Cardiovascular Risk Factor, Hypertension, Lifestyle
Conditions
Keywords
hypertension, cardiovascular risk factor, lifestyle
Brief summary
A quasi-experimental study design was chosen to compare the model of hypertension management at commune-level with conventional management for people with high blood pressure in two communes (one for intervention versus one for reference). A intervention model included the commune-based programme on hypertension management combined with comprehensive health promotion campaigns
Detailed description
A quasi-experimental study design was chosen: two communes were purposively selected from Ba-Vi setting: Phu-Phuong for reference and Phu-Cuong for intervention communes A hypertension management programme and the nested comprehensive health promotion campaigns were implemented simultaneously in Phu-Cuong while nothing performed in Phu-Phuong except for local conventional healthcare services. The health promotion campaigns aimed at smoking cessation, reduction of alcohol consumption, encourage of unsalted diet and physical activity, all of which targeted to every local inhabitants. The hypertension management programme focused on monthly check-ups, drug delivery and individual lifestyle consultation, all of which targeted to hypertensives only. Baseline cross-sectional survey was used to assess cardiovascular pattern in local community before intervention and recruit people with high blood pressure for the management programme in intervention commune Repeated cross-sectional surveys were used to evaluate the impacts of health promotion. Cohort study on hypertensives was used to evaluate the impacts of the management programme.
Interventions
OTHERCommune Hypertension Management
People with high blood pressure will be invited to join the management programme, with monthly check-up, delivery of multi anti-hypertensive drugs and lifestyle consultation. Antihypertensive drugs delivered to local patients included (1) low-dose hypothiazide diuresis, (2) calcium channel blocker and (3) ACEI
Sponsors
Vietnam National Heart Institute
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
25 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult people above 25
Exclusion criteria
* People deny to join the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of people with high blood pressure receiving treatment and being controlled in intervention commune | Baseline and after 3-year | Changes in proportion of treated and controlled hypertension after 3-years intervention compared to baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in prevalences of behavioral cardiovascular risk factors in intervention commune | Baseline and after 3-year | Changes in prevalence of behavioral cardiovascular risk factors after 3-years intervention compared to baseline |
| Changes in average blood pressure in the population in intervention commune | Baseline and after 3 years | Changes in average systolic and diastolic blood pressure in the studied population after 3-year intervention |
Countries
Vietnam
Outcome results
None listed