Effects of a Community Health Worker-Led Health Literacy Intervention on Lifestyle Modification Among Patients With Hypertension and Diabetes in the City of Harare, Zimbabwe: Protocol for a Cluster Randomized Controlled Trial.
Effects of a Community Health Worker-Led Health Literacy Intervention on Lifestyle Modification Among Patients With Hypertension and Diabetes in the City of Harare, Zimbabwe: Protocol for a Cluster Randomized Controlled Trial.
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DOI：
10.2196/47512
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发表时间：
2023-10-03
影响因子：
1.7
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中科院分区：
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高血压和糖尿病是津巴布韦最常见的非传染性疾病。这两种情况在很大程度上可以通过生活方式的改变来预防和控制，例如健康的饮食习惯、体育锻炼以及避免吸烟和饮酒。本研究旨在评估社区卫生工作者 (CHW) 主导的健康素养干预对津巴布韦哈拉雷市糖尿病和高血压患者生活方式改变的影响，包括 (1) 坚持建议的生活方式改变，(2) 血压和血糖水平，以及 (3) 药物依从性。这是一项为期 6 个月的整群随机对照试验，将在哈拉雷市的初级卫生保健诊所进行。总共14家诊所将被随机分配到干预组或对照组。共有 680 名（每个诊所 49 名参与者）成年高血压和糖尿病患者将参加该试验。干预组的参与者将接受关于生活方式改变的简单健康素养干预，该干预将由经过培训的社区卫生工作者提供，而对照组的参与者将接受常规护理。该干预措施包括 4 次面对面的互动教育课程以及由经过培训的社区卫生工作者每月进行的支持访问，将持续 6 个月。主要研究结果将是血压和血糖水平以及对建议的生活方式改变的坚持程度。其他结果包括坚持用药。数据管理和分析将使用Epi Info软件进行，并使用意向治疗原则对数据进行分析。研究参与者的招募于2023年6月1日开始，并于2023年7月30日完成。招募参与者后正在收集基线数据，最终数据收集将于2024年1月31日完成。关于津巴布韦社区卫生工作者主导的高血压管理和控制干预措施的有效性，目前缺乏信息。我们的研究提供了一个机会来展示社区卫生工作者在解决高血压和糖尿病管理方面的差距的有效性。我们的研究结果将为社区卫生工作者在资源有限地区实施简单干预措施的有效性和可行性提供重要证据。 PRR1-10.2196/47512
Hypertension and diabetes are among the most common noncommunicable diseases in Zimbabwe. These 2 conditions are largely prevented and controlled by lifestyle modifications, such as healthy eating habits, physical activity, and avoiding the use of tobacco and alcohol. This study aims to evaluate the effects of a community health worker (CHW)–led health literacy intervention on lifestyle modification among patients with diabetes and hypertension in the City of Harare, Zimbabwe, in terms of (1) adherence to recommended lifestyle changes, (2) blood pressure and blood glucose levels, and (3) medication adherence. This is a 6-month–long cluster randomized controlled trial, which will be conducted in primary health care clinics in the city of Harare. A total of 14 clinics will be randomly allocated into either the intervention or control group. A total of 680 (49 participants per clinic) adult patients with hypertension and diabetes will be enrolled for the trial. Participants in the intervention arm will receive a simple health literacy intervention on lifestyle modification, which will be delivered by trained CHWs, while those in the control arm will receive usual care. The intervention consists of 4 face-to-face interactive educational sessions and monthly support visits by trained CHWs and will be carried out over a period of 6 months. The primary study outcomes will be blood pressure and blood glucose levels and levels of adherence to the recommended lifestyle modifications. Other outcomes will include adherence to medication. Data management and analysis will be done using Epi Info software, and the data will be analyzed using the intention-to-treat principle. Recruitment of study participants commenced on June 1, 2023, and was completed on July 30, 2023. Baseline data are being collected after participants’ recruitment, and the final data collection will be completed by January 31, 2024. There is an information dearth regarding the effectiveness of CHW-led interventions for the management and control of hypertension in Zimbabwe. Our study offers an opportunity to show the effectiveness of CHWs in addressing the gaps in the management of hypertension and diabetes. The findings from our study will provide crucial evidence on the effectiveness and feasibility of a simple intervention delivered by CHWs in resource-constrained areas. PRR1-10.2196/47512