Blood Pressure
Conditions
Keywords
hypertension, stroke, adherence
Brief summary
The purpose of this study is to determine the effectiveness of interventions to improve adherence to medication and healthier lifestyle choices on blood pressure over a 6 month period in a group of people at high risk for recurrent stroke events. The participants have already had a stroke or TIA, and have uncontrolled blood pressure, as well as problems with memory and problem-solving, or miss taking medications, or who do not believe in the effectiveness of their medications. Interventions focus on motivational interviewing, adherence counseling with memory cuing, and self-monitoring of blood pressure.
Detailed description
* randomized, controlled trial at 4 sites * measurement of blood pressure, missed pills, self-efficacy rating at baseline and 6 months * contacting family pharmacists to evaluate prescription renewal patterns at baseline and 6 months
Interventions
BEHAVIORALlifestyle counseling, home blood pressure monitoring
monthly telephone counseling over 6 months for intervention group no health provider initiated contact for control group
Sponsors
Heart and Stroke Foundation of Ontario
Hamilton Health Sciences Corporation
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* diagnosis of stroke or TIA * hypertension * Montreal Cognitive Assessment score less than 26 * self report of missed pills * self-efficacy rating less than 100%
Exclusion criteria
* inability to give informed consent * 18 years of age or younger
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| blood pressure | 6 months from baseline testing |
Secondary
| Measure | Time frame |
|---|---|
| self-efficacy rating | 6 months from baseline |
Countries
Canada
Outcome results
None listed