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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
405
Department of Public Health, Qazvin University of Medical Sciences
Qazvin, Qazvin Province, Iran
RECRUITINGQazvin University of Medical Sciences
Qazvin, Qazvin Province, Iran
RECRUITINGOutpatient Pediatric Clinic
Qazvin, Qazvin Province, Iran
RECRUITINGchanges in Patient-reported Adherence Medication Adherence Rating Scale
a self-report measure of adherence (Medication Adherence Report Scale \[MARS-5\]) will be used .
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
changes in blood pressure
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
changes in low-density lipoprotein (LDL)-cholesterol level
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
Changes in intention to medication adherence
Time frame: 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
Time frame: 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
Time frame: 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
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up
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Changes in perceived behavioral control to medication adherence
The perceived behavioral control to medication adherence is assessed through a self-report instrument
Time frame: 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
Time frame: 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
Time frame: changes from baseline, 6 Months, 12 months and 18 months follow-up