Journal article
Effectiveness of a scalable group-based education and monitoring program, delivered by health workers, to improve control of hypertension in rural India: A cluster randomised controlled trial.
Dilan Giguruwa Gamage, Michaela A Riddell, Rohina Joshi, Kavumpurathu R Thankappan, Clara K Chow, Brian Oldenburg, Roger G Evans, Ajay S Mahal, Kartik Kalyanram, Kamakshi Kartik, Oduru Suresh, Nihal Thomas, Gomathyamma K Mini, Pallab K Maulik, Velandai K Srikanth, Simin Arabshahi, Ravi P Varma, Rama K Guggilla, Fabrizio D'Esposito, Thirunavukkarasu Sathish Show all
PLoS Medicine | Public Library of Science (PLoS) | Published : 2020
Abstract
BACKGROUND: New methods are required to manage hypertension in resource-poor settings. We hypothesised that a community health worker (CHW)-led group-based education and monitoring intervention would improve control of blood pressure (BP). METHODS AND FINDINGS: We conducted a baseline community-based survey followed by a cluster randomised controlled trial of people with hypertension in 3 rural regions of South India, each at differing stages of epidemiological transition. Participants with hypertension, defined as BP ≥ 140/90 mm Hg or taking antihypertensive medication, were advised to visit a doctor. In each region, villages were randomly assigned to intervention or usual care (UC) in a 1:..
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Awarded by National Health and Medical Research Council
Funding Acknowledgements
This study was funded by the National Health & Medical Research Council (NHMRC, Australia; GNT 1040030). The funder of the study had no role in the study design, data collection, data analysis, data interpretation, or writing the report.