Stroke/transient ischaemic attack Circulatory System Transient cerebral ischaemic attacks and related syndromes
Conditions
Interventions
Intervention group:
Two brief sessions, two weeks apart with a trained RA, lasting approximately 30 - 45 minutes each. Session 1 will focus on helping each patient draw up a specific plan, so as to e
Sponsors
University of Stirling (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Male and female patients who have suffered first-time stroke (ischaemic and haemorrhagic) or transient ischaemic attack (TIA) 2. Age range 18 + years (no upper age range) 3. Discharged from the Edinburgh Western General Hospital stroke units and clinics 4. Prescribed secondary antihypertensive medication on discharge 5. Exhibiting sub-optimal adherence on the Medication Adherence Report Scale (score of 24 or less) 6. Living at home 7. Responsible for own medication
Exclusion criteria
Exclusion criteria: 1. Age below 18 years 2. Marked cognitive impairment (Mini-Mental State Examination [MMSE] less than 23) 3. Significant dysphasia (Frenchay screen greater than 13/20) 4. Already using Dosette boxes (or similar) to improve their medication adherence 5. Participants who are not responsible for their own medication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Medication adherence recorded using MEMS (Medication Event Monitoring System, MEMS® Aardex Ltd, Switzerland) pill containers which electronically record openings. We shall use the following main outcomes, counting each opening as a presumptive dose: 1. Percentage of doses taken 2. Percentage of days on which the correct number of doses was taken 3. Percentage of doses taken on schedule | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. MARS self-reported adherence of all secondary preventative medication 2. Systolic and diastolic blood pressure Recorded at baseline and 3-month follow-up. | — |
Countries
United Kingdom
Outcome results
None listed