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

NCT ID: NCT01038375

Last Updated: 2012-05-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

56 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-03-31

Study Completion Date

2011-10-31

Brief Summary

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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.

Detailed Description

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* 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

Conditions

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Blood Pressure

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Adherence counseling

lifestyle counseling, home blood pressure monitoring

Intervention Type BEHAVIORAL

monthly telephone counseling over 6 months for intervention group no health provider initiated contact for control group

Usual care

lifestyle counseling, home blood pressure monitoring

Intervention Type BEHAVIORAL

monthly telephone counseling over 6 months for intervention group no health provider initiated contact for control group

Interventions

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lifestyle counseling, home blood pressure monitoring

monthly telephone counseling over 6 months for intervention group no health provider initiated contact for control group

Intervention Type BEHAVIORAL

Other Intervention Names

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motivational interviewing

Eligibility Criteria

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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
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Heart and Stroke Foundation of Ontario

OTHER

Sponsor Role collaborator

Hamilton Health Sciences Corporation

OTHER

Sponsor Role lead

Responsible Party

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Gail MacKenzie

Clinical Nurse Specialist, Stroke Prevention Clinic, Hamilton Health Sciences, General Site

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Royal Victoria Hospital

Barrie, Ontario, Canada

Site Status

Hamilton General Hospital, 237 Barton St East

Hamilton, Ontario, Canada

Site Status

Lakeridge Health Centre

Oshawa, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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OSN0912-000106

Identifier Type: -

Identifier Source: org_study_id

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