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Stroke is a major cause of morbidity and mortality, especially in low and middle income countries including Iran. Patients with recent stroke or TIA are at high risk for new vascular events. Several evidence based strategies in secondary prevention of stroke are available but frequently underused. The study is aimed to evaluate an intervention to improve patients with Stroke.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients based intervention | Experimental | A multifaceted intervention program will use to improve adherence and clinical outcomes in Stroke patients. This intervention focus on behavioral treatment in the patients. |
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| Family based intervention | Experimental | Patients and their families will receive a series of educational/motivational interventions. |
|
| Routine counseling | Active Comparator | All participants of the study in both group receive the Standard Care. Usually, patients in clinics receive a one-time session of brief advice to use medications regularly lasting approximately 30 minutes and deliver by nurse or physician. Some issues rise in this short session including coexisting diseases, the history of drug use, current disease and advice about the health risks of irregular medication use. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient-based intervention | Behavioral |
| ||
| Family based intervention |
| Measure | Description | Time Frame |
|---|---|---|
| changes in Patient-reported Adherence Medication Adherence Rating Scale | a self-report measure of adherence (Medication Adherence Report Scale [MARS-5]) will be used . | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| changes in blood pressure | changes from baseline, 6 Months, 12 months and 18 months follow-up | |
| changes in low-density lipoprotein (LDL)-cholesterol level | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in intention to medication adherence | changes from baseline, 6 Months, 12 months and 18 months follow-up | |
| Changes in Action Plan | The action plan is assessed by a self-reported questionnaire. it is used by the patients before, at baseline, six months, twelve months and eighteen months after the intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Public Health, Qazvin University of Medical Sciences | Recruiting | Qazvin | Qazvin Province | 3419759811 | Iran |
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| Behavioral |
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| Routine counseling | Other |
|
| changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in Coping Plan | The coping plan is assessed by a self-reported questionnaire. It is used by the patients before, at baseline, six months, twelve months and eighteen months after the intervention | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in quality of life | The Short Form (36) Health Survey is used to assess patient's quality of life | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in perceived behavioral control to medication adherence | The perceived behavioral control to medication adherence is assessed through a self-report instrument | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in Self-monitoring to medication adherence | The Self-monitoring to medication adherence is assessed through a self-report instrument | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Changes in Illness Perceptions | the Brief Illness Perception. Questionnaire (Brief IPQ) is used to assess patient's illness representation | changes from baseline, 6 Months, 12 months and 18 months follow-up |
| Qazvin University of Medical Sciences | Recruiting | Qazvin | Qazvin Province | 3419759811 | Iran |
|
| Outpatient Pediatric Clinic | Recruiting | Qazvin | Qazvin Province | Iran |
|
| ID | Term |
|---|---|
| D020521 | Stroke |
| D055118 | Medication Adherence |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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