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Short Message Service (SMS) Reminders for Stroke Secondary Preventative Medications

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ClinicalTrials.gov Identifier: NCT02336412
Recruitment Status : Completed
First Posted : January 13, 2015
Last Update Posted : February 1, 2016
Sponsor:
Collaborator:
University of Glasgow
Information provided by (Responsible Party):
NHS Greater Glasgow and Clyde

Study Description
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Brief Summary:
Secondary preventative medications are prescribed to reduce the risk of recurrent stroke following ischaemic stroke. However, continuation rates can be as low as 50% and are likely to be multifactorial. One factor will be patients forgetting to take the medication or a reduced appreciation of the importance of the medication as the time from the stroke passes. Numerous approaches to improve persistence to secondary preventative medications have been tried. One simple approach is use of mobile phone text messages as a reminder for patients to take their medications. In this study, we will introduce an educational and motivational strategy to inform patients about their medications and explore whether a reminder intervention, using Short Message Service (SMS), improves adherence to antiplatelet drugs, antihypertensive medications and lipid lowering drugs. We will also explore whether this improves blood pressure and cholesterol levels in the first 3 months after stroke.

Condition or disease Intervention/treatment Phase
Stroke Ischemic Attack, Transient Other: SMS reminder Not Applicable

Detailed Description:

We aim to recruit adult patients diagnosed with stroke or transient ischaemic attack (TIA) who were prescribed secondary preventative medication and are living in the community. They will be provided with a patient information sheet (PIS) with details on the study and will be contacted later to ask if they wish to take part. If so, an arrangement will be made for them to attend a clinic review where they will sign the consent form. Immediately then participants who consent will be randomized into control (will receive education and motivation interviews but not text messages to remind them) or intervention (will receive education and motivation interviews and will be sent a daily text message to remind them of taking their medication). Baseline assessment will include medical history and medications prescribed. They will be given detailed information on their specific prescribed medication and will be handed booklets with relevant information. They will be asked to answer a medication adherence questionnaire and will be given a medication diary to fill in at home. All participants will receive ambulatory blood pressure monitoring.

Cholesterol measurement will be made using a finger prick monitor. Participants in the intervention group will be informed that they will receive a daily text message in the morning to remind them about their medications.

Follow-up visits will take place after 1 and 3 months in which the same checks will be carried out as at the baseline visit. At 1 month, the cholesterol level and ambulatory blood pressure level will be repeated. Participants will be encouraged to ask if they have any concerns regarding their medications. At the end of the second visit, participants will be asked if they are satisfied with the care they received during the visits as a quality assessment.

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 10 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: The Use of Short Message Service (SMS) as a Reminder for Continuation of Treatment With Secondary Preventative Medications After Stroke or TIA
Study Start Date : January 2015
Actual Primary Completion Date : October 2015
Actual Study Completion Date : October 2015
Arms and Interventions
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Arm Intervention/treatment
Experimental: SMS reminder
Daily SMS medication reminder
 Other: SMS reminder
Daily SMS medication reminder
No Intervention: No SMS reminder
No daily SMS medication reminder


Outcome Measures
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Primary Outcome Measures :
  1. Adherence rate to stroke secondary preventative medication [ Time Frame: 3 months ]
    Morisky Medication Adherence Scale (MMAS) - 8 items


Secondary Outcome Measures :
  1. Effect of medication adherence on clinical outcomes [ Time Frame: 3 months ]
    Number of participants reaching target blood pressure level

  2. Effect of medication adherence on clinical outcomes [ Time Frame: 3 months ]
    Number of participants reaching target cholesterol level


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • diagnosed with stroke or TIA
  • treated with any combination of anti-platelet, antihypertensive, and/or lipid-modifying drugs; at least one of which started over the past month
  • living in the community

Exclusion Criteria:

  • severe disability (modified Rankin Scale (mRS) ≥ 4)
  • patients unable to consent
  • patients with no facility to be reminded by SMS or voicemail message
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02336412


Locations
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United Kingdom
Western Infirmary, NHS Greater Glasgow and Clyde
Glasgow, United Kingdom, G11 6NT
Sponsors and Collaborators
NHS Greater Glasgow and Clyde
University of Glasgow
Investigators
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Study Director: Jesse Dawson, BSc MBChB MD University of Glasgow
More Information
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Responsible Party: NHS Greater Glasgow and Clyde
ClinicalTrials.gov Identifier: NCT02336412    
Other Study ID Numbers: GN14NE625
First Posted: January 13, 2015    Key Record Dates
Last Update Posted: February 1, 2016
Last Verified: January 2016
Keywords provided by NHS Greater Glasgow and Clyde:
Medication adherence
Additional relevant MeSH terms:
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Stroke
Ischemic Attack, Transient
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
 Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases
Brain Ischemia