Testing the Effectiveness of a Novel Intervention to Improve Medication Adherence in Stroke Survivors
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-99
SponsorMassachusetts General Hospital
About this trial
The goal of this study is to test if Savvy, a multimodal intervention (consisting of psychological exercises, a weekly pill organizer, and a text message reminder system) can improve medication adherence in stroke survivors.
The main questions it aims to answer are:
* Can the Savvy tool improve medication adherence in stroke survivors compared to usual care? * Does the use of the Savvy tool lead to better blood pressure control after a stroke?
The investigators will compare the use of the Savvy intervention to a control group that receives usual care, including a package of educational materials.
The study consists of the following components:
* Participants will receive the Savvy intervention or usual care. The intervention package consists of short psychological exercises over the phone, a weekly medication organizer to support daily medication intake, and text message reminders to take medication and refill the medication box. Participants in the control group will receive usual care, including educational materials about the importance of blood pressure and medication. * All participants will receive a free home blood pressure monitor and will be requested to measure their blood pressure at certain time points during the study. * Participants will be enrolled in the study for 6 months and will have virtual follow-up calls at 3 and 6 months.
Eligibility criteria
Qualifiers
Participants must be between the ages of 18 years old and 99 years old at the time of consent.
Self-reported primary diagnosis of stroke (ischemic or hemorrhagic) within the past 12 months, without structural, traumatic or secondary causes (including aneurysm, arteriovenous malformation, or tumor).
Currently prescribed an antihypertensive regimen.
Currently less than optimal adherence to medication, defined as a score <25 on the Medication Adherence Report Scale (MARS-5).
Disqualifiers
Prescribed a more than three scheduled daily medication doses.
Prescribed a complex medication regimen requiring more than five additional oral medications per dose time.
Diagnosed with secondary hypertension or other BP conditions not managed with standard oral antihypertensives.
Has upper extremity impairments or other physical limitations that prevent safe use of the medication box or BP monitor.
Trial design
Treatments tested in this trial
- Savvy Medication Adherence Intervention
Treatment groups
150 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov