Hypertension is the leading risk factor for stroke. Health education combined with stroke risk screening is expected to improve patients' knowledge and promote positive changes in stroke prevention behaviors among individuals with hypertension. This study aimed to examine the effect of health education combined with stroke risk screening on stroke prevention knowledge and behaviors among hypertensive patients in Bangun Rejo Village. This study employed a quasi-experimental design using a one-group pretest–posttest approach. A total of 35 hypertensive patients were recruited through purposive sampling. The intervention consisted of health education and stroke risk screening using the Stroke Risk Scorecard. Data were collected before and after the intervention using structured questionnaires assessing stroke prevention knowledge and behaviors. Statistical analysis was performed using the Paired Sample t-test, with a significance level of p 0.05. The mean knowledge score increased significantly from 9.42 ± 1.82 at pretest to 16.85 ± 1.26 at posttest (p = 0.001). Likewise, stroke prevention behavior showed a significant improvement following the intervention, with the Paired Sample t-test indicating a statistically significant difference (p = 0.001). Health education combined with stroke risk screening significantly improved stroke prevention knowledge and behaviors among hypertensive patients. This intervention may serve as an effective promotive and preventive strategy for reducing stroke risk and can be integrated into primary healthcare services to support stroke prevention among individuals with hypertension.Keywords: Hypertension; Health Education; Stroke Risk Screening; Knowledge; Stroke Prevention Behavior
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