Health Condition 1: E08-E13- Diabetes mellitus Health Condition 2: I10-I16- Hypertensive diseases
Conditions
Interventions
Intervention1: I-TREC: We are using a quasi-experimental design in which we are evaluating healthcare indicators in the community before and after the I-TREC facility-level IT intervention has been im
(2) use of mobile text messaging for referral and appointment reminders to promote patient retention in care and better adherence to lifestyle and medication recommendations
(3) provision of electronic clinical decision support system (DSS) to assist providers with tailoring guideline-based care to individual patient needs
and (5) training of designated individuals at each level of healthcare in care coordination strategies to improve continuity of hypertension and diabetes care in the Indian population.
Control Interv
Sponsors
All India Institute of Medical Sciences AIIMS
Centre for Chronic Disease Control CCDC
Emory University
Eligibility
Inclusion criteria
Inclusion criteria: This is not a traditional trial in which we will enroll patients. Instead, investigators will be provided with de-identified data of all patients who seek care for hypertension and/or diabetes in a government health facility within the intervention block. Because the data are collected in the course of providing routine care to patients, no additional criteria apply.1) All adults seeking diagnosis of, or care for, hypertension or diabetes at a public health facilities in the intervention block
Exclusion criteria
Exclusion criteria: None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in the mean change in systolic blood pressure from baseline and at 3 year after intervention initiation at the community-level between the I-TREC and comparison block among patient with hypertension. Please note that these data will come from a strictly observational survey conducted in the community.Timepoint: 2 i.e at baseline and at 3 years | — |
Secondary
| Measure | Time frame |
|---|---|
| Difference between I-TREC and comparison block at baseline and at 3 years after intervention initiation: 1. In the mean change in fasting plasma glucose at the community-level among patient with type-2 diabetes 2. Percent of individuals with hypertension and diabetes who have controlled blood pressure and blood sugar, respectively 3. In mean change in systolic blood pressure and fasting plasma glucose among patients who are observed more than once in the health facilities Timepoint: 2 i.e at baseline and at 3 year | — |
Countries
India
Contacts
Public ContactDr Nikhil Tandon
All India Institute of Medical Sciences
Outcome results
None listed