Building blocks for an HIV-NCD integration Community-Clinical Linkage Model TO enhance the MAP-IT Study: Link2MAP-IT

HIV-NCD 整合社区临床联系模型的构建模块以增强 MAP-IT 研究：Link2MAP-IT

• 批准号: 10827187
• 负责人: Angela Attah
• 金额: $ 18.87万
• 依托单位: UNIVERSITY OF ABUJA
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-20 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10827187
• 关键词: Address; Administrative Supplement; Administrator; Adopted; Adoption; Advisory Committees; Africa; Area; Back; Blood Pressure; Caring; Chronic Disease; Clinical; Clinical Pathways; Collaborations; Communities; Community Networks; Counseling; Data; Disease; Disease Management; Equipment and supply inventories; Feedback; Funding; Future; Geography; HIV; Health care facility; Health system; Healthcare; Healthcare Systems; Hypertension; Improve Access; Individual; Infrastructure; Link; Maps; Modeling; Nigeria; Nurses; Outcome; Parents; Pathway interactions; Patient-Focused Outcomes; Patients; Persons; Pharmaceutical Preparations; Play; Policy Maker; Primary Health Care; Process; Public Health; Randomized, Controlled Trials; Reporting; Research; Resources; Role; Services; Surveys; Testing; Transportation; United States National Institutes of Health; Visual; Work; burden of illness; clinical care; community based service; community clinic; community organizations; community partnership; evidence base; human centered design; hypertension control; hypertension treatment; improved; information gathering; integrated care; low socioeconomic status; model design; patient-level barriers; primary care clinic; primary care practice; programs; response; skills; social health determinants; treatment as usual

ABSTRACT The “Managing Hypertension among People Living with HIV: An Integrated Model” (MAP-IT) parent study is an ongoing NIH-funded cluster randomized controlled trial of 30 primary healthcare facilities in Akwa-Ibom, Nigeria (UH3HL154498). MAP-IT aims to compare the effect of practice facilitation (i.e. quality improvement support for primary care practices) with usual care (i.e. treatment provided by community nurses) on the rate of adoption of a task-strengthening strategy for hypertension control and change in systolic blood pressure for people living with HIV (PLWH). In response to PA-20-272, we propose this administrative supplement, “Building blocks for an HIV-NCD integration Community-Clinic Linkage Model TO enhance the MAP-IT Study” (Link2MAP-IT), which initiates the building blocks in developing a community-clinical linkage (CCL) model to enhance and integrate non-communicable disease care for PLWH in Akwa-Ibom State. Link2MAP-IT will conducts a community asset mapping (CAM) of the resources and capacities of the estimated 53 community-based organizations (CBOs) in Akwa-Ibom servicing PLWH to establish an HIV-NCD CCL network. Additionally, Link2MAP-IT will use a human- centered design approach to work with MAP-IT local advisory committee to identify the barriers and facilitators of creating a CCL model for PLWH with uncontrolled hypertension who engage with CBOs in Akwa-Ibom. This research will advance the potential impact of the MAP-IT study by establishing a more focused pathway for CBO engagement. It will also contribute to enhancing the reach for hypertension treatment for the MAP-IT study and will be a critical first step for developing a CCL model to improve hypertension care for PWLH through community partnership. A first of its kind in Akwa-Ibom, this study will advance the evidence for CCL models for dual disease burdens in low resource-high need settings.

摘要 “艾滋病毒感染者高血压管理：一个综合模型”（MAP-IT）家长研究是一项 一项由NIH资助的在尼日利亚Akwa-Ibom的30家初级医疗机构进行的随机分组对照试验 （UH3HL154498）。MAP-IT旨在比较实践促进（即质量改进支持）的效果， 初级保健做法）与常规护理（即社区护士提供的治疗）对采用 高血压控制任务强化策略和生活中的人收缩压的变化 艾滋病毒感染者（PLWH）。作为对PA-20-272的回应，我们提出了这一行政补充，“ 加强MAP-IT研究的艾滋病毒-非传染性疾病整合社区-诊所联系模式”（Link 2 MAP-IT）， 启动构建模块，开发社区-临床联系（CCL）模式，以加强和整合 在阿夸伊博姆州为艾滋病毒携带者提供非传染性疾病护理。 Link 2 MAP-IT将进行社区资产 * 对估计53个社区组织的资源和能力进行测绘， Akwa-Ibom为艾滋病毒携带者和妇女提供服务，建立艾滋病毒-非传染性疾病CCL网络。此外，本发明还 Link 2 MAP-IT将使用人类- 与MAP-IT当地咨询委员会合作，确定 为患有不受控制的高血压的PLWH创建CCL模型，这些PLWH与Akwa-Ibom的CBO合作。这 研究将通过为国会预算办公室建立一个更有针对性的途径，提高MAP-IT研究的潜在影响 订婚它还将有助于扩大MAP-IT研究的高血压治疗范围， 将是开发CCL模式以通过社区改善PWLH高血压护理的关键第一步 伙伴关系这项研究是Akwa-Ibom的第一项此类研究，将为双重疾病的CCL模型提供证据 低资源高需求环境下的负担。

项目成果

Study design and protocol of a stepped wedge cluster randomized trial using a practical implementation strategy as a model for hypertension-HIV integration - the MAP-IT trial.

• DOI: 10.1186/s13012-023-01272-5
• 发表时间: 2023-05-10
• 期刊: IMPLEMENTATION SCIENCE
• 影响因子: 7.2
• 作者: Aifah, Angela A. A.;Hade, Erinn M. M.;Colvin, Calvin;Henry, Daniel;Mishra, Shivani;Rakhra, Ashlin;Onakomaiya, Deborah;Ekanem, Anyiekere;Shedul, Gabriel;Bansal, Geetha P. P.;Lew, Daphne;Kanneh, Nafesa;Osagie, Samuel;Udoh, Ememobong;Okon, Esther;Iwelunmor, Juliet;Attah, Angela;Ogedegbe, Gbenga;Ojji, Dike
• 通讯作者: Ojji, Dike

Moving forward: Scaling-up the integration of an HIV and hypertension program in Akwa Ibom State, Nigeria.

展望未来：在尼日利亚阿夸伊博姆州扩大艾滋病毒和高血压项目的整合。

• DOI: 10.21203/rs.3.rs-3979683/v1
• 发表时间: 2024
• 期刊: Research square
• 作者: Mishra,Shivani;Aifah,Angela;Henry,Daniel;Uzoigwe,Nina;Udoh,Emem;Idang,Esther;Munagala,Jahnavi;Onakomaiya,Deborah;Kanneh,Nafesa;Ekanem,Anyiekere;Attah,EnoAngela;Ogedegbe,Gbenga;Ojji,Dike
• 通讯作者: Ojji,Dike

Early stakeholder engagement lessons from managing hypertension among people living with human-immunodeficiency virus: an integrated model (MAP-IT).

从管理人类免疫缺陷病毒感染者的高血压中获得的早期利益相关者参与经验教训：综合模型（MAP-IT）。

• DOI: 10.1093/eurheartj/ehac159
• 发表时间: 2022
• 期刊: European heart journal
• 影响因子: 39.3
• 作者: Ojji,Dike;Aifah,Angela;Dulli,Lisa;Iwelunmor,Juliet;MAP-ITStudyTeam
• 通讯作者: MAP-ITStudyTeam