Hypertension in adults aged 30-80 years Circulatory System
Conditions
Interventions
The intervention comprises four core components aimed at enhancing hypertension management in rural Kenya and The Gambia.
First, the intervention involves task-sharing between clinicians and communi
Sponsors
London School of Hygiene & Tropical Medicine
Eligibility
Sex/Gender
All
Age
30 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Aged 30 to 80 years old at the time of consent 2. Able to complete all study procedures
Exclusion criteria
Exclusion criteria: 1. Existing hypertension treatment (self-reported) 2. Pregnant women (self-reported) 3. Women who are breastfeeding (self-reported)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcomes involve the feasibility and acceptability of a community-based hypertension management intervention in rural Kenya and The Gambia, to inform the design of a future full-scale trial. Feasibility will be assessed through the following key variables: 1. Reach and dose measured using data collected on sampling rate, eligibility rate, consenting rate, screening rate, data completeness, data accuracy, loss to follow-up rate, delayed follow-up rate, withdrawal rate, and retention ratio 2. Fidelity measured using data collected during direct observations of healthcare workers to determine their adherence to the intervention protocols and training received 3. Adoption and acceptability measured using data collected during qualitative interviews and focus group discussions with healthcare providers and participants to evaluate the extent to which the intervention is accepted and integrated into existing healthcare practices. These variables will be systematically measured using standardised data collection instruments and protocols throughout the study period to ensure consistency and reliability at multiple points throughout the study: at baseline screening by community healthcare workers, at referral clinics by healthcare providers, and follow-up visits by community health care workers, mid-term evaluations, and post-intervention, to ensure continuous monitoring and accurate assessment of the intervention’s practicality and acceptance. | — |
Secondary
| Measure | Time frame |
|---|---|
| Direct and indirect costs to patients and their households and the healthcare system associated with the implementation of the intervention and standard care. The two primary sources for resource use estimation will be: reviews of financial and project records during the intervention duration and interviews with project staff and front-line healthcare providers for time and resource use over the past month. Prospective time and motion studies will also be conducted including direct observation of staff carrying out their normal duties and asking staff to fill time sheets over a typical week of work. | — |
Countries
Gambia, Kenya
Contacts
Public ContactPablo;Anthony Perel;Etyang
;
Outcome results
None listed