Key result
Continuing health education protocol achieves ~95% adherence and drives universal primary care action plan development.
Why the study?
Behavioral changes are a cornerstone of CVD prevention and treatment but are challenging to implement, and validated protocols may support this process.
Does a continuing health education protocol involving in-person workshops and online training enable the development of local action plans and achieve high satisfaction among primary health care professionals managing hypertension and diabetes?
Does a continuing health education protocol involving in-person workshops and online training enable the development of local action plans and achieve high satisfaction among primary health care professionals managing hypertension and diabetes?
A structured continuing education program combining in-person workshops and online modules is feasible in low-HDI primary care settings and effectively engages multidisciplinary teams to create tailored action plans for hypertension and diabetes management.
Answers are grounded in this paper and cite their sources.
Supports feasibility in low-HDI primary care; leaves open effects on hypertension and diabetes outcomes.
Background: Cardiovascular diseases (CVD) are the leading cause of death worldwide, and behavioral changes are a cornerstone of their prevention and treatment. However, implementing such changes can be challenging, and the use of validated protocols may support this process. Objectives: To develop, implement, and evaluate a continuing education protocol for primary care professionals focused on creating and monitoring action plans for the care of patients with arterial hypertension (AH) and diabetes mellitus (DM). Methods: The strategy involved 20 hours of in-person workshops and 15 hours of online training, based on Ministry of Health guidelines and covering topics such as physical activity, nutrition, and lifestyle. Evaluation was conducted through the development of team-based action plans and the administration of a satisfaction questionnaire. Results: The model was implemented in five municipalities, with 166 healthcare professionals participating in the in-person workshops. All teams developed action plans to implement the covered topics within their local contexts. The workshops on physical activity, nutrition, and lifestyle change were mostly rated as “good,” “very good,” or “excellent.” The most frequently mentioned terms in the qualitative assessments were “content,” “knowledge,” and “practices.” The strategy proved feasible, and partnerships with local public institutions enabled the active involvement of health professionals in proposing solutions to identified issues (Central Illustration). Conclusion: The action plans were tailored to local realities and reflected a high level of satisfaction with both the content and the hands-on approach of the sessions.
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Soares et al. (2025) studied Arterial hypertension and diabetes mellitus management in primary health care (n=166). Permanent health education (PHE) protocol (20 hours of in-person workshops and 15 hours of online training on physical activity, nutrition, and lifestyle) was evaluated on Development of team-based action plans and participant satisfaction evaluation. The continuing health education protocol engaged 166 primary care professionals (95% slot adherence) across five municipalities, resulting in all teams developing local action plans with high satisfaction.
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