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| ID | Type | Description | Link |
|---|---|---|---|
| CTRI/2013/02/003412 | Registry Identifier | Clinical Trials Registry India |
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| Name | Class |
|---|---|
| All India Institute of Medical Sciences | OTHER |
| Public Health Foundation of India | OTHER |
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Hypertension and diabetes are major risk factors for cardiovascular diseases. Although these two conditions can be detected much early in life and are amenable to interventions at primary health care level, the health system in India fails to provide adequate interventions at primary health care level which translates to huge burden of undiagnosed and uncontrolled hypertension and diabetes in the community. This study aims to design a feasible and sustainable evidence-based, decision support-enabled, health care delivery model for the management of hypertension and diabetes in the primary health care facilities of Himachal Pradesh. The study will be conducted at the 5 Community Health Centers (CHCs) and District Hospital of Solan District, Himachal Pradesh using both qualitative and quantitative methods. The design and development of the model will be carried out in the initial six months followed by piloting the services at the CHCs and District Hospital. The impact of the model on quality of care will be assessed in a pre-post design measuring changes in both clinical and process indicators.
This study aims to design a feasible and sustainable evidence-based, decision support-enabled, health care delivery model for the management of hypertension and diabetes in the primary health care facilities of Himachal Pradesh. The study will be conducted at the 5 Community Health Centers (CHCs) and District Hospital of Solan District, Himachal Pradesh using both qualitative and quantitative methods. The design and development of the model will be carried out in the initial six months followed by piloting the services at the CHCs and District Hospital. The impact of the model on quality of care will be assessed in a pre-post design measuring changes in both clinical and process indicators.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DSS enabled health care delivery model | Experimental | Evidence based, DSS enabled, health care delivery model |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Evidence based, DSS enabled, health care delivery model | Other | The study focus on preliminary work before a definitive randomised controlled trial. In this phase, we are developing an intervention for the evidence based management of hypertension and diabetes at primary care setting in India. The components of the interventions that we are developing are:
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| Measure | Description | Time Frame |
|---|---|---|
| Change in the proportion of people with hypertension and/or diabetes receiving evidence based clinical management. | 30 months | |
| Change in compliance to therapy and follow-up rate among people with hypertension and/or diabetes. | 30 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dorairaj Prabhakaran, MD, DM, MSc, FRCP | Centre for Chronic Disease Control | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHCs and District Hospital of Solan District | Solan | Himachal Pradesh | 173212 | India |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28003248 | Derived | Ajay VS, Jindal D, Roy A, Venugopal V, Sharma R, Pawar A, Kinra S, Tandon N, Prabhakaran D. Development of a Smartphone-Enabled Hypertension and Diabetes Mellitus Management Package to Facilitate Evidence-Based Care Delivery in Primary Healthcare Facilities in India: The mPower Heart Project. J Am Heart Assoc. 2016 Dec 21;5(12):e004343. doi: 10.1161/JAHA.116.004343. |
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|
| ID | Term |
|---|---|
| D006973 | Hypertension |
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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