Tailored Interventions to Improve Hypertension Management After Stroke or Transient Ischemic Attack (TIA) "TIMSII"


Phase N/A Results N/A

Trial Description

The purpose of this study is to determine the effectiveness of interventions to improve adherence to medication and healthier lifestyle choices on blood pressure over a 6 month period in a group of people at high risk for recurrent stroke events. The participants have already had a stroke or TIA, and have uncontrolled blood pressure, as well as problems with memory and problem-solving, or miss taking medications, or who do not believe in the effectiveness of their medications. Interventions focus on motivational interviewing, adherence counseling with memory cuing, and self-monitoring of blood pressure.

Detailed Description

- randomized, controlled trial at 4 sites
- measurement of blood pressure, missed pills, self-efficacy rating at baseline and 6 months
- contacting family pharmacists to evaluate prescription renewal patterns at baseline and 6 months



  • Lifestyle counseling, home blood pressure monitoring Behavioral
    Other Names: motivational interviewing
    Intervention Desc: monthly telephone counseling over 6 months for intervention group no health provider initiated contact for control group
    ARM 1: Kind: Experimental
    Label: Adherence counseling
    ARM 2: Kind: Experimental
    Label: Usual care

Trial Design

  • Observation: Case Control
  • Perspective: Prospective
  • Sampling: Non-Probability Sample

Trial Population

clients recruited from Stroke Prevention Clinics in Ontario with diagnosis of Stroke or TIA, Hypertension, and cognitive deficits as indicated by MoCA score < 26, self-efficacy rating < 100%, and self-report of missed pills; English speaking; able to give informed consent; older than 18 years of age


Type Measure Time Frame Safety Issue
Primary blood pressure 6 months from baseline testing No
Secondary self-efficacy rating 6 months from baseline No