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Bridging the intention-behaviour gap: promoting compliance with medication for coronary heart disease
ISRCTN ISRCTN29760311
ClinicalTrials.gov identifier
Public title Bridging the intention-behaviour gap: promoting compliance with medication for coronary heart disease
Scientific title
Acronym N/A
Serial number at source RRCC218LG
Study hypothesis To test whether: implementation intention strategies increase three-month compliance to prescribed medicines among patients in primary care compared to those control group patients using their usual strategies.

Do implementation intentions increase adherence to medication prescribed for coronary heart disease? N.B. The pilot study revealed problems with recruiting non-adherent participants. Two alternative studies were, therefore, administered.
Lay summary Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Cardiovascular diseases: Heart disease
Participants - inclusion criteria Study 1: Patients attending a secondary prevention CHD clinic in primary care
Study 2: Patients presenting to a pharmacy with a prescription for an antibiotic
Participants - exclusion criteria Not provided at time of registration
Anticipated start date 01/10/2001
Anticipated end date 31/10/2003
Status of trial Completed
Patient information material
Target number of participants 370
Interventions Both studies were randomly controlled trials:
Study 1:
120 cardiac patients were recruited and randomised into three groups (control, Theory of Planned Behaviour (TPB) questionnaire only, TPB questionnaire + formed implementation intention). They were telephoned at 7, 28 and 90 days post-recruitment. Fruit and vegetable consumption was recorded at recruitment and at each of the follow-up time points. 97 participants completed the study.

Study 2:
249 patients presenting with a prescription for antibiotics were recruited and randomised into four groups (control, TPB questionnaire only, TPB questionnaire + formed own implementation intention, TPB questionnaire + researcher provided implementation intention). They were telephoned on the day after their antibiotics were due to be completed to record their adherence to the medication. A fifth group of participants was recruited who only received the follow-up telephone call. 241participants completed the study.
Primary outcome measure(s) Study 1: Daily fruit and vegetable consumption (self-report and 24-hour recall)
Study 2: Adherence to antibiotics (self-report and pill count)
Secondary outcome measure(s) Not provided at time of registration
Sources of funding NHS Executive Northern and Yorkshire (UK)
Trial website
Publications Study 1: 2005 results in http://www.ncbi.nlm.nih.gov/pubmed/15748685
Study 2: 2006 results in http://www.ncbi.nlm.nih.gov/pubmed/15993559
Contact name Dr  Rebecca  Lawton
  Address University of Leeds
School of Psychology
  City/town Leeds
  Zip/Postcode LS2 9TJ
  Country United Kingdom
  Tel +44 (0)113 343 5715
  Fax +44 (0)113 343 5749
  Email r.j.lawton@leeds.ac.uk
Sponsor NHS R&D Regional Programme Register - Department of Health (UK)
  Address The Department of Health
Richmond House
79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Fax +44 (0)20 7307 2623
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.doh.gov.uk
Date applied 23/01/2004
Last edited 19/10/2011
Date ISRCTN assigned 23/01/2004
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