(Stroke. 1995;26:1334-1337.)
© 1995 American Heart Association, Inc.
Articles |
Validation of a Population Screening Questionnaire to Assess Prevalence of Stroke
From the Departments of Medicine (Geriatrics) (P.G.O'M., R.D., H.R., O.F.W.J.) and Epidemiology and Public Health (P.G.O'M., R.D., H.R., R.G.T.), University of Newcastle, Newcastle upon Tyne, UK.
Correspondence to Dr Paul O'Mahony, MRCPI, Department of Medicine (Geriatrics), University of Newcastle, Framlington Place, Newcastle upon Tyne, NE2 4HH, UK.
Background and Purpose A cross-sectional survey is the best method for determining the prevalence of a chronic condition such as stroke. Before embarking on a large population study, a valid screening instrument is necessary. This study aimed to validate a self-completion postal screening questionnaire for assessing lifetime history of stroke.
Methods A random sample of 2000 people aged 45 years and over was selected from the Family Health Services Authority register. A brief self-completion questionnaire requesting self-reported history of stroke was mailed to each individual. Responders reporting a history of stroke received a request for a standardized home assessment visit. Confirmation of the diagnosis of stroke was made based on information from the home visit together with multiple sources of case ascertainment. False-negative responses and assessment of nonresponse bias were documented.
Results The response rate for the questionnaire was 88%. Of the sample, 120 (6%) who were wrongly registered were excluded; 173 (10%) of the 1663 responders reported a history of stroke. The question "Have you ever had a stroke?" had a sensitivity of 95% and a specificity of 96%.
Conclusions This simple self-completion questionnaire is a valid means of screening for cases of stroke in the community and could form the basis for subsequent studies of prevalence and health needs.
Key Words: cerebrovascular disorders • epidemiology • mass screening • questionnaires
This article has been cited by other articles:
 |
|
 |
|
  Y. Liao, K. J. Greenlund, J. B. Croft, N. L. Keenan, and W. H. Giles Factors Explaining Excess Stroke Prevalence in the US Stroke Belt Stroke, October 1, 2009; 40(10): 3336 - 3341. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Towfighi and B. Ovbiagele The Impact of Body Mass Index on Mortality After Stroke Stroke, August 1, 2009; 40(8): 2704 - 2708. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Reitz, N. Schupf, J. A. Luchsinger, A. M. Brickman, J. J. Manly, H. Andrews, M. X. Tang, C. DeCarli, T. R. Brown, and R. Mayeux Validity of Self-reported Stroke in Elderly African Americans, Caribbean Hispanics, and Whites Arch Neurol, July 1, 2009; 66(7): 834 - 840. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Niti, K.-B. Yap, E.-H. Kua, and T.-P. Ng APOE-{epsilon}4, Depressive Symptoms, and Cognitive Decline in Chinese Older Adults: Singapore Longitudinal Aging Studies J Gerontol A Biol Sci Med Sci, February 1, 2009; 64A(2): 306 - 311. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Ritvo, R. Myers, M.L. Del Giudice, L. Pazsat, P. T. Campbell, R.I. Howlett, V. Mai, T. Sullivan, J. Tiro, and L. Rabeneck Factorial Validity and Invariance of a Survey Measuring Psychosocial Correlates of Colorectal Cancer Screening in Ontario, Canada--A Replication Study Cancer Epidemiol. Biomarkers Prev., November 1, 2008; 17(11): 3279 - 3283. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Ovbiagele Impairment in Glomerular Filtration Rate or Glomerular Filtration Barrier and Occurrence of Stroke Arch Neurol, July 1, 2008; 65(7): 934 - 938. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Towfighi, J. L. Saver, R. Engelhardt, and B. Ovbiagele A midlife stroke surge among women in the United States Neurology, November 13, 2007; 69(20): 1898 - 1904. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. M. Glymour, M. Avendano, and L. F. Berkman Is the 'Stroke Belt' Worn From Childhood?: Risk of First Stroke and State of Residence in Childhood and Adulthood Stroke, September 1, 2007; 38(9): 2415 - 2421. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Levine, C. I. Kiefe, G. Howard, V. J. Howard, O. D. Williams, and J. J. Allison Reduced Medication Access: A Marker for Vulnerability in US Stroke Survivors Stroke, May 1, 2007; 38(5): 1557 - 1564. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Levine, C. I. Kiefe, T. K. Houston, J. J. Allison, E. P. McCarthy, and J. Z. Ayanian Younger Stroke Survivors Have Reduced Access to Physician Care and Medications: National Health Interview Survey From Years 1998 to 2002 Arch Neurol, January 1, 2007; 64(1): 37 - 42. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. M. Bravata, C. K. Wells, B. Gulanski, W. N. Kernan, L. M. Brass, J. Long, and J. Concato Racial Disparities in Stroke Risk Factors: The Impact of Socioeconomic Status Stroke, July 1, 2005; 36(7): 1507 - 1511. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. I. Qureshi, M. F. K. Suri, J. F. Kirmani, and A. A. Divani The Relative Impact of Inadequate Primary and Secondary Prevention on Cardiovascular Mortality in the United States Stroke, October 1, 2004; 35(10): 2346 - 2350. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
The SASPI Project Team Prevalence of Stroke Survivors in Rural South Africa: Results From the Southern Africa Stroke Prevention Initiative (SASPI) Agincourt Field Site Stroke, March 1, 2004; 35(3): 627 - 632. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Brogger, P. Bakke, G. E. Eide, and A. Gulsvik Contribution of Follow-up of Nonresponders to Prevalence and Risk Estimates: A Norwegian Respiratory Health Survey Am. J. Epidemiol., March 15, 2003; 157(6): 558 - 566. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Gilhotra, P. Mitchell, P. R. Healey, R. G. Cumming, and J. Currie Homonymous Visual Field Defects and Stroke in an Older Population Stroke, October 1, 2002; 33(10): 2417 - 2420. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Clarke, V. Marshall, S. E. Black, and A. Colantonio Well-Being After Stroke in Canadian Seniors: Findings From the Canadian Study of Health and Aging Stroke, April 1, 2002; 33(4): 1016 - 1021. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. J. Jones, L. S. Williams, and J. F. Meschia Validating the Questionnaire for Verifying Stroke-Free Status (QVSFS) by Neurological History and Examination Stroke, October 1, 2001; 32(10): 2232 - 2236. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. I. Qureshi, M. F. K. Suri, L. R. Guterman, and L. N. Hopkins Ineffective Secondary Prevention in Survivors of Cardiovascular Events in the US Population: Report From the Third National Health and Nutrition Examination Survey Arch Intern Med, July 9, 2001; 161(13): 1621 - 1628. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. I. Qureshi, M. F. K. Suri, L. R. Guterman, and L. N. Hopkins Cocaine Use and the Likelihood of Nonfatal Myocardial Infarction and Stroke : Data From the Third National Health and Nutrition Examination Survey Circulation, January 30, 2001; 103(4): 502 - 506. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S.-L. Wang, W.-H. Pan, M.-C. Lee, S.-P. Cheng, and M.-C. Chang Predictors of Survival Among Elders Suffering Strokes in Taiwan : Observation From a Nationally Representative Sample Stroke, October 1, 2000; 31(10): 2354 - 2360. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Engstad, K. H. Bonaa, and M. Viitanen Validity of Self-Reported Stroke : The Tromso Study Stroke, July 1, 2000; 31(7): 1602 - 1607. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. W Walker, D. G McLarty, G. Masuki, H. M Kitange, D. Whiting, A. F Moshi, J. G Massawe, R. Amaro, A. Mhina, and K G M M Alberti Age specific prevalence of impairment and disability relating to hemiplegic stroke in the Hai District of northern Tanzania J. Neurol. Neurosurg. Psychiatry, June 1, 2000; 68(6): 744 - 749. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. S. Ford and W. H. Giles Serum C-Reactive Protein and Self-Reported Stroke : Findings From the Third National Health and Nutrition Examination Survey Arterioscler Thromb Vasc Biol, April 1, 2000; 20(4): 1052 - 1056. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. R. Brittain, S. I. Perry, S. M. Peet, C. Shaw, H. Dallosso, R. P. Assassa, K. Williams, C. Jagger, J. F. Potter, and C. M. Castleden Prevalence and Impact of Urinary Symptoms Among Community-Dwelling Stroke Survivors Stroke, April 1, 2000; 31(4): 886 - 891. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I Perez, A Melbourn, and L Kalra Use of antithrombotic measures for stroke prevention in atrial fibrillation Heart, November 1, 1999; 82(5): 570 - 574. [Abstract] [Full Text]
|
|
|
|
|
|
L. Kalra, I. Perez, and A. Melbourn Risk Assessment and Anticoagulation for Primary Stroke Prevention in Atrial Fibrillation Stroke, June 1, 1999; 30(6): 1218 - 1222. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Zhu, L. Fratiglioni, Z. Guo, H. Aguero-Torres, B. Winblad, and M. Viitanen Association of Stroke With Dementia, Cognitive Impairment, and Functional Disability in the Very Old : A Population-Based Study Stroke, October 1, 1998; 29(10): 2094 - 2099. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. I. Qureshi, W. H. Giles, and J. B. Croft Impaired Glucose Tolerance and the Likelihood of Nonfatal Stroke and Myocardial Infarction : The Third National Health and Nutrition Examination Survey Stroke, July 1, 1998; 29(7): 1329 - 1332. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Bonita, N. Solomon, and J. B. Broad Prevalence of Stroke and Stroke-Related Disability : Estimates From the Auckland Stroke Studies Stroke, October 1, 1997; 28(10): 1898 - 1902. [Abstract] [Full Text]
|
|
|
|
|
|
D. Liao, R. Myers, S. Hunt, E. Shahar, C. Paton, G. Burke, M. Province, and G. Heiss Familial History of Stroke and Stroke Risk : The Family Heart Study Stroke, October 1, 1997; 28(10): 1908 - 1912. [Abstract] [Full Text]
|
|
|
|
 |
|
 P. G O'Mahony, H. Rodgers, R. G Thomson, R. Dobson, and O. F. James Satisfaction with information and advice received by stroke patients Clinical Rehabilitation, February 1, 1997; 11(1): 68 - 72. [Abstract] [PDF]
|
|
|
|
|
|
M. L. Bots, S. J. Looman, P. J. Koudstaal, A. Hofman, A. W. Hoes, and D. E. Grobbee Prevalence of Stroke in the General Population: The Rotterdam Study Stroke, September 1, 1996; 27(9): 1499 - 1501. [Abstract] [Full Text]
|
|