Savvy Intervention for Stroke
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests whether a tool called Savvy can help stroke survivors adhere to their medication schedule more effectively than usual care. Savvy includes phone exercises, a pill organizer, and text reminders. The study also examines if using Savvy aids in controlling blood pressure after a stroke. Participants must have experienced a stroke in the past year, take blood pressure medication, and struggle with regular adherence.
As an unphased trial, this study provides a unique opportunity to explore innovative methods for improving medication adherence and blood pressure control after a stroke.
Do I have to stop taking my current medications for the trial?
The trial does not specify that you need to stop taking your current medications. It focuses on improving how well you stick to your current medication routine.
What prior data suggests that the Savvy intervention is safe for stroke survivors?
Research has shown that digital tools like the Savvy program can safely help stroke survivors improve their medication habits. For example, studies have found that remote tools, such as text reminders and mobile apps, generally help people adhere to their medication schedules. These tools are safe because they focus on reminders and organization, not new drugs or medical procedures.
The Savvy program includes mental exercises, a weekly pill organizer, and text message reminders. These features are designed to integrate easily into daily life and typically don't cause harm. Similar programs have been well-received by users, with few reports of issues or side effects. Therefore, if considering participation in a trial with the Savvy program, research suggests it is a safe option.12345Why are researchers excited about this trial?
Unlike standard treatments for stroke, which often involve medications to prevent blood clots or control blood pressure, the Savvy Medication Adherence Intervention focuses on improving how well patients stick to their medication routines. This approach is unique because it combines psychological exercises, a weekly pill organizer, and a text messaging reminder system to support adherence. Researchers are excited about this trial because it addresses the critical issue of medication adherence, which can significantly impact recovery and long-term health outcomes. By enhancing adherence, this intervention could potentially lead to better blood pressure control and reduce the risk of future strokes.
What evidence suggests that the Savvy intervention is effective for improving medication adherence in stroke survivors?
Studies have shown that taking medication regularly after a stroke can greatly reduce health risks. For example, one study found that patients who consistently took their blood pressure medication after a stroke lowered their risk of complications by 23%. Research also shows that tools like text reminders and pill organizers can help people stick to their treatment plans. Although some results are not statistically significant, a positive trend exists in using these methods to support stroke survivors. In this trial, participants in the Savvy Group will receive the Savvy intervention, which includes psychological exercises, a weekly pill organizer, and a text messaging reminder system, to help improve medication habits and control blood pressure after a stroke.14678
Who Is on the Research Team?
Sanjula Singh, MD PhD
Principal Investigator
Massachusetts General Hospital
Are You a Good Fit for This Trial?
This trial is for adults (18-99) who had a stroke in the past year, have trouble taking their blood pressure medication regularly, can use a phone with texts, speak English, manage their own meds, and are willing to share pharmacy info. People with severe memory issues or unstable living situations can't join.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive the Savvy intervention or usual care for medication adherence, including psychological exercises, a weekly pill organizer, and text message reminders
Follow-up
Participants are monitored for medication adherence and blood pressure control
What Are the Treatments Tested in This Trial?
Interventions
- Savvy Medication Adherence Intervention
Trial Overview
The study tests if the Savvy program—phone-based psychological exercises, a weekly pill organizer, and text reminders—helps stroke survivors take their medicine better than usual care (educational materials). All get home BP monitors and follow-up calls over 6 months.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
The intervention group will receive the Savvy intervention to support medication adherence, consisting of psychological exercises, a weekly pill organizer, and a text messaging reminder system. Additionally, the intervention group will receive the same educational materials and home blood pressure monitor as the control group.
The control group will receive access to educational materials about the importance of blood pressure control and medication adherence, along with a home blood pressure monitor.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Massachusetts General Hospital
Lead Sponsor
Citations
Medication Adherence Following Stroke and TIA: A Qualitative ...
Effectiveness of Remote Interventions to Improve Medication Adherence in Patients after Stroke: A Systematic Literature Review and Meta-Analysis ...
mHealth App to improve medication adherence among ...
Effective medication adherence is vital for older adult stroke survivors, yet 20–33% cease treatment within a year post-discharge, ...
Effectiveness of Remote Interventions to Improve ...
Overall, despite the results being non-statistically significant for the dichotomous outcomes, there appears to be a positive effect of remote interventions on ...
Adherence to antihypertensive agents after ischemic stroke ...
Mean adherence to AH agents was approximately 98% for high-adherence and 45% for low-adherence groups. Patients with high adherence had a risk reduction of 23% ...
Telemedicine Efficacy in Medication Adherence in Post- ...
Overall objective: this study aims to determine the efficacy of telemedicine on pharmacological adherence in post-ischemic Stroke Participants. Focus of study: ...
mHealth App to improve medication adherence among older ...
This study aims to design and develop a smartphone app called OASapp to improve medication adherence among older adult stroke survivors and evaluate its ...
Medication adherence to secondary prevention after ...
The analyses revealed the following key results: firstly, of all patients with stroke or TIA analysed, high adherence to secondary preventive medication was ...
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researchgate.net
researchgate.net/publication/401636055_Medication_adherence_to_secondary_prevention_after_ischemic_cerebrovascular_disease_a_real-world_outcomes_analysis(PDF) Medication adherence to secondary prevention after ...
Users with high adherence to LLD had a significantly reduced risk for all-cause death (HR 0.86, 95% CI 0.79, 0.94); Direct oral anticoagulants ( ...
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