teachers to parents over a five-week period.
Eksperimentel: E-mail Plus Teacher Feedback Plus Chatbot
Schools in this condition received an email invitation to register, weekly teacher-delivered reminders, and an automated chatbot sending weekly reminders to parents over the same five-week period.
An e-mail invitation to register, weekly teacher-delivered reminders, and an automated chatbot sending weekly reminders to parents, all over the same five-week period.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Parental Registration Rate
Tidsramme: Within 8 weeks of the initial registration prompt
Proportion of parents who completed online registration for the FAST Heroes stroke awareness programme, calculated per school condition.
Within 8 weeks of the initial registration prompt

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Ledende efterforsker: Maria Baskini, PhD, Aristotle University Of Thessaloniki

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Hjælpsomme links

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

11. september 2024

Primær færdiggørelse (Faktiske)

15. juni 2025

Studieafslutning (Faktiske)

15. juni 2025

Datoer for studieregistrering

Først indsendt

29. juli 2026

Først indsendt, der opfyldte QC-kriterier

29. juli 2026

Først opslået (Faktiske)

4. august 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. august 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

4. august 2026

Sidst verificeret

1. august 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 14/15.06.2020

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

Individual participant data that underlie the results reported in this study (after de-identification) will be available from the corresponding author upon reasonable request.

IPD-delingstidsramme

Beginning 3 months and ending 3 years following article publication.

IPD-delingsadgangskriterier

Requests should be directed to the corresponding author, who will evaluate each request individually.

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP

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