Key result
A community-based intervention program using trained local volunteers significantly increased the odds of hypertension control (OR 4.39) compared to baseline in a rural Indian population.
Why the study?
Does a community-based intervention program using trained volunteers improve the awareness, treatment, and control of hypertension in rural adults?
Observational (n=6,890)
No
Does a community-based intervention program using trained volunteers improve the awareness, treatment, and control of hypertension in rural adults?
A community-based intervention utilizing trained local volunteers over 6 years significantly improved the awareness, treatment, and control of hypertension in a rural Indian population.
May support volunteer-led programs for rural hypertension control; leaves open need for randomized confirmation before practice change.
OBJECTIVE: Community based intervention to control hypertension is extremely limited in India. We conducted this study to find the effectiveness of a community based intervention program on the awareness, treatment and control of hypertension. METHODS: A baseline survey was conducted among 4627 adults aged ≥30 years (men 44%) selected by cluster sampling. Information was collected using a structured interview schedule by trained local volunteers. They measured weight, height, waist circumference and blood pressure using standard protocol. The volunteers monitored blood pressure at least once a month and educated the people in neighborhood groups on the need for regular medication and reducing risk factors of hypertension for a period of six years. A post intervention survey was conducted among 2263 adults aged ≥30 years (men 49%). Stepwise logistic regression analysis was done to find the odds of change in awareness, treatment and control of hypertension. RESULTS: The odds of awareness (OR 4.18, 95% CI 3.44-5.08), treatment (OR 3.44 CI 2.81-4.22) and control (OR 4.39 CI 3.36-5.73) of hypertension increased significantly in the post intervention survey compared to the baseline survey. Baseline hypertension prevalence of 34.9% (CI 33.8-36.1) was reduced to 31.0% (CI 29.1-32.9) in the post intervention survey based on age adjusted analysis. CONCLUSION: Our community based intervention using trained community based volunteers could increase awareness, treatment and control of hypertension among adult hypertensives.
No takes yet. Share an insight, caveat, or question.
Thankappan et al. (2013) conducted an observational in Hypertension (n=6,890). Community based intervention program (health education and blood pressure monitoring by trained volunteers) vs. Baseline (pre-intervention) was evaluated on Control of hypertension (OR 4.39, 95% CI 3.36-5.73, p=<0.001). A community-based intervention program using trained local volunteers significantly increased the odds of hypertension control (OR 4.39) compared to baseline in a rural Indian population.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: