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.
* 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 Type
OBSERVATIONAL
Enrollment
56
monthly telephone counseling over 6 months for intervention group no health provider initiated contact for control group
Royal Victoria Hospital
Barrie, Ontario, Canada
Hamilton General Hospital, 237 Barton St East
Hamilton, Ontario, Canada
Lakeridge Health Centre
Oshawa, Ontario, Canada
blood pressure
Time frame: 6 months from baseline testing
self-efficacy rating
Time frame: 6 months from baseline
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