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The Effectiveness of Multimodal Educational Intervention to Improve Adherence to Treatment Regimens in Older Stroke Patients

Q

Qazvin University Of Medical Sciences

Status

Unknown

Conditions

Medication Adherence
Stroke
Older Adults

Treatments

Behavioral: Patient-based intervention
Other: Routine counseling
Behavioral: Family based intervention

Study type

Interventional

Funder types

Other

Identifiers

NCT02842840
IR.QUMS.REC.1394.350

Details and patient eligibility

About

Stroke is a major cause of morbidity and mortality, especially in low and middle income countries including Iran. Patients with recent stroke or TIA are at high risk for new vascular events. Several evidence based strategies in secondary prevention of stroke are available but frequently underused. The study is aimed to evaluate an intervention to improve patients with Stroke.

Enrollment

405 estimated patients

Sex

All

Ages

65+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • aged 65 years or older
  • able to give informed consent

Exclusion criteria

  • recurrent stroke
  • a diagnosis of subarachnoid haemorrhage
  • significant impairments precluding participation - inability to give informed consent
  • another condition likely to impact their participation in the trial (e.g. life-threatening condition other than cardiovascular disease)
  • expected discharge to hospital/nursing home setting

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

405 participants in 3 patient groups

Patients based intervention
Experimental group
Description:
A multifaceted intervention program will use to improve adherence and clinical outcomes in Stroke patients. This intervention focus on behavioral treatment in the patients.
Treatment:
Behavioral: Patient-based intervention
Family based intervention
Experimental group
Description:
Patients and their families will receive a series of educational/motivational interventions.
Treatment:
Behavioral: Family based intervention
Routine counseling
Active Comparator group
Description:
All participants of the study in both group receive the Standard Care. Usually, patients in clinics receive a one-time session of brief advice to use medications regularly lasting approximately 30 minutes and deliver by nurse or physician. Some issues rise in this short session including coexisting diseases, the history of drug use, current disease and advice about the health risks of irregular medication use.
Treatment:
Other: Routine counseling

Trial contacts and locations

3

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Data sourced from clinicaltrials.gov

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