Heart Disease, Valvular, Rheumatic Heart Disease in Children
Conditions
Keywords
rheumatic heart disease, secondary antibiotic prophylaxis, adherence, community health workers
Brief summary
CAMPS Plus is a non-randomized extension cohort to assess the non-inferiority of a case manager only (CM) intervention when compared to case manager plus peer support group (CM+PG) to support secondary antibiotic prophylaxis (SAP) adherence in children with RHD
Detailed description
The objective of CAMPS Plus is to determine the minimum intervention needed to achieve secondary antibiotic prophylaxis (SAP) adherence for children newly diagnosed with rheumatic heart disease to further increase affordability and feasibility at scale. Aim 1: Determine the difference in 1-year SAP adherence rates of children newly diagnosed with RHD in Uganda receiving one of two support strategies: case manager only (CM) and case manager plus peer support group (CM + PG). Aim 2: Explore implementation determinants among case managers, participants, and participant families to inform deployment of program at scale.
Interventions
Participants will be assigned a community case manager who will provide case management support which will include a calendar of injection dates, weekly text messages, reminder call prior to scheduled penicillin injections, and home visits as needed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Between the ages of 5-20 years 2. Have a diagnosis of RHD detected through school-based screening echocardiography
Exclusion criteria
1. Medical contraindication to SAP (e.g., bleeding risk, allergy) 2. Co-morbid conditions that have already resulted in prescription of SAP (e.g., HIV, sickle cell disease, renal disease)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percent Secondary Antibiotic Prophylaxis Adherence | 12 months | continuous measure of days of antibiotic coverage, assuming one injection provides coverage for 28 days |
Countries
Uganda