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Article Abstract
Background: FAST Heroes is a kindergarten-based educational program that teaches young children and their extended families (parents, grandparents), the main stroke symptoms (Face, Arm, and Speech), and the timely and appropriate steps in the event of a suspected stroke (Time). However, post-campaign knowledge retention remains a challenge.
Aims: The purpose of the current study was to investigate whether and to what extent grandparents' stroke knowledge is maintained 44 months after the initial implementation of the program.
Methods: Forty-five participants engaged in the present study (35 women, 10 men; 72.8§5.3) and completed an adapted version of the FAST Heroes Stroke Preparedness Questionnaire via phone calls.
Results: Compared to immediately post-program implementation, respondents were still able to recall arm weakness (OR = 1.63; = 0.246) and slurred speech (OR = 2.02; = 0.075) as main stroke symptoms. A decrease was observed in recalling facial drooping (OR = 0.44; = 0.042). Reporting of the appropriate course of action, was found to be increased (OR = 4.17; < 0.001). Respondents remembered the emergency number to call, i.e., 112 (OR = 0.97; = 0.947).
Conclusion: The results showed that awareness regarding the common signs of a stroke and the importance of promptly contacting emergency services following a stroke, in the population group mostly affected by stroke, is retained. Exploring knowledge preservation in a greater sample size is warranted.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473299 | PMC |
| http://dx.doi.org/10.3389/fpubh.2024.1400409 | DOI Listing |
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The role of children in promoting stroke literacy across generations: A narrative review of the FAST Heroes initiative.
J Stroke Cerebrovasc Dis
September 2025
Department of Educational and Social Policy, University of Macedonia, Thessaloniki, Greece; Department of Communication Sciences and Disorders, Adelphi University, New York, NY, USA.
Background & Purpose: It has been highlighted that children can serve as effective messengers, helping to raise awareness to their parents, grandparents, and the broader community. Relying on this approach, the FAST Heroes program engages children as central agents of knowledge transfer, aiming to enhance stroke literacy among their families. The purpose of this review is to examine how children acquire stroke-related knowledge and subsequently facilitate its transfer to their families.
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Department of Educational and Social Policy, University of Macedonia, Thessaloniki, Greece.
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Department of Educational and Social Policy, University of Macedonia, Egnatia Str 156, Thessaloniki, 54636, Greece. Electronic address:
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