Using a Tailored Health Information Technology Driven Intervention to Improve Health Literacy and Medication Adherence (TalkingRx)
Vascular Disease, Cerebrovascular Disorders, Ischemic Heart Disease
About this trial
This is an interventional health services research trial for Vascular Disease focused on measuring Stroke, Myocardial Infarction, Adherence, Health Literacy, Implementation, Developing Country
Eligibility Criteria
Inclusion Criteria:
- Adult Men and Women ,18 years old
- Use of anti-platelets and statins both.
- Ischemic Stroke or CAD which is stable and outpatient based
- Own Cell Phone
- Can read local language,hear Cell phone,See a short text message
- Willing to Give Written Informed Consent
- Consent to follow up
- Stroke and CAD are stable specifically, not requiring medical procedures that would necessitate frequent interruptions in medications.
- Modified Rankin Score (MRS) Disability score should be less than 3.
Exclusion Criteria:
- No Ischemic Stroke or CAD
- Ischemic Stroke and CAD are unstable e.g. Unstable Angina, Acute MI, Need for CABG, Need for CEA, Need to rapidly adjust medication and inpatient care
- Biological impairment in reading or responding to short text messages such as (but not limited to) loss of vision, visual field cuts, aphasia.
- Diagnosed organ dysfunction or malignancy requiring stopping or adjustment of medications
- Plans to travel outside the country inside the two months following enrollment
- Known allergy or adverse reaction.
- Absolute or relative contraindication to antiplatelet or statin e.g chronic liver disease, myopathy, Thrombotic Thrombocytopenic Purpura, GI bleed , Active Gastritis
Sites / Locations
- Aga Khan University, Clinical Trial Unit
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Talking Rx
Usual Care, Prescriptions and Counselling
Assigned to receive Health Literacy and Reminder Updates via the IT based intervention Talking Rx, in addition to Usual Care for patients in the intervention group. The physician written prescription for anti-platelet and statin will be transferred on an OMR sheet and will be scanned. The information on the prescription (dose, name of the medication, duration, route or any other special instruction) will be sent to the patients via a text and a voice SMS (in Urdu language). The patients also receive an individualized code that helps them request for repeated reminders for their medication timings. However, a weekly medication reminder SMS will be sent to the patients in the intervention arm.
Assigned to receive a standard prescription and Counselling only, there are no cointerventions in this group