Piloting a Sex-Specific, Technology-Enhanced, Active Learning Intervention for Stroke Prevention in Women

Amanda Dirickson, Sonja E. Stutzman, Mark J. Alberts, Roberta L. Novakovic, Ann M. Stowe, Claudia C. Beal, Mark P. Goldberg, Dai Wai M. Olson

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Background: Recent studies reveal deficiencies in stroke awareness and knowledge of risk factors among women. Existing stroke education interventions may not address common and sex-specific risk factors in the population with the highest stroke-related rate of mortality. Objective: This pilot study assessed the efficacy of a technology-enhanced, sex-specific educational program ("SISTERS") for women's knowledge of stroke. Methods: This was an experimental pretest-posttest design. The sample consisted of 150 women (mean age, 55 years) with at least 1 stroke risk factor. Participants were randomized to either the intervention (n = 75) or control (n = 75) group. Data were collected at baseline and at a 2-week posttest. Results: There was no statistically significant difference in mean knowledge score (P =.67), mean confidence score (P =.77), or mean accuracy score (P =.75) between the intervention and control groups at posttest. Regression analysis revealed that older age was associated with lower knowledge scores (P <.001) and lower confidence scores (P <.001). After controlling for age, the SISTERS program was associated with a statistically significant difference in knowledge (P <.001) and confidence (P <.001). Conclusions: Although no change occurred overall, after controlling for age, there was a statistically significant benefit. Older women may have less comfort with technology and require consideration for cognitive differences.

Original languageEnglish (US)
Pages (from-to)349-354
Number of pages6
JournalJournal of Neuroscience Nursing
Issue number6
StatePublished - Dec 1 2017
Externally publishedYes


  • education
  • sex-specific
  • stroke
  • technology
  • women

ASJC Scopus subject areas

  • Endocrine and Autonomic Systems
  • Clinical Neurology
  • Medical–Surgical
  • Surgery


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