Health Condition 1: J449- Chronic obstructive pulmonary disease, unspecified Health Condition 2: I10- Essential (primary) hypertension Health Condition 3: E11- Type 2 diabetes mellitus
Conditions
Interventions
Intervention1: Experimental Health centers: Individual counseling and health education through non-physician health workers regarding behavioral and biological risk factors of NCDs and adherence to pr
Sponsors
Indira Gandhi Medical College Shimla
Eligibility
Inclusion criteria
Inclusion criteria: a) Patients with selected NCDs (cardiovascular diseases, diabetes mellitus, chronic obstructive pulmonary disease) reporting to the outpatient department of selected health facilities b) Patients who are likely to stay in the study area for at least six months
Exclusion criteria
Exclusion criteria: a) Patients with other NCDs like carcinomas, psychiatric disorders, asthma b) Those who are likely to leave the study area within next six months c) Those who refuse to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of patients with controlled blood pressure levels (BPâ?¤ 140/90 mmHg) after six months of follow up in the experimental group as compared to control group and baseline measuresTimepoint: At baseline and at two months , four months and six months of intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| Adherence to treatmentTimepoint: At baseline and 6 months of follow-up;Challenges to adherence to prescribed treatment and counseling/ health education on Healthy Behaviors by using in-depth interviews with non-physician health workers andFocus group discussions with study participantsTimepoint: At end of the study;Change of 10-year risk of developing cardiovascular disease (CVD) using the WHO/ International Society of Hypertension (ISH) risk-assessment charts for South East Asia RegionTimepoint: At baseline and 6 months of follow-up;The burden of patients with COPD reporting to the OPDs at the selected health center and associated risk factors of COPD. Proportion of patients who have control of COPD symptoms after counseling on cessation of tobacco use as compared to baseline.Timepoint: At baseline and at 6 months follow up;To assess the change in behavioral risk factors(e.g. Tobacco use, excessive alcohol intake, physical inactivity and an unhealthy diet) and biological risk factors (e.g. raised blood pressure, raised blood sugar, overweight/obesity) from baseline and as compared to control group Timepoint: At baseline and at two, four and six months of intervention | — |
Countries
India
Contacts
Public ContactDr Anupam Parashar
Indira Gandhi Medical College Shimla
Outcome results
None listed