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

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

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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