Thirteen outpatient Spanish speakers and 16 English speakers with a history of ischemic stroke, cerebral hemorrhage, or transient ischemic accident received stroke education through a 5-minute animated video in either Spanish or English. A 10-item questionnaire was used to obtain baseline level of knowledge and assess learning after the video. Patients also reported their comfort level regarding stroke knowledge. The Wilcoxon rank-sum test was used to compare pre-test stroke knowledge in Spanish patients relative to English patients. Paired t-test was used within the same language group to compare differences before and after education. 

The pre-educational mean score for Spanish speakers was 7.5/10 compared to 7.3/10 for English speakers. After video education, the mean for Spanish patients was 9.0/10 compared to 9.7/10 for English patients. This change was significant for both language groups (p<0.05), while there was no difference in pre-test knowledge (p=0.66). At baseline, 43.8% of English and 69.2% of Spanish speakers felt comfortable recognizing symptoms of stroke, knowing what to do during a stroke, and understanding risk factors for stroke. After education, 100% (p<0.05) of patients in both groups felt comfortable in these knowledge categories. 

After a 5-minute educational video in their preferred language, both Spanish- and English-speaking patients significantly improved their knowledge of stroke and felt more comfortable with their level of understanding.