Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
November 3, 2009

Community-based interventions to promote blood pressure control in a developing country: a cluster randomized trial.

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does a combination of family-based home health education and general practitioner training reduce systolic blood pressure in hypertensive adults?

Population

1341 patients 40 years or older with hypertension in Karachi, Pakistan.

Comparison

Family-based home health education from lay… vs GP-only training, HHE-only, or no intervention.

Design

RCT, Cluster randomized, 2 x 2 factorial

Follow-up

2 years

Authors

TJTazeen H. JafarPreventive CardiologyJHJuanita HatcherAga Khan UniversityNPNeil PoulterImperial College London

Discussion

Loading...

Member takes

Implication

Supports combined HHE and GP training to lower SBP in hypertensive adults; extends RCT evidence to developing-country settings.

Structured PICO

Does a combination of family-based home health education and general practitioner training reduce systolic blood pressure in hypertensive adults?

P
Population
1341 patients 40 years or older with hypertension (systolic blood pressure ≥140 mm Hg, diastolic blood pressure ≥90 mm Hg, or already receiving treatment) in Karachi, Pakistan.
I
Intervention
Family-based home health education (HHE) from lay health workers every 3 months and annual training of general practitioners (GPs) in hypertension management.
C
Comparator
GP-only training, HHE-only, or no intervention.
O
Outcome
Reduction in systolic blood pressure from baseline to end of follow-up at 2 years.surrogate

A combined community-based intervention of home health education and general practitioner training significantly reduced systolic blood pressure in hypertensive adults in a developing country setting.

Limitations

  • Follow-up blood pressure measurements were missing for 22% of patients.
  • No mechanism was detected by which interventions lowered blood pressure.

Cite This Study

Jafar et al. (2009) studied this question.

synapsesocial.com/papers/6a0137be6018b8d0892deceehttps://doi.org/10.7326/0003-4819-151-9-200911030-00004

Topics

Hypertension management
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1India launches national rural health mission2005 · 22 citations
  2. 2General Practitioners’ Approach to Hypertension in Urban Pakistan2005 · 80 citations
  3. 3Transformation of Health Care in China1984 · 130 citations
  4. 4Continued Improvement in Hypertension Management in England2009 · 252 citations
  5. 5Consort 2010 statement: extension to cluster randomised trials2012 · 3,627 citations