Improve Medication Adherence Among Stroke Survivors in Rural Kentucky

Purpose

To test the feasibility and promise of a combined intervention provided by community health worker (CHW) in collaboration with pharmacy technician and pharmacist to improve hypertension and long-term stroke outcomes by identifying and reducing barriers to medication adherence among ischemic stroke survivors. This collaborative intervention involves a self-management program including an educational session on practical strategies to improve hypertension control (i.e., appropriately taking medications, necessity of treatment, and consequences of not taking medicine, etc.), complemented by individually-tailored sessions to identify and address barriers to medication adherence.

Condition

  • Stroke (CVA) or Transient Ischemic Attack

Eligibility

Eligible Ages
Between 30 Years and 90 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Adult patients with history of ischemic stroke or transient ischemic attack (TIA) in the past 2 years - residing in a rural county in Kentucky

Exclusion Criteria

  • significant aphasia - cognitive impairment - a terminal illness - other neurologic deficits that would impede from providing informed consent or meaningfully participate in the one-to-one sessions. - a prior aneurysmal subarachnoid hemorrhage and or aneurysm, cerebral venous sinus thrombosis, vasculitis, blood clotting disorder due to genetic causes - if the patient does not take any secondary preventative medications

Study Design

Phase
N/A
Study Type
Interventional
Allocation
N/A
Intervention Model
Single Group Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Stroke Survivors 		self-management program with an an educational session and an individually-tailored session on medication adherence.
  • Behavioral: I-MAS
    Participants will receive a one-to one session with the pharmacy technician that involves two parts; the first part include education on ischemic stroke and risk factors such as practical strategies to improve hypertension control (i.e., appropriately taking medications, necessity of treatment, and consequences of not taking medicine, etc., making healthier dietary choices, exercising regularly, smoking cessation, alcohol intake, and managing blood sugar. The second part involves an interview to collect information on socio-demographics, clinical factors, co-morbidities, medications, and medication adherence barriers. During the second part of the session, the pharmacy technician will identify barriers to medication adherence for secondary prevention of stroke medications including antihypertensives, antithrombotic agents, and statins. The pharmacist will collaborate with the pharmacy technician to develop an action plan to address medication adherence barriers
    Other names:
    • Improve Medication Adherence Among Stroke Survivors

Recruiting Locations

UK Center for Clinical and Translational Science and nearby locations

University of Kentucky
Lexington, Kentucky 40356

More Details

NCT ID
NCT07084051
Status
Recruiting
Sponsor
Hend Mansoor

Study Contact

Hend Mansoor, PharmD, PhD
859-218-1607
hmansoor@uky.edu