Herpani Sudirman, Citra Yuliyanti, Andrea Indra Sari


Background: FAST campaigns help people recognize the signs and symptoms of stroke rapidly to bring the patient to the hospital or emergency department immediately. However, the effectiveness is still be questioned. This present study is to evaluate the effectiveness of the campaign of early detection in stroke patients to reduce the risk of disability.

Methods: A systematic review of articles published between 2010 and 2017 examining the effectiveness of FAST campaign using interventions was conducted along with narrative synthesis and review of intervention development. Information from all relevant published articles that determine how the intervention was developed and evaluated for measuring the effectiveness of FAST campaign were extracted and analyzed.

Results: Eleven studies were included, six studies report the effectiveness of FAST campaign, but the other five studies report that the campaigns still do not hit the target. The professionals claim that FAST campaign has been promoted internationally as a great success, but some studies report that the FAST campaign still do not have any significant impact in promoting swift response for Emergency Medical Services (EMS).

Conclusions: Campaigns aimed at the public may raise awareness of signs of stroke, but have limited impact on behavior. Thus, new campaigns of FAST should survey the principles of good design and be intensely evaluated for the effectiveness of the implementation. 

Full Text:



Ryan L. Cardiovascular disease is the top killer in the US - with heart disease and stroke responsible for 1 in 3 deaths [Internet]. 2015 [cited 2017 Dec 15]. Available from: http://www.dailymail.co.uk/health/article-3366388/Cardiovascular-disease-killer-heart-disease- stroke-responsible-1-3-deaths.html

WHO. The Atlas of Heart Disease and Stroke. 2004.

Kementerian Kesehatan RI. Riset Kesehatan Dasar 2013. 2013.

Misbach J1 AW. Stroke in Indonesia: a first large prospective hospital-based study of acute stroke in 28 hospitals in Indonesia. J Clin Neurosci. 2001;8(3):245–9.

Arianto D. UJI METODE ACT FAST ( FACE , ARM , SPEECH , TIME ) Terhadap Tingkat Pengetahuan Keluarga. Keperawatan

Muhamadiyah. 2016;1(1):8.

Tamara NH. Trennya Meningkat, Gejala Stroke Mengancam Kelompok Usia Muda [Internet]. 2017. Available from:


Flynn D, Ford GA, Rodgers H, Price C, Steen N, Thomson RG. A time series evaluation of the FAST national stroke awareness

campaign in England. PLoS One. 2014;9(8).

Frank J. Wolters, Nicola L. M. Paul, Linxin Li PMR. Contents Full Article Content List Abstract Introduction Methods Results

Discussion Acknowledgements References Supplemental material Figures & Tables Article Metrics Related Articles Toggle citation

dialog Cite Toggle share dialog Share Toggle permission. Int J Stroke. 2015;10(7):1108–14.

Phan Vo L, Souksavong JAH, Tran A, Chang J, Lor KB. Impact of the Act FAST stroke campaign delivered by student pharmacists on

the primary prevention of stroke. J Am Pharm Assoc. 2017;57(3):326–332.e6.

Shamseer L1, Moher D2, Clarke M3, Ghersi D4, Liberati A5, Petticrew M6, Shekelle P7 S LA. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ Br Med J. 2015;349.

Dombrowski SU, Mackintosh JE, Sniehotta FF, Araujo-Soares V, Rodgers H, Thomson RG, et al. The impact of the UK “Act FAST” stroke awareness campaign: Content analysis of patients, witness and primary care clinicians’ perceptions. BMC Public Health.


Dombrowski SU1, White M, Mackintosh JE, Gellert P, Araujo-Soares V, Thomson RG, Rodgers H, Ford GA SF. The stroke “Act

FAST” campaign: remembered but not understood? Int J Stroke. 2015;10(3):324–30.

Kaps M, Grittner U, Jungehülsing G, Tatlisumak T, Kessler C, Schmidt R, et al. Clinical signs in young patients with stroke related to

FAST: Results of the sifap1 study. BMJ Open. 2014;4(11).

Lecouturier J, Rodgers H, Murtagh MJ, White M, Ford GA, Thomson RG. Systematic review of mass media interventions designed to

improve public recognition of stroke symptoms, emergency response and early treatment. BMC Public Health. 2010;10(1):784.

Robinson TG, Reid A, Haunton VJ, Wilson A, Naylor AR. The face arm speech test: Does it encourage rapid recognition of important

stroke warning symptoms? Emerg Med J. 2013;30(6):467–71.

Aroor S, Singh R, Goldstein LB. BE-FAST (Balance, Eyes, Face, Arm, Speech, Time): Reducing the Proportion of Strokes Missed

Using the FAST Mnemonic. Stroke. 2017;48(2):479–81.

Miyamatsu N, Okamura T, Nakayama H, Toyoda K, Suzuki K, Toyota A, et al. Public awareness of early symptoms of stroke and

information sources about stroke among the general Japanese population: The acquisition of stroke knowledge study. Cerebrovasc Dis. 2013;35(3):241–9.

Wolters FJ, Paul NLM, Li L, Rothwell PM. Sustained impact of UK FAST-test public education on response to stroke: A population-

based time-series study. Int J Stroke. 2015;10(7):1108–14.


  • There are currently no refbacks.