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| Name | Class |
|---|---|
| University of Southern Denmark | OTHER |
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Patient suffering a Transient Ischemic Attack (TIA) or stroke are subsequently at high risk of a new stroke, however, poor adherence to secondary prevention medications occurs frequently within this patient group. The purpose of this study is to evaluate whether a complex tailored pharmacist intervention will lead to increased adherence to secondary stroke prevention medications and less new stroke events when compared to a usual care group. Interventions focus on motivational interviewing, medication review and telephone follow up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Complex tailored intervention | Experimental | The intervention consists of 3 elements:
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| Usual care | Placebo Comparator | Usual care |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Complex tailored intervention | Behavioral |
| ||
| Usual care |
| Measure | Description | Time Frame |
|---|---|---|
| Medication Adherence to antiplatelets, anticoagulants and statins measured by proportion of days covered (PDC). | One year from inclusion | |
| For antiplatelets, anticoagulants and statins: Percent of patients that are at least 80% adherent (PDC>0.8) | 1 year from inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| Medication Adherence to antihypertensives measured by proportion of days covered (PDC) | One year from inclusion | |
| Percent of patients that are at least 80% adherent (PDC>0.8) to antihypertensives | One year from inclusion |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Odense University Hospital | Odense C | 5000 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25598772 | Background | Hedegaard U, Kjeldsen LJ, Pottegard A, Bak S, Hallas J. Multifaceted intervention including motivational interviewing to support medication adherence after stroke/transient ischemic attack: a randomized trial. Cerebrovasc Dis Extra. 2014 Dec 11;4(3):221-34. doi: 10.1159/000369380. eCollection 2014 Sep-Dec. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D002546 | Ischemic Attack, Transient |
| D055118 | Medication Adherence |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| Behavioral |
|
| Non-persistence with thromboprophylactic agents ( antiplatelets, anticoagulants, statins and antihypertensives) measured by percent of patients that are not supplied with medication for more than 3 continuous months | One year from inclusion |
| Accept rate for thromboprophylactic agents measured by percent of patients starting treatment within 0-90 days after discharge. | 3 months from discharge |
| Composite endpoint: stroke, myocardial infarction or cardiovascular death | One year from inclusion |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D002545 | Brain Ischemia |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |