Factors Predicting Stroke Pre-hospital Delay Behavior Intention among People with High Risk of Stroke


  • Wanpen Waelveerakup RN, M.Sc, DrPH Candidate, Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Thailand.
  • Punyarat Lapvongwatana RN, PhD, Associate Professor, Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Thailand.
  • Sirirat Leelacharas RN, PhD, Assistant Professor, Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Thailand.
  • Jean Davison RN, DNP, FNP-C, Associate Professor, School of Nursing, University of North Carolina at Chapel Hill, North Carolina,USA.


Behavior intention, Dependence, Family, High stroke risk, Stroke, Stroke literacy


                   Recombinant tissue plasminogen activator has been recommended and widely used in treating acute ischemic stroke. Unfortunately, the critical period for medical effectiveness is relatively short, and many people with stroke cannot access a hospital in time. This study aimed to determine factors predicting stroke pre-hospital delay behavior intention among people with high risk of stroke. In this cross-sectional study, people with high risk of stroke and their family members (n = 93 pairs) were recruited from a semi-rural province in central Thailand. The questionnaires used in this study included socio-demographic, dependency, stroke literacy, family relationship, and stroke pre-hospital delay behavior intention scales. Data were analyzed using descriptive statistics, Pearson’s product-moment correlation coefficient, and multiple regressions.

                   The results revealed that dependency, number of family members, stroke literacy and family members’ stroke literacy were negatively correlated with stroke pre-hospital delay behavior intention among people with high risk of stroke. The latter was positively correlated with family members’ stroke pre-hospital delay behavior intention. In a regression analysis, the family members’ stroke pre-hospital delay behavior intention, stroke literacy, and dependence collectively accounted for 58.2% of stroke pre-hospital delay behavior intention. The findings suggest that nurses can develop an intervention to decrease stroke pre-hospital delay behavior intention by increasing stroke literacy of both people with high risk of stroke and family members, and promptly ask for help (dependency). These actions may help facilitate people to receive timely medical treatment.


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How to Cite

Waelveerakup W, Lapvongwatana P, Leelacharas S, Davison J. Factors Predicting Stroke Pre-hospital Delay Behavior Intention among People with High Risk of Stroke. PRIJNR [Internet]. 2019 Jun. 19 [cited 2024 May 29];23(3):271-84. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/114716



Original paper