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| Name | Class |
|---|---|
| University of Southern Denmark | OTHER |
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Patients with hypertension have an increased risk of stroke and myocardial infarction. However, poor adherence to treatment with antihypertensives and lipid-lowering agents occurs frequently within this patient group. The purpose of this study is to investigate whether a complex tailored intervention in a hospital setting will lead to increased medication adherence and fewer cardiovascular 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 |
|---|---|---|---|
| Usual care | Placebo Comparator | Usual care |
|
| Complex tailored intervention | Experimental | The interventions consists of 3 elements:
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|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Complex tailored intervention | Behavioral |
| ||
| Usual care |
| Measure | Description | Time Frame |
|---|---|---|
| Percent of patients that are at least 80% adherent (Medication possession rate > 0.8) to antihypertensives and statins | One year from inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| Non-persistence with antihypertensives and statins measured by percent of patients that are not supplied with medications for more than three continuous months | One year from inclusion | |
| Reduction in systolic and diastolic blood pressure | One year from inclusion |
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Inclusion Criteria:
Age: 18 years or older
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 |
|---|---|---|---|
| 26302142 | Result | Hedegaard U, Kjeldsen LJ, Pottegard A, Henriksen JE, Lambrechtsen J, Hangaard J, Hallas J. Improving Medication Adherence in Patients with Hypertension: A Randomized Trial. Am J Med. 2015 Dec;128(12):1351-61. doi: 10.1016/j.amjmed.2015.08.011. Epub 2015 Aug 21. | |
| 26088274 | Result | Hedegaard U, Hallas J, Ravn-Nielsen LV, Kjeldsen LJ. Process- and patient-reported outcomes of a multifaceted medication adherence intervention for hypertensive patients in secondary care. Res Social Adm Pharm. 2016 Mar-Apr;12(2):302-18. doi: 10.1016/j.sapharm.2015.05.006. Epub 2015 May 18. |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| D055118 | Medication Adherence |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
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| Behavioral |
|
| Composite endpoint (stroke, myocardial infarction or cardiovascular death) | One year from inclusion |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |