SURA'A Campaign for Stroke Awareness in Primary Health Care Centers

The study will employ a multifaceted campaign based on the SURA'A consultation framework over a period of one week. Participants from primary health care centers will be involved to assess their baseline knowledge and intention regarding stroke. Following the intervention, changes in their awareness levels and help-seeking intentions will be measured and analyzed. This research is approved by the Research Ethical Approval Committee at the University of Baghdad, College of Nursing.

Inclusion criteria

Participants will be eligible if they:

• Age

• Adults aged ≥18 years residing in Diwaniyah.
• Residence o Living in Diwaniyah communities for at least 6 academic months prior to the study.
• Access to Primary Health Centers (PHCs)

• Attending in selected primary health centers where the SURA'A campaign will be implemented.
• Cognitive ability

o Able to understand and answer the survey questions in Arabic.

• Consent o Willing to provide informed consent to participate in pre- and post- awareness intervention assessments.

Availability for follow-up

o Agree to participate in both baseline (pre-campaign) and follow-up (post-campaign) assessments.

Exclusion criteria

Participants will be excluded if they:

• Have a previous confirmed diagnosis of stroke (to avoid bias in baseline awareness).
• Severe cognitive impairment

• Have diagnosed dementia, severe mental illness, or cognitive impairment that prevents reliable responses.
• Communication barriers

o Cannot communicate in Arabic or has severe hearing/speech impairment that prevents participation.

• Health professionals o Physicians, nurses, paramedics, or students of medical and health colleges (to avoid overestimation of awareness).
• Temporary visitors

o Non-residents or individuals visiting Diwaniyah temporarily.

• Refusal or withdrawal o Decline to participate or withdraw at any stage of the study.