This online study evaluates immediate learning outcomes after viewing a short animated FAST BEE stroke-education video (1 minute 51 seconds). After providing electronic consent (and for adolescents aged 13-17 years, parental/guardian consent plus participant assent), participants will watch the video and complete a brief online questionnaire. The questionnaire assesses (1) recall of FAST BEE elements, (2) ability to apply FAST BEE to a stroke scenario involving balance and double vision, and (3) intention to take emergency action (calling emergency services).
Traditional stroke-recognition campaigns commonly teach the FAST mnemonic (Face, Arm, Speech, Time to call emergency services). While FAST captures frequent stroke presentations, it may not highlight symptoms that can occur in posterior circulation strokes, such as sudden imbalance (ataxia/vertigo) or visual disturbance (blurred vision/double vision). The FAST BEE mnemonic (Face, Arm, Speech, Time, Balance, Eyes, Emergency) was developed by the World Stroke Organization Prehospital Care Task Force to address this gap by adding Balance and Eyes checks and reinforcing emergency action. This study is an educational, minimal-risk evaluation using an ultra-brief (1 minute 51 seconds) animated FAST BEE video embedded in an online survey to standardise exposure and assess immediate learning outcomes. The study is conducted via institutional Google Forms as an online-only activity.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
318
A 1 minute 51 second animated educational video introducing the FAST BEE mnemonic (Face, Arm, Speech, Time, Balance, Eyes, Emergency). The video depicts stroke scenarios including balance problems and double vision and emphasises calling emergency services (112) at "Time" and again at the end. The video is embedded within a Google Form (online-only) for standardised exposure. Immediately after viewing, participants complete a questionnaire assessing recall, scenario application, and action awareness.
Jubilee Mission Medical Collage & Research Institute
Thrissur, Kerala, India
Scenario Application (Q2)
Score 1 point each for recognizing balance/diplopia as stroke signs and mentioning emergency action. Score range; 0-2
Time frame: Immediately after video viewing (same sitting)
Recall Score (Q1)
Number of mnemonic elements correctly recalled (0-7 points: F, A, S, T, B, E (eyes), E (emergency)).
Time frame: Immediately after video viewing (same sitting)
Action Awareness (Q3/Q5b)
Likert score (1-5) on intent to call 112; we take the higher of two related items (Q3: "likelihood to call," Q5b: "usefulness for action").
Time frame: Immediately after video viewing (same sitting)
Composite Endpoint - Usefulness Index (0-100%)
A weighted score combining recall, scenario, and action awareness (higher indicates better performance). Calculation: 40%(Q1/7) + 30%(Q2/2) + 30%\*(max(Q3,Q5b)/5). Interpretation (pilot): Mean ≥70% suggests good mnemonic retention/action; 50-69% mixed results; \<50% poor retention/application.
Time frame: Immediately after video viewing (same sitting)
Perceived Usefulness of FAST BEE
Participants' perceived usefulness of FAST BEE for recognising stroke signs (Q5a) and for remembering to act (Q5b), compared amongst different demographic subgroups.
Time frame: Immediately after video viewing (same sitting)
Memorability Comparison: FAST BEE versus BE FAST
Comparison of participants' perceived memorability of FAST BEE versus the standard BE FAST mnemonic (Q4), analysed amongst different demographic subgroups.
Time frame: Immediately after video viewing (same sitting)
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Qualitative Feedback on FAST BEE
Free-text qualitative feedback on FAST BEE (clarity, suggestions) to refine the mnemonic and video for public and school settings.
Time frame: Immediately after video viewing (same sitting)