Ischemic Attack, Transient, Stroke
Conditions
Keywords
Secondary Prevention, Pharmacists, Directive Counseling, Medication Adherence, Patient Compliance
Brief summary
Use of drugs is an important factor in secondary prophylaxis after transient ischemic attack (TIA), but studies show that adherence to the prescribed drugs is often poor. This randomised controlled trial aims to investigate whether a systematic follow up of drug treatment using medication reconciliation, medication reviews and patient counselling by clinical pharmacists, improves adherence and/or decreases cardiovascular events the first three months and the first year after TIA. Patient satisfaction will also be compared between the two groups.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Probable or possible transient ischemic attack * Residing in Central Norway * Examined within 2 weeks after the onset of symptoms * Modified Rankin Scale 3 or less and living at home * enrolled in the MIDNOR-TIA study NCT02038725 * Informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| adherence to drug treatment in secondary prevention after TIA | 3 months | self reporting of adherence |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| adherence to drug treatment in secondary prevention after TIA | 1 year | self reporting of adherence |
| Persistence | 3 months | Persistence measured by control of filled prescriptions |
| Incidence of stroke and cardiovascular events and deaths | 3 months | Measured by using data from national health registries |
| degree of disability or dependence in the daily activities | 3 months | measured by modified Rankin Scale and indirectly by level of care |
| patient satisfaction | 3 months | Measured by using data from the Norwegian Stroke Registry |
Countries
Norway