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Systematic Follow up of Drug Treatment by Pharmacists in Secondary Prevention After Transient Ischemic Attack

Systematic Follow up of Drug Treatment by Pharmacists in Secondary Prevention After Transient Ischemic Attack: Adherence and Cardiovascular Events in the First Three Months

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02089074
Enrollment
265
Registered
2014-03-17
Start date
2012-11-30
Completion date
2016-06-30
Last updated
2017-03-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Ischemic Attack, Transient, Stroke

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

BEHAVIORALDrug use counselling

Sponsors

St. Olavs Hospital
CollaboratorOTHER
Helse Midt-Norge
CollaboratorOTHER
Sykehusapotekene i Midt Norge
CollaboratorUNKNOWN
Norwegian University of Science and Technology
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No

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

MeasureTime frameDescription
adherence to drug treatment in secondary prevention after TIA3 monthsself reporting of adherence

Secondary

MeasureTime frameDescription
adherence to drug treatment in secondary prevention after TIA1 yearself reporting of adherence
Persistence3 monthsPersistence measured by control of filled prescriptions
Incidence of stroke and cardiovascular events and deaths3 monthsMeasured by using data from national health registries
degree of disability or dependence in the daily activities3 monthsmeasured by modified Rankin Scale and indirectly by level of care
patient satisfaction3 monthsMeasured by using data from the Norwegian Stroke Registry

Countries

Norway

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026