Background: Despite the availability of best medical management recurrent stroke occur in up to 15-20% of patients with stroke in India. Education for stroke prevention may prevent recurrence of strokes.
Methods: SPRINT India study is being conducted at 25 centers. A total of 5830 stroke patients speaking 11 different languages are being randomized to intervention or control arm. Patients in the intervention arm are receiving a stroke prevention workbook, regular educational short messages and videos. In view of the complexity of the intervention, formative research was conducted. Intervention material was developed in three stages; formative stage (intervention package was assessed by SMOG Index (Simple Measure of Gobbledygook) and all workbook chapters were developed to have a score of >90 on CDC (Clear Communication Index), acceptability stage (stakeholders assessed intervention with Patient Education Material Assessment Tool (PEMAT) in 10 languages) and Implementation Stage was conducted for one month at two centres to assess feasibility of intervention delivery to patients.
Results: In the Formative stage a total of 69 short messages, 6 videos and workbook (11 chapters and 16 activities) were developed in English language with mean±SD SMOG index of 9.1±0.5. A total of 355 stakeholders scored the intervention material in Acceptability stage meetings with a mean understandability score of 95.3±0.08 and mean actionability score of 97.3±2.7. A total of 20 patients completed the implementation stage. The intervention material could be delivered, received and read in 90% (19/20) patients.
Conclusion: Structured formative research is vital for development of patient education material to be used in multiple languages.
Funding: Indian Council of Medical Research, New Delhi, India

SECONDARY PREVENTION BY STRUCTURED SEMI-INTERACTIVE STROKE PREVENTION PACKAGE IN INDIA (SPRINT INDIA) STUDY: FORMATIVE, ACCEPTABILITY AND IMPLEMENTATION STAGES OF THE STUDY