Optimizing linkage and retention to hypertension care in rural Kenya (LARK hypertension study): study protocol for a randomized controlled trial.
Optimizing linkage and retention to hypertension care in rural Kenya (LARK hypertension study): study protocol for a randomized controlled trial.
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优化肯尼亚农村地区高血压护理的连接和保留（Lark Hypermension研究）：一项随机对照试验的研究方案。
DOI：
10.1186/1745-6215-15-143
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发表时间：
2014-04-27
期刊：
影响因子：
2.5
通讯作者：
Fuster V
中科院分区：
文献类型：
--
作者：
Vedanthan R;Kamano JH;Naanyu V;Delong AK;Were MC;Finkelstein EA;Menya D;Akwanalo CO;Bloomfield GS;Binanay CA;Velazquez EJ;Hogan JW;Horowitz CR;Inui TS;Kimaiyo S;Fuster V
高血压是全球死亡率的主要危险因素。高血压的治疗和控制率在世界范围内都很低，延误就医与死亡率增加有关。因此，高血压管理的一个关键组成部分是优化与护理的联系和保留。本研究调查了社区卫生工作者，配备了量身定制的行为沟通策略和智能手机技术，是否可以增加高血压患者与高血压护理计划的联系和保留，并显着降低其中的血压。这项研究将在肯尼亚西部的Kosirai和Turbo省进行。定性调查的初始阶段将评估促进者和障碍的联系和保留护理使用修改后的健康信念模型作为一个概念框架。随后，我们将进行一项分组随机对照试验，分为三组：1）常规护理（具有标准高血压护理培训水平的社区卫生工作者）; 2）具有额外定制行为沟通策略的社区卫生工作者; 3）具有定制行为沟通策略的社区卫生工作者，他们也配备了智能手机技术。共同主要结局指标为：1）与高血压治疗的联系，2）高血压个体中收缩压的一年变化。成本效益分析将根据每单位血压降低的成本和每获得残疾调整生命年的成本进行。本研究将提供证据，说明优化与高血压护理的联系和保留的战略的有效性和成本效益，这些战略可适用于低收入和中等收入国家的非传染性疾病管理。本试验于2013年4月30日注册（NCT 01844596）。
Hypertension is the leading global risk factor for mortality. Hypertension treatment and control rates are low worldwide, and delays in seeking care are associated with increased mortality. Thus, a critical component of hypertension management is to optimize linkage and retention to care. This study investigates whether community health workers, equipped with a tailored behavioral communication strategy and smartphone technology, can increase linkage and retention of hypertensive individuals to a hypertension care program and significantly reduce blood pressure among them. The study will be conducted in the Kosirai and Turbo Divisions of western Kenya. An initial phase of qualitative inquiry will assess facilitators and barriers of linkage and retention to care using a modified Health Belief Model as a conceptual framework. Subsequently, we will conduct a cluster randomized controlled trial with three arms: 1) usual care (community health workers with the standard level of hypertension care training); 2) community health workers with an additional tailored behavioral communication strategy; and 3) community health workers with a tailored behavioral communication strategy who are also equipped with smartphone technology. The co-primary outcome measures are: 1) linkage to hypertension care, and 2) one-year change in systolic blood pressure among hypertensive individuals. Cost-effectiveness analysis will be conducted in terms of costs per unit decrease in blood pressure and costs per disability-adjusted life year gained. This study will provide evidence regarding the effectiveness and cost-effectiveness of strategies to optimize linkage and retention to hypertension care that can be applicable to non-communicable disease management in low- and middle-income countries. This trial is registered with (NCT01844596) on 30 April 2013.
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DOI：
10.1016/j.yebeh.2012.07.009
发表时间：
2012-12
期刊：
Epilepsy & behavior : E&B
影响因子：
--
作者：
Carter JA;Molyneux CS;Mbuba CK;Jenkins J;Newton CR;Hartley SD
通讯作者：
Hartley SD
影响因子：
3.3
作者：
Labhardt, Niklaus D.;Balo, Jean-Richard;Stoll, Beat
通讯作者：
Stoll, Beat
影响因子：
158.5
作者：
Jokhio, AH;Winter, HR;Cheng, KK
通讯作者：
Cheng, KK
影响因子：
5.7
作者：
Inui, Thomas S.;Nyandiko, Winston M.;Sidle, John E.
通讯作者：
Sidle, John E.
影响因子：
4.8
作者：
Bloomfield, Gerald S.;Kimaiyo, Sylvester;Velazquez, Eric J.
通讯作者：
Velazquez, Eric J.