Impact of a Pluriprofessional Intervention to Improve Medication Adherence (Secondary Preventive Medication) in Patients After Ischemic Stroke

Last updated: December 18, 2019
Sponsor: Hospices Civils de Lyon
Overall Status: Active - Recruiting

Phase

N/A

Condition

Thrombosis

Cerebral Ischemia

Blood Clots

Treatment

N/A

Clinical Study ID

NCT02611440
2014.859
  • Ages > 18
  • All Genders

Study Summary

Medication adherence is a major factor to prevent vascular recurrence after a first ischemic stroke. Nevertheless, it is suboptimal and the implementation of specific interventions are needed to improve it.

A patient - centered and pluriprofessional structured intervention, targeting the medication, introduced at hospital discharge and continued at home (by regular telephone contact) could improve medication adherence one year after stroke.

This intervention would consist of semi structured interviews patient-pharmacist at different times during one year after stroke. The information about the therapeutic management of the patient will be shared between healthcare professionals : general practitioners (GP) and community pharmacists (CP), hospital clinical pharmacist (HCP) and physician (HPhys).

It will allow for decrease of the recurrent stroke and others cardiovascular complications based on a better adherence to preventive medication. Furthermore the decrease of the iatrogenic events and the improvement of the quality of life of patients may be also associated.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Aged ≥ 18 years

  • Patient with ischemic stroke hospitalized in physical medicine and rehabilitation unitor neurovascular unit

  • Return at home at the hospital discharge

  • Medication including an antiplatelet drug or an oral anticoagulant with at least anantihypertensive drug and/or a lipid lowering agent (statin)

  • Patient without either cognitive disorders or major psychiatric disorders

  • Patient with a sufficient autonomy for the management of medication at home (score ofBarthel > 30)

Exclusion

Exclusion Criteria:

  • Patient ≤ 18 years

  • Patient with important cognitive or psychiatric disorders

  • Management of patient medication exclusively by the helper

  • No usual pharmacy (or more than 2 usual pharmacies)

  • Patient directed to an institution at the end of the hospitalization

Study Design

Total Participants: 182
Study Start date:
July 29, 2015
Estimated Completion Date:
July 28, 2020

Connect with a study center

  • Service de neurologie vasculaire, Hôpital P Wertheimer, HCL

    Bron, 69677
    France

    Active - Recruiting

  • Service de médecine physique et de réadaptation, Hôpital Nord, CHU de Clermont Ferrand

    Cébazat, 63 118
    France

    Active - Recruiting

  • Service de médecine physique et de réadaptation, Hôpital sud, CHU de Grenoble

    Echirolles, 38434
    France

    Active - Recruiting

  • Service de médecine physique et de réadaptation, Groupe hospitalier Lariboisière - Fernand Vidal, AP-HP

    Paris, 75010
    France

    Active - Recruiting

  • Service de médecine physique et de réadaptation, Hôpital Henry Gabrielle, Groupement Hospitalier Sud, HCL

    Saint Genis Laval, 69230
    France

    Active - Recruiting

  • Service de médecine physique et de réadaptation, Hôpital Bellevue, CHU Saint Etienne

    Saint-Etienne, 42055
    France

    Site Not Available

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