期刊
BMC NEUROLOGY
卷 10, 期 -, 页码 -出版社
BMC
DOI: 10.1186/1471-2377-10-15
关键词
-
资金
- Scottish Government, Department of Health, Chief Scientist Office [CZH/4/569]
- Chief Scientist Office [CZH/4/569] Funding Source: researchfish
- Medical Research Council [G0700704B] Funding Source: researchfish
Background: Adherence to therapies is a primary determinant of treatment success, yet the World Health Organisation estimate that only 50% of patients who suffer from chronic diseases adhere to treatment recommendations. In a previous project, we found that 30% of stroke patients reported sub-optimal medication adherence, and this was associated with younger age, greater cognitive impairment, lower perceptions of medication benefits and higher specific concerns about medication. We now wish to pilot a brief intervention aimed at (a) helping patients establish a better medication-taking routine, and (b) eliciting and modifying any erroneous beliefs regarding their medication and their stroke. Methods/Design: Thirty patients will be allocated to a brief intervention (2 sessions) and 30 to treatment as usual. The primary outcome will be adherence measured over 3 months using Medication Event Monitoring System (MEMS) pill containers which electronically record openings. Secondary outcomes will include self reported adherence and blood pressure. Discussion: This study shall also assess uptake/attrition, feasibility, ease of understanding and acceptability of this complex intervention.
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