Use of a patient-centred educational exchange (PCEE) to improve patient's self-management of medicines after a stroke: a randomised controlled trial study protocol

BMJ Open
Judith Ann CoombesW Neil Cottrell

Abstract

National and international guidelines make recommendations for secondary prevention of stroke including the use of medications. A strategy which engages patients in a conversation to personalise evidence-based educational material (patient-centred educational exchange; PCEE) may empower patients to better manage their medications. This protocol outlines a non-blinded randomised controlled trial. Consenting patients admitted with a diagnosis of stroke or transient ischaemic attack will be randomised 1:1 to receive either a PCEE composed of two sessions, one at the bedside before discharge and one by telephone at least 10 days after discharge from hospital in addition to usual care (intervention) or usual care alone (control). The primary aim of this study is to determine whether a PCEE improves adherence to antithrombotic, antihypertensive and lipid-lowering medications prescribed for secondary prevention of stroke over the 3 months after discharge, measured using prescription-refill data. Secondary aims include investigation of the impact of the PCEE on adherence over 12 months using prescription-refill data, self-reported medication taking behaviour, self-reported clinical outcomes (blood pressure, cholesterol, adverse medicat...Continue Reading

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Citations

Nov 16, 2018·Journal of Neuroengineering and Rehabilitation·K K A BakhtiD Mottet
Aug 17, 2019·Journal of Evaluation in Clinical Practice·Judith A CoombesNeil W Cottrell
May 10, 2020·The Cochrane Database of Systematic Reviews·Amanda J CrossJohnson George
Nov 24, 2021·The Cochrane Database of Systematic Reviews·Thomas F CrockerAnne Forster

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