Using SystemCHANGE™ to Enhance Medication Adherence in Older Adult Stroke Survivors

University of Missouri, Kansas City

Status and phase: Completed; Early Phase 1

Conditions: Stroke, Ischemic

Treatments: Behavioral: SystemCHANGE™; Behavioral: Attention-Control

Study type: Interventional

Funder types: Other

Identifiers

NCT03211130

Dissertation

Details and patient eligibility

About

This study evaluated the feasibility and acceptability of using a SystemCHANGE intervention in older adult stroke survivors to improve medication adherence. Half the participants will receive the SystemCHANGE intervention, while the other half will receive the attention-control education intervention.

Enrollment: 30 patients

Sex: All

Ages: 50+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• age ≥50 years old
• receives post-stroke care with Saint Luke's Neurological Consultants
• prescribed at least 1, once a day, antithrombotic medication
• able to provide informed consent
• able to open an electronic cap
• able to self-administer medications
• has or has access to a telephone
• has no cognitive impairment as determined by a score of 4 or greater on The Six- item Screener (SIS).

Exclusion criteria

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

SystemCHANGE™

Experimental group

Treatment:

Behavioral: SystemCHANGE™

Attention-Control

Active Comparator group

Treatment:

Behavioral: Attention-Control