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

Completed

• Conditions: Blood Pressure
• Interventions: Behavioral: lifestyle counseling, home blood pressure monitoring

• Registration Number: NCT01038375
• Lead Sponsor: Hamilton Health Sciences Corporation

Brief Summary

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

* 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

Study Timeline

• Study First Submitted: 2009-12-22
• Study First Submitted QC: 2009-12-22
• Study First Posted: 2009-12-23
• Study Start: 2010-03
• Primary Completion: 2011-10
• Study Completion: 2011-10
• Status Verified: 2012-04
• Last Update Submitted: 2012-04-30
• Last Update Posted: 2012-05-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 56

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Adherence counseling	lifestyle counseling, home blood pressure monitoring	-
Usual care	lifestyle counseling, home blood pressure monitoring	-

Primary Outcome Measures

Name	Time	Method
blood pressure	6 months from baseline testing

Secondary Outcome Measures

Name	Time	Method
self-efficacy rating	6 months from baseline

Trial Locations

Locations (3)

Lakeridge Health Centre; 🇨🇦 Oshawa, Ontario, Canada

Royal Victoria Hospital; 🇨🇦 Barrie, Ontario, Canada

Hamilton General Hospital, 237 Barton St East; 🇨🇦 Hamilton, Ontario, Canada