Community-based management of arterial hypertension and cardiovascular risk factors by lay village health workers for people with controlled and uncontrolled blood pressure in rural Lesotho: joint protocol for two cluster-randomized trials within the ComBaCaL cohort study (ComBaCaL aHT Twic 1 and ComBaCaL aHT TwiC 2)

Autor:	Felix Gerber, Ravi Gupta, Thabo Ishmael Lejone, Thesar Tahirsylaj, Tristan Lee, Giuliana Sanchez-Samaniego, Maurus Kohler, Maria-Inés Haldemann, Fabian Raeber, Mamakhala Chitja, Malebona Mathulise, Thuso Kabi, Mosoetsi Mokaeane, Malehloa Maphenchane, Manthabiseng Molulela, Makhebe Khomolishoele, Mota Mota, Sesale Masike, Matumaole Bane, Mamoronts’ane Pauline Sematle, Retselisitsoe Makabateng, Madavida Mphunyane, Sejojo Phaaroe, Dave Brian Basler, Kevin Kindler, Thilo Burkard, Matthias Briel, Frédérique Chammartin, Niklaus Daniel Labhardt, Alain Amstutz
Jazyk:	angličtina
Rok vydání:	2024
Předmět:	Arterial hypertension Community-based care Village Health Workers Community health worker Clinical decision support system Non-communicable diseases Medicine (General) R5-920
Zdroj:	Trials, Vol 25, Iss 1, Pp 1-11 (2024)
Druh dokumentu:	article
ISSN:	1745-6215
DOI:	10.1186/s13063-024-08226-2
Popis:	Abstract Background Arterial hypertension (aHT) is a major cause for premature morbidity and mortality. Control rates remain poor, especially in low- and middle-income countries. Task-shifting to lay village health workers (VHWs) and the use of digital clinical decision support systems may help to overcome the current aHT care cascade gaps. However, evidence on the effectiveness of comprehensive VHW-led aHT care models, in which VHWs provide antihypertensive drug treatment and manage cardiovascular risk factors is scarce. Methods Using the trials within the cohort (TwiCs) design, we are assessing the effectiveness of VHW-led aHT and cardiovascular risk management in two 1:1 cluster-randomized trials nested within the Community-Based chronic disease Care Lesotho (ComBaCaL) cohort study (NCT05596773). The ComBaCaL cohort study is maintained by trained VHWs and includes the consenting inhabitants of 103 randomly selected villages in rural Lesotho. After community-based aHT screening, adult, non-pregnant ComBaCaL cohort participants with uncontrolled aHT (blood pressure (BP) ≥ 140/90 mmHg) are enrolled in the aHT TwiC 1 and those with controlled aHT (BP
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/0a7580391b414c23819daed8eeef9f77 Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.