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Ann Behav Med. 2013 Dec;46(3):358-68. doi: 10.1007/s12160-013-9515-5.

Improving adherence to medication in stroke survivors: a pilot randomised controlled trial.

Author information

1
Division of Psychology, School of Natural Sciences, University of Stirling, Stirling, FK9 4LA, Scotland, UK, reo1@stir.ac.uk.

Abstract

BACKGROUND:

Adherence to preventive medication is often poor, and current interventions have had limited success.

PURPOSE:

This study was conducted to pilot a randomised controlled trial aimed at increasing adherence to preventive medication in stroke survivors using a brief, personalised intervention.

METHODS:

Sixty-two stroke survivors were randomly allocated to either a two-session intervention aimed at increasing adherence via (a) introducing a plan linked to environmental cues (implementation intentions) to help establish a better medication-taking routine (habit) and (b) eliciting and modifying any mistaken patient beliefs regarding medication/stroke or a control group. Primary outcome was adherence to antihypertensive medication measured objectively over 3 months using an electronic pill bottle.

RESULTS:

Fifty-eight people used the pill bottle and were analysed as allocated; 54 completed treatment. The intervention resulted in 10 % more doses taken on schedule (intervention, 97 %; control, 87 %; 95 % CI for difference (0.2, 16.2); pā€‰=ā€‰0.048).

CONCLUSIONS:

A simple, brief intervention increased medication adherence in stroke survivors, over and above any effect of increased patient contact or mere measurement.

PMID:
23670112
DOI:
10.1007/s12160-013-9515-5
[Indexed for MEDLINE]

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