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The effectiveness of culturally tailored video narratives on medication understanding and use self-efficacy among stroke patients: A randomized controlled trial study protocol.

Abstract A substantial number of the world's population appears to end with moderate to severe long-term disability after stroke. Persistent uncontrolled stroke risk factor leads to unpredicted recurrent stroke event. The increasing prevalence of stroke across ages in Malaysia has led to the adaptation of medication therapy adherence clinic (MTAC) framework. The stroke care unit has limited patient education resources especially for patients with medication understanding and use self-efficacy. Nevertheless, only a handful of studies have probed into the effectiveness of video narrative at stroke care centers.
PMID
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Authors

Mayor MeshTerms

Self Efficacy

Keywords
Journal Title medicine
Publication Year Start




PMID- 29851804
OWN - NLM
STAT- MEDLINE
DCOM- 20180606
LR  - 20180606
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 22
DP  - 2018 Jun
TI  - The effectiveness of culturally tailored video narratives on medication
      understanding and use self-efficacy among stroke patients: A randomized
      controlled trial study protocol.
PG  - e10876
LID - 10.1097/MD.0000000000010876 [doi]
AB  - INTRODUCTION: A substantial number of the world's population appears to end with 
      moderate to severe long-term disability after stroke. Persistent uncontrolled
      stroke risk factor leads to unpredicted recurrent stroke event. The increasing
      prevalence of stroke across ages in Malaysia has led to the adaptation of
      medication therapy adherence clinic (MTAC) framework. The stroke care unit has
      limited patient education resources especially for patients with medication
      understanding and use self-efficacy. Nevertheless, only a handful of studies have
      probed into the effectiveness of video narrative at stroke care centers. METHOD: 
      This is a behavioral randomized controlled trial of patient education
      intervention with video narratives for patients with stroke lacking medication
      understanding and use self-efficacy. The study will recruit up to 200 eligible
      stroke patients at the neurology tertiary outpatient clinic, whereby they will be
      requested to return for follow-up approximately 3 months once for up to 12
      months. Consenting patients will be randomized to either standard patient
      education care or intervention with video narratives. The researchers will ensure
      control of potential confounding factors, as well as unbiased treatment review
      with prescribed medications only obtained onsite. RESULTS: The primary analysis
      outcomes will reflect the variances in medication understanding and use
      self-efficacy scores, as well as the associated factors, such as retention of
      knowledge, belief and perception changes, whereas stroke risk factor control, for
      example, self-monitoring and quality of life, will be the secondary outcomes.
      DISCUSSION AND CONCLUSION: The study should be able to determine if video
      narrative can induce a positive behavioral change towards stroke risk factor
      control via enhanced medication understanding and use self-efficacy. This
      intervention is innovative as it combines health belief, motivation, and role
      model concept to trigger self-efficacy in maintaining healthy behaviors and
      better disease management. TRIAL REGISTRATION: ACTRN (12618000174280).
FAU - Appalasamy, Jamuna Rani
AU  - Appalasamy JR
AD  - Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia.
FAU - Tha, Kyi Kyi
AU  - Tha KK
AD  - Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia.
FAU - Quek, Kia Fatt
AU  - Quek KF
AD  - Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia.
FAU - Ramaiah, Siva Seeta
AU  - Ramaiah SS
AD  - Subang Jaya Medical Centre, Jalan SS12/1a, Selangor.
FAU - Joseph, Joyce Pauline
AU  - Joseph JP
AD  - Neurology Department, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
FAU - Md Zain, Anuar Zaini
AU  - Md Zain AZ
AD  - Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Clinical Protocols
MH  - Counseling/*methods
MH  - Female
MH  - Health Behavior
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Medication Adherence/*psychology
MH  - Middle Aged
MH  - Patient Education as Topic/*methods
MH  - Quality of Life
MH  - *Self Efficacy
MH  - Self-Management/psychology
MH  - Single-Blind Method
MH  - Stroke/drug therapy/*psychology
MH  - Video Recording
EDAT- 2018/06/01 06:00
MHDA- 2018/06/07 06:00
CRDT- 2018/06/01 06:00
PHST- 2018/06/01 06:00 [entrez]
PHST- 2018/06/01 06:00 [pubmed]
PHST- 2018/06/07 06:00 [medline]
AID - 10.1097/MD.0000000000010876 [doi]
AID - 00005792-201806010-00032 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Jun;97(22):e10876. doi: 10.1097/MD.0000000000010876.