The effectiveness of a comprehensive reminder system in the secondary prevention of hypertensive ischaemic stroke: randomized controlled trial protocol
| Autor: | Li-Hong Wan, Shaoxian Chen, Xiao-Pei Zhang, Min Zhang, Ying-Mei Zhang, Cui-Ling Ou, You-Ai Ao, Xiao-Ni Xiong, Miao-Miao Mo, Yu-Wei Lu, Liming You |
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| Rok vydání: | 2016 |
| Předmět: |
China
medicine.medical_specialty Reminder Systems 030204 cardiovascular system & hematology law.invention 03 medical and health sciences 0302 clinical medicine Clinical Protocols Randomized controlled trial law Intervention (counseling) Secondary Prevention Clinical endpoint Humans Medicine Health belief model Transitional care Stroke General Nursing business.industry medicine.disease Clinical trial Hypertension Emergency medicine Physical therapy business 030217 neurology & neurosurgery Patient education |
| Zdroj: | Journal of Advanced Nursing. 72:3195-3206 |
| ISSN: | 0309-2402 |
| DOI: | 10.1111/jan.13095 |
| Popis: | Aim To determine whether the Comprehensive Reminder System based on the Health Belief Model improves health belief, health behaviors, medication adherence and blood pressure control as a means of decreasing the rate of stroke recurrence among hypertensive ischemic stroke. Background Hypertensive patients having experienced recent ischemic strokes are at high risk for stroke recurrence. Several trials attempted to improve secondary stroke prevention via patient education, however, patient outcomes remained poor. Long-term follow-up studies regarding secondary stroke prevention are limited. Design A multi-center, 12-month, assessor-blinded, parallel-group, randomized controlled longitudinal trial. Methods Hypertensive patients having experienced an ischemic stroke are the target population. The intervention consists of health belief education, a calendar handbook, a weekly automated short-message service and four telephone follow-up interviews. Outcomes will be assessed at baseline and at 3, 6 and 12 months following discharge. The primary outcome is blood pressure control. The secondary outcomes include health belief, health behaviors and medication adherence. The clinical endpoint is the rate of stroke recurrence. Discussion Although many efforts to improve secondary stroke prevention have been undertaken, research indicates that improvements remain possible and warranted. This research protocol based on the Health Belief Model will improve our understanding of stroke education and transitional care needed in China and with the world-wide target population. Trial registration Chinese clinical trials registry: ChiCTR-IPR-15005946. Ethical approval received in December 2014. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
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