Conquering Hypertension in Vietnam: Solutions at Grassroots level
Conquering Hypertension in Vietnam: Solutions at Grassroots level
批准号:
10214668
负责人:
JEROAN J ALLISON
金额:
$35.08万
依托单位国家:
美国
项目类别:
财政年份:
2017
资助国家:
美国
项目状态:
已结题
起止时间:
2017-09-01 至 2023-11-30
关键词:
AddressAdultAwarenessBlood PressureCardiovascular DiseasesClinicClinicalCluster randomized trialCollaborationsCommunitiesCommunity Health AidesConsentDataData AnalysesDetectionDeveloping CountriesEducationEffectivenessEnrollmentEpidemiologyFeasibility StudiesFundingGoalsHealthHealth PersonnelHeartHeterogeneityHomeHome Blood Pressure MonitoringHuman ResourcesHybridsHypertensionInstitutesInterventionInterviewInvestigationLettersLife StyleLongitudinal StudiesMassachusettsMeasurementMeasuresMediationMethodologyModelingMonitorMultimediaNeeds AssessmentNeighborhood Health CenterPamphletsParticipantPatientsPersonsPoliciesPopulationPopulation InterventionPrevalencePreventionProtocols documentationProvincePublic HealthQuality of lifeRandomizedReadingResearchResearch DesignResearch PersonnelRiversRuralRural CommunityServicesStructureSurveysTimeUniversitiesVietnamVoiceWomanWorkbasebehavior changeblood pressure reductionblood pressure regulationcardiovascular risk factorclinical carecommunecommunity cliniccommunity interventioncompare effectivenesscomparison groupcomparison interventioncostdesigneffectiveness researchevidence baseexperiencefeasibility testingfollow-upgroup interventionhypertension controlhypertension treatmentimplementation designimplementation determinantsimplementation processimprovedinternational centerintervention effectliteracylow and middle-income countriesmedical schoolsmedication compliancemenmotivated behaviormultiple data sourcesnovelpreferenceprogramsresponsesuccesstrial design
中文摘要
项目总结/文摘
英文摘要
PROJECT SUMMARY/ABSTRACT
Although being a low-middle income country, Vietnam has been experiencing an epidemiologic
transition to that of a developing country with an increasing prevalence of non-communicable
diseases. The key risk factors for cardiovascular disease (CVD) are either on the rise or at
alarming levels in Vietnam, particularly hypertension (HTN). Inasmuch, the burden of CVD will
continue to increase in Vietnamese men and women unless effective prevention and control
measures are put in place. The objectives of the proposed project are to evaluate the
implementation and effectiveness of two multi-faceted community and clinic-based strategies on
the control of elevated blood pressure (BP) among adults in Vietnam via a cluster-randomized
trial design.
Sixteen communities will be randomized to either an intervention (8 communities) or comparison
group (8 communities). Eligible and consenting adult study participants with HTN (n = 600) will
be assigned to intervention/comparison status based on the community in which they reside.
Both comparison and intervention groups will receive a multi-level intervention modeled after the
Vietnam National Hypertension Program. Components of this program include education and
practice change modules for health care providers, accessible reading materials for patients,
and a community awareness multi-media program.
In addition to the Vietnam National Hypertension Program, the intervention group only will
receive three carefully selected enhancements integrated into routine clinical care: (1) expanded
community health worker services; (2) home BP self-monitoring; and (3) a “storytelling
intervention,” previously developed and pilot tested for feasibility and effectiveness by the
research team. The storytelling intervention consists of interactive, literacy-appropriate, and
culturally sensitive multimedia storytelling modules for motivating behavior change through the
power of patients speaking in their own voice. Based on preferences that emerged during our
formative work with our partnering rural communities, the storytelling intervention will be
delivered by DVD, with serial installments at baseline and at 3, 6, and 9 months after trial
enrollment. Changes in BP will be assessed in both study groups at several follow-up time
points. We will pursue a multi-faceted strategy to support implementation of the Vietnam
National Hypertension Program and the proposed enhancements. In conjunction with the work
done during the pilot feasibility study, current efforts by the Vietnam National Hypertension
Program, and the proposed investigation, this project addresses a serious clinical and public
health problem in Vietnam by implementing the first community-based study using a culturally-
literacy appropriate HTN intervention for this population.
期刊论文(0)
专著(0)
科研奖励(0)
会议论文
Training Program for Strengthening Research Capacity in Non-Communicable Diseases in Vietnam (TSORC-NCDs-VN)
-
批准号:10428608
-
项目类别:
-
资助金额:$24.73万
-
财政年份:2019
-
负责人:JEROAN J ALLISON
-
依托单位:
Training Program for Strengthening Research Capacity in Non-Communicable Diseases in Vietnam (TSORC-NCDs-VN)
-
批准号:10216379
-
项目类别:
-
资助金额:$24.78万
-
财政年份:2019
-
负责人:JEROAN J ALLISON
-
依托单位:
Training Program for Strengthening Research Capacity in Non-Communicable Diseases in Vietnam (TSORC-NCDs-VN)
-
批准号:10018720
-
项目类别:
-
资助金额:$24.82万
-
财政年份:2019
-
负责人:JEROAN J ALLISON
-
依托单位:
Training Program for Strengthening Research Capacity in Non-Communicable Diseases in Vietnam (TSORC-NCDs-VN)
-
批准号:10669660
-
项目类别:
-
资助金额:$24.79万
-
财政年份:2019
-
负责人:JEROAN J ALLISON
-
依托单位:
Strengthening Translational Research in Diverse Enrollment (STRIDE)
-
批准号:9975248
-
项目类别:
-
资助金额:$99.57万
-
财政年份:2016
-
负责人:JEROAN J ALLISON
-
依托单位:
Strengthening Translational Research in Diverse Enrollment (STRIDE)
-
批准号:9214797
-
项目类别:
-
资助金额:$106.93万
-
财政年份:2016
-
负责人:JEROAN J ALLISON
-
依托单位:
University of Massachusetts Center for Clinical and Translational Science
-
批准号:9253109
-
项目类别:
-
资助金额:$34.5万
-
财政年份:2015
-
负责人:JEROAN J ALLISON
-
依托单位:
Administrative Core
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批准号:8794280
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项目类别:
-
资助金额:$16.5万
-
财政年份:2015
-
负责人:JEROAN J ALLISON
-
依托单位:
Rapid Access to Perinatal Psychiatric Care in Depression Program (RAPPID): An Innovative Stepped-Care Approach for Obstetrics and Gynecology Clinics
-
批准号:9298379
-
项目类别:
-
资助金额:$50.0万
-
财政年份:2015
-
负责人:JEROAN J ALLISON
-
依托单位:
University of Massachusetts Center for Clinical and Translational Science
-
批准号:9127384
-
项目类别:
-
资助金额:$49.31万
-
财政年份:2015
-
负责人:JEROAN J ALLISON
-
依托单位:
We Talk About Our Hypertension
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批准号:8682001
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项目类别:
-
资助金额:$18.44万
-
财政年份:2014
-
负责人:JEROAN J ALLISON
-
依托单位:
UMass Center for Health Equity Intervention Research
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批准号:8610166
-
项目类别:
-
资助金额:$136.13万
-
财政年份:2012
-
负责人:JEROAN J ALLISON
-
依托单位:
Administrative Core
-
批准号:8354781
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项目类别:
-
资助金额:$20.63万
-
财政年份:2012
-
负责人:JEROAN J ALLISON
-
依托单位:
UMass Center for Health Equity Intervention Research
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批准号:8264645
-
项目类别:
-
资助金额:$144.4万
-
财政年份:2012
-
负责人:JEROAN J ALLISON
-
依托单位:
UMass Center for Health Equity Intervention Research
-
批准号:8736257
-
项目类别:
-
资助金额:$2.99万
-
财政年份:2012
-
负责人:JEROAN J ALLISON
-
依托单位:
UMass Center for Health Equity Intervention Research
-
批准号:8489337
-
项目类别:
-
资助金额:$130.19万
-
财政年份:2012
-
负责人:JEROAN J ALLISON
-
依托单位:
StoryGuides-Making Comparative Effectiveness Useful for Vulnerable Patients
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批准号:8009107
-
项目类别:
-
资助金额:$148.77万
-
财政年份:2010
-
负责人:JEROAN J ALLISON
-
依托单位:
Internet Intervention For Improving Rural Diabetes Care
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批准号:7155384
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项目类别:
-
资助金额:$0.15万
-
财政年份:2005
-
负责人:JEROAN J ALLISON
-
依托单位:
Internet Intervention For Improving Rural Diabetes Care
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批准号:6873979
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项目类别:
-
资助金额:$45.77万
-
财政年份:2005
-
负责人:JEROAN J ALLISON
-
依托单位:
Internet Intervention For Improving Rural Diabetes Care
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批准号:7226720
-
项目类别:
-
资助金额:$53.45万
-
财政年份:2005
-
负责人:JEROAN J ALLISON
-
依托单位:
海外基金