Mass media campaigns’ influence on prehospital behavior for acute coronary syndromes: An evaluation of the Australian Heart Foundation's warning signs campaign

Bray, Janet E., Stub, Dion, Ngu, Philip, Cartledge, Susie, Straney, Lahn, Stewart, Michelle, Keech, Wendy, Patsamania, Harry, Shaw, James and Finn, Judith (2015) Mass media campaigns’ influence on prehospital behavior for acute coronary syndromes: An evaluation of the Australian Heart Foundation's warning signs campaign. Journal of the American Heart Association, 2015 4: e001927-e001927. doi:10.1161/JAHA.115.001927


Author Bray, Janet E.
Stub, Dion
Ngu, Philip
Cartledge, Susie
Straney, Lahn
Stewart, Michelle
Keech, Wendy
Patsamania, Harry
Shaw, James
Finn, Judith
Title Mass media campaigns’ influence on prehospital behavior for acute coronary syndromes: An evaluation of the Australian Heart Foundation's warning signs campaign
Journal name Journal of the American Heart Association   Check publisher's open access policy
ISSN 2047-9980
Publication date 2015-07
Year available 2015
Sub-type Article (original research)
DOI 10.1161/JAHA.115.001927
Open Access Status DOI
Volume 2015
Issue 4
Start page e001927
End page e001927
Total pages 10
Place of publication Hoboken, NJ United States
Publisher Wiley-Blackwell Publishing
Collection year 2016
Language eng
Formatted abstract
Background The aim of this study was to examine the awareness of a recent mass media campaign, and its influence on knowledge and prehospital times, in a cohort of acute coronary syndrome (ACS) patients admitted to an Australian hospital.

Methods and Results We conducted 199 semistructured interviews with consecutive ACS patients who were aged 35 to 75 years, competent to provide consent, and English speaking. Questions addressed the factors known to predict prehospital delay, awareness of the campaign, and whether it increased knowledge and influenced actions. Multivariable logistic regression was used to examine the association between campaign awareness and a 1‐hour delay in deciding to seek medical attention (patient delay) and a 2‐hour delay in presenting to hospital (prehospital delay). The median age was 62 years (IQR=53 to 68 years), and 68% (n=136) were male. Awareness of the campaign was reported by 127 (64%) patients, with most of these patients stating the campaign (1) increased their understanding of what is a heart attack (63%), (2) increased their awareness of the signs and symptoms of heart attack (68%), and (3) influenced their actions in response to symptoms (43%). After adjustment for other predictors, awareness of the campaign was significantly associated with patient delay time of ≤1 hour (adjusted odds ratio [AOR]=2.25, 95% CI: 1.03 to 4.91, P=0.04) and prehospital delay time ≤2 hours (AOR=3.11, 95% CI: 1.36 to 7.08, P=0.007).

Conclusions Our study showed reasonably high awareness of the warning signs campaign, which was significantly associated with shorter prehospital decision‐making and faster presentation to hospital.
Keyword Acute coronary syndrome
Emergency medical services
Health education
Mass media
Prehospital delay
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Nursing, Midwifery and Social Work Publications
 
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Created: Mon, 19 Oct 2015, 09:14:14 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work