Objective To evaluate the reliability and validity of the Chinese version of the Video-Stroke Action Test （Video-STAT）.Methods After obtaining authorization from the original video tool′s authors, the video script was translated, and a video was filmed based on the translated script, resulting in the Chinese version of the video tool.Cultural adaptation of the Video-STAT was carried out through expert consultation and a pre-survey.From November 2023 to July 2024, a convenience sampling method was used to select 516 community residents for the survey to assess its reliability and validity.Results The Chinese version Video-STAT consists of 7 situational videos.Exploratory factor analysis extracted 2 common factors, with a cumulative variance contribution rate of 71.508%.Confirmatory factor analysis showed χ2/df=1.180, GFI=0.987,CFI=0.997,NFI=0.981,IFI=0.997, and RMSEA=0.027.The scale-level CVI/universal agreement（S-CVI/UA） of the video tool was 0.857, with item-level content validity ranging from 0.800 to 1.000 and average scale-level content validity (S-CVI/Ave) at 0.980.The Cronbach′s α coefficient of the video tool was 0.792, split-half reliability was 0.757, and test-retest reliability was 0.869.Conclusion The Chinese version of the Video-Stroke Action Test demonstrates good reliability and validity, making it a suitable tool for measuring residents′ ability to recognize and respond to stroke warning signs in China.