Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/17694
Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: Improving Adherence to Medication in Stroke Survivors: A Pilot Randomised Controlled Trial
Authors: O'Carroll, Ronan
Chambers, Julie
Dennis, Martin
Sudlow, Cathie
Johnston, Marie
Contact Email: ronan.ocarroll@stir.ac.uk
Keywords: Stroke
Adherence
Medication beliefs
Implementation intentions
Antihypertensives
Issue Date: Dec-2013
Publisher: Springer
Citation: O'Carroll R, Chambers J, Dennis M, Sudlow C & Johnston M (2013) Improving Adherence to Medication in Stroke Survivors: A Pilot Randomised Controlled Trial, Annals of Behavioral Medicine, 46 (3), pp. 358-368.
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); p = 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. (http://controlled-trials.com, number ISRCTN38274953.)
Type: Journal Article
URI: http://hdl.handle.net/1893/17694
DOI Link: http://dx.doi.org/10.1007/s12160-013-9515-5
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Psychology
Psychology
Western General Hospital
Western General Hospital
University of Aberdeen

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