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Kim and Park: Development and Evaluation of a Web-based Education Program to Prevent Secondary Stroke
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2011; 41(1): 47-60.

Published online: 28 February 2011

DOI: https://doi.org/10.4040/jkan.2011.41.1.47

Development and Evaluation of a Web-based Education Program to Prevent Secondary Stroke

Chul-Gyu Kim1, Hyeoun-Ae Park2

1Full-time Lecturer, Department of Nursing, Cheongju University, Cheongju, Korea.

2Professor, College of Nursing, Seoul National University, Seoul, Korea.

Address reprint requests to: Park, Hyeoun-Ae College of Nursing, Seoul National University, 28 Yeongeon-dong, Jongno-gu, Seoul 110-744, Korea. Tel: +82-2-740-8827, Fax: +82-2-765-4103, hapark@snu.ac.kr

Received 30 May 2010       Accepted 25 February 2011

© 2011 Korean Society of Nursing Science

Abstract

Purpose

This study was conducted to develop and evaluate a web-based education program for secondary stroke prevention.

Methods

A web-based secondary stroke prevention education program was developed using the system's life cycle methods and evaluated by comparing the effects of education among three groups, a web group, a booklet group and a control group.

Results

Knowledge level of both patients and family, as well as some health behavior compliance in the web-based and booklet education groups were significantly higher than those of the control group. Family support in the web-based and booklet education groups was significantly higher than that of the control group after 12 weeks. The urine cotinine level in the web-based education group was significantly lower than that of the control group after 12 weeks. Medication adherence, blood pressure and perceived health status were not statistically different among the three groups at any time.

Conclusion

Web-based and booklet education programs were equally effective regarding the level of knowledge of patients and their families, family support, health behavior compliance, and urine cotinine level. These results demonstrate the potential use of a web-based education program for secondary stroke prevention.

Keywords: Education, Stroke, Secondary prevention, Internet

Figures and Tables

Figure 1
Development process of web-based education program.
jkan-41-47-g001
Figure 2
The change of outcome variables by group and time.
(A) Patient's knowledge, (B) Family's knowledge, (C) Urine cotinine level. *Cross Sectional difference in the 4th week; †Cross Sectional difference in the 12th week.
jkan-41-47-g002
Table 1
Homogeneity Test of General Characteristics of Participants and Dependent Variables
jkan-41-47-i001

Cont G=Control group; Web G=web education group; Booklet G=booklet education group.

Table 2
Comparison of Outcomes by Education Groups (N=50)
jkan-41-47-i002

Cont G=Control group; Web G=web education group; Booklet G=booklet education group; T1: 4 weeks after intervention; T2: 12 weeks after intervention; OPD=out-patient department; a,b,cDuncan Grouping.

Notes

This article is based on a part of the first author's doctoral thesis from Seoul National University.

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