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This is an implementation type II hybrid study with randomisation in cluster, whose objective is to compare two strategies of implementation of the Brazilian cardioprotective diet guidelines in primary health care in two Brazilian cities. All health professionals from the health units (clusters) randomized to the intervention group will receive training on the subject. The health professionals from the health units randomized to the control group will follow the usual activities, receiving only the printed guidelines, as usually done. After 6 months, the prescription rate of the Brazilian cardioprotective diet will be evaluated, as well as the quality of the diet of patients in both groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Experimental |
|
|
| Control Group | No Intervention | Distribution of the Brazilian cardioprotective diet manual to primary health care professionals |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Training Group | Other | Training for prescribing the Brazilian cardioprotective diet |
|
| Measure | Description | Time Frame |
|---|---|---|
| Brazilian cardioprotective diet prescription rate | Implementation Primary Outcome (rate of eligible individuals who received Brazilian cardioprotective diet prescription) | 6 months |
| food intake of 400g of vegetables per day | Eficacy Primary Outcome - number of patients that achieve the goal of eating 400g of vegetable/day | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Implementing the extra dietaty guidelines | rate of eligible individuals who received extra dietaty guidelines | 6 months |
| Professionals' understanding of the Brazilian cardioprotective diet | standardized questionnaire. Continuous result (number of correct answers) and dichotomous (good knowledge / poor knowledge) |
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Clusters Inclusion criteria: All Public Primary Care Units from both cities will be included. However, the Health services that encourage health professionals to use the Cardioprotective Food manual before randomization will be excluded.
Participants (patients) Inclusion criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Prefeitura Municipal de Foz do Iguaçu | Foz do Iguaçu | Brazil |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D006973 | Hypertension |
| D003920 | Diabetes Mellitus |
| D050171 | Dyslipidemias |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D012681 | Sensitivity Training Groups |
| ID | Term |
|---|---|
| D011615 | Psychotherapy, Group |
| D012960 | Socioenvironmental Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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Cluster-Randomized Trial
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| right after intervention and 6 months after intervenions. |
| Patients' understanding of the Brazilian cardioprotective diet | standardized questionnaire. Continuous result (number of correct answers) and dichotomous (good knowledge / poor knowledge) | right after intervention and 6 months after intervenions. |
| Patients' adherence to dietary guidelines | Vigitel dietary indicators | right after intervention and 6 months after intervenions. |
| Participants' weight | wheight in kg | right after intervention and 6 months after intervenions. |
| Barriers and facilitators identified in the implementation of the Brasilian Cardioprotective diet in health facilities (situational diagnosis). | Qualitative metodology: Focus groups with stakeholdrs and professionals involved in the implementation processo to identify barriers and facilitators perceived by them | 6 months |
| Professionals' perception regarding the incorporation of MAC guidelines into practice (implementation component) | standardized questionnaire. Dichotomus result (Agree/Disagree with the incorporation) | right after intervention and 6 months after intervenions. |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D052439 | Lipid Metabolism Disorders |