Women often do not have the same kind of chest pains that men generally experience during a heart attack. They may also have a range of other symptoms, not all of them easy for the typical sufferer to identify and so in many cases, they tend to just ignore the warning signs.
In hopes of shortening women's time to treatment, Professor Pamela Stewart Fahs is collaborating with Doctor Melanie Kalman and Doctor Margaret Wells on a project called "Matters of Your Heart." The goal is to develop an effective program to educate women about heart attack symptoms and also to teach about the early warning signs that a heart attack might be on the way.
The researchers conducted the first phase of their project under an intramural research grant from SUNY Upstate. Their first task was to develop a questionnaire to measure a woman's knowledge of heart attack symptoms and warning signs. They then created a pilot version of an educational presentation.
Working with 141 post-menopausal women, Stewart Fahs and Kalman held small-group sessions to administer the questionnaire, present the program and then give the questionnaire again. The researchers based the presentation in part on a program that Stewart Fahs developed several years ago to teach rural residents about symptoms of a stroke. That program employed an acronym created by the American Heart Association — FAST, for Face, Arm, Speech and Time.
The new program uses a similar mnemonic device, and Stewart Fahs says the method seems to help, especially when women practice putting it to use. The next phase of the project will focus on testing whether using acronyms for female heart attack and its warning symptoms improve knowledge as compared to using an educational program without them. The work will begin this spring, thanks to a grant from the Rural Nurse Organisation. Stewart Fahs will administer the questionnaire and program to women in rural areas, while Kalman and Wells concentrate on urban Syracuse, New York. The population they have studied so far is too small to reveal whether the program works better for one demographic or the other, Stewart Fahs says.
In a second phase of their research, Kalman and Stewart Fahs plan to give the presentation to many more women over a broader geographical area. Eventually, they hope to do a longitudinal study to discover whether their program improves the way women respond when they experience signs of a possible heart attack.
Once they have perfected the program, the researchers will share it with hospitals, community health agencies and other healthcare organisations. Besides offering the PowerPoint slides for classroom use, they might someday use communication technologies to give the presentation a broader reach, Stewart Fahs says.
MEDICA.de; Source: Binghamton University