Health Condition 1: null- â?¢ History of coronary heart disease, ischemic stroke, or hemorrhagic stroke, or Diabetes mellitus Health Condition 2: I63- Cerebral infarction Health Condition 3: I259- Chronic ischemic heart disease, unspecified Health Condition 4: I10- Essential (primary) hypertension Health Condition 5: E118- Type 2 diabetes mellitus with unspecified complications
Conditions
Interventions
Intervention1: Simplified Cardiovascular management programme: Villages in the control group will continue their usual practices while villages in the intervention group will receive the following int
2) simplify guideline-based CVD prevention and management schemes to suit local situations, emphasizing the importance of patient identification, referral, regular follow-up and a â??2+2â??model: 2 th
3) enhance the capacity of local CHWs in CVD prevention and management through systematic training
4) ensure the effectiveness of training through healthcare system strengthening that integrate township PCPs, EDS, performance feedback to CHWs and performance-based payment
5) being flexible and adaptive to incorporate insights gained from process evaluation and program implementation
and 6) enlist the help of government officials in implementing the management schemes
we do not anticipate any problem in obtaining such support owing to our rapport in working with them before.
Control Intervention1: Usual practice: Villages in the control group will continue thei
Sponsors
National Heart Lung and Blood Institute
Eligibility
Inclusion criteria
Inclusion criteria: All participants above the age of 40 years will be approached to participate regardless of gender, ethnic group, denomination, or other factors to assess their cardiovascular risk status.From this group subjects having elevated cardiovascular risk will be eligible for enrollment in study. High cardiovascular risk will be defined as: • History of coronary heart disease, ischemic stroke, or hemorrhagic stroke, or • Older age - 40 years or older and having diabetes mellitus, or • Older age (40 years or more) and systolic blood pressure more than 160 mmHg on two occasions at least one day apart.
Exclusion criteria
Exclusion criteria: The research proposes to study adults at high risk for cardiovascular disease, and excludes adults below the age of 40 years. Additional exclusions are: • Subjects with cardiovascular diseases complications whom cannot be managed at primary care settings • Subjects having Malignancy or life-threatening diseases; • Bed-ridden subjects; • Currently participating in a clinical trial;and • Subjects having plans to move in the next 1 year
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome will be the net differences between the changes in the proportion of high-risk individuals treated with low-dose diuretics pre-and-post intervention between intervention and control villages.Timepoint: 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| â?¢ The net difference in mean post-intervention blood pressure changes of high-risk patients from baseline between intervention and control villages; â?¢ The proportion of high-risk individuals aware of the harms of smoking or high-salt diet; â?¢ The proportion of high-risk individuals treated with aspirin; â?¢ The proportion of high-risk individuals receiving 5 or more follow-up visits in a year; â?¢ Hypertension awareness, treatment, and control rates. Timepoint: 12 months | — |
Countries
China, India
Contacts
Public ContactDr Vamadevan S Ajay
Public Health Foundation of India
Outcome results
None listed