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| Name | Class |
|---|---|
| All India Institute of Medical Sciences | OTHER |
| Indian Council of Medical Research | OTHER_GOV |
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This study evaluates the effect of a mobile health technology enabled trained nurse led intervention on control of blood pressure among patients with hypertension seeking care in the community health centres in the southern state of Andhra Pradesh, India. half the community health centres will receive the intervention and the other half will receive the routine care.
The burden of hypertension is very high in India but the control rates of hypertension are very low. One of the important reasons for this is the lack of awareness and the inability of the doctors working in busy out patient settings of public health facilities to care adequately for the patients. Hence there is a need for task shifting.
In this trial a trained nurse care coordinator will be placed in the Community Health Centres (CHCs) and she will be provided with an Electronic Decision Support System (EDSS), in the form of an android application installed on a tablet, to treat hypertension. The trial will be carried out in twelve CHCs of Visakhapatnam district in southern Indian state of Andhra Pradesh.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Active Comparator | Trained NCC together with electronic decision support system |
|
| Control | Other | No trained NCC and electronic decision support system |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intervention | Other | A trained nurse care coordinator enabled with a electronic decision support system placed at the CHCs to share the task of management of hypertension. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Difference in the mean systolic blood pressure | Difference in the mean systolic blood pressure between the intervention and control arm at the end of the intervention | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Compliance to therapy | Difference in compliance to therapy from baseline to one year between the intervention and control arm | 12 months |
| Follow up with the physician | Difference in follow up rate from baseline to one year between the intervention and control arm |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dorairaj Prabhakaran, MD, DM | Centre for Chronic Disease Control | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Community Health Centre | Aganampudi | Andhra Pradesh | 530046 | India | ||
| Area Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31110103 | Derived | Srinivasapura Venkateshmurthy N, Mc Namara K, Koorts H, Mohan S, S Ajay V, Jindal D, Malipeddi BR, Roy A, Tandon N, Prabhakaran D, Worsley T, Maddison R, O'Reilly S. Process evaluation protocol for a cluster randomised trial of a complex, nurse-led intervention to improve hypertension management in India. BMJ Open. 2019 May 19;9(5):e027841. doi: 10.1136/bmjopen-2018-027841. | |
| 30086778 |
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| Control | Other | No NCC or EDSS will be placed in the CHCs. Doctors working in the CHCs will be given training (one day) on evidence based management of hypertension |
|
| 12 months |
| Anakapalle |
| Andhra Pradesh |
| 531001 |
| India |
| Community Health Centre | Araku | Andhra Pradesh | 531151 | India |
| Community Health Centre | Bhimili | Andhra Pradesh | 531162 | India |
| Community Health Centre | Chintapalli | Andhra Pradesh | 531111 | India |
| Community Health Centre | Chodavaram | Andhra Pradesh | 531036 | India |
| Community Health Centre | K Kotpadu | Andhra Pradesh | 531034 | India |
| Community Health Centre | Kotavaratla | Andhra Pradesh | 531085 | India |
| Community Health Centre | Nakkapalli | Andhra Pradesh | 531081 | India |
| Community Health Centre | Pāderu | Andhra Pradesh | 531024 | India |
| Community Health Centre | V Madugula | Andhra Pradesh | 531027 | India |
| Community Health Centre | Yelamanchili | Andhra Pradesh | 531055 | India |
| Derived |
| Srinivasapura Venkateshmurthy N, Ajay VS, Mohan S, Jindal D, Anand S, Kondal D, Tandon N, Rao MB, Prabhakaran D. m-Power Heart Project - a nurse care coordinator led, mHealth enabled intervention to improve the management of hypertension in India: study protocol for a cluster randomized trial. Trials. 2018 Aug 7;19(1):429. doi: 10.1186/s13063-018-2813-2. |
| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D008722 | Methods |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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