Tailored Interventions to Improve Hypertension Management After Stroke or Transient Ischemic Attack (TIA) (TIMSII)

Hamilton Health Sciences (HHS)

Status: Completed

Conditions: Blood Pressure

Treatments: Behavioral: lifestyle counseling, home blood pressure monitoring

Study type: Observational

Funder types: Other

Identifiers

NCT01038375

OSN0912-000106

Details and patient eligibility

About

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.

Full 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

Enrollment: 56 patients

Sex: All

Ages: 19+ years old

Volunteers: No Healthy Volunteers

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

Trial design

56 participants in 2 patient groups

Adherence counseling

Treatment:

Behavioral: lifestyle counseling, home blood pressure monitoring

Usual care

Treatment:

Behavioral: lifestyle counseling, home blood pressure monitoring