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June 10, 2022PLoS ONEOpen Access

The impact of community-based non-pharmacological interventions on cardiovascular and kidney disease outcomes in remote dwelling Indigenous communities: A scoping review protocol

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Why the study?

Indigenous populations face a disproportionately high burden of CVD and CKD, and a review protocol was needed to assess non-pharmacological interventions aimed at reducing these risks.

Do community-based non-pharmacological interventions reduce cardiovascular and kidney disease risk factors in remote dwelling Indigenous communities?

Population

Indigenous and remote dwelling populations

Comparison

Non-pharmacological interventions targeted at reducing CVD or CKD

Design

Scoping review protocol

Key result

Community-based non-pharmacological interventions for cardiovascular and kidney disease outcomes in remote Indigenous communities will be evaluated in this planned scoping review.

Authors

IOIkechi G. OkpechiVHVinash K HariramaniNSNaima Sultana

Discussion

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Overview

Does not alter clinical management in remote Indigenous communities; leaves open the effectiveness of community-based interventions pending review completion.

Structured PICO

Do community-based non-pharmacological interventions reduce cardiovascular and kidney disease risk factors in remote dwelling Indigenous communities?

P
Population
A scoping review protocol to evaluate the impact of community-based non-pharmacological interventions on cardiovascular and kidney disease outcomes in remote dwelling Indigenous populations.
I
Intervention
Community-based non-pharmacological interventions (exercise, nutritional/diet-based, educational, telehealth, healthcare worker, organizational/facility-based, multi-faceted, and culturally appropriate interventions)
C
Comparator
Control group or baseline results for single group pre-test and post-test studies
O
Outcome
Changes in behavioral (smoking, improved dietary choices, increased physical activity, reduced alcohol consumption), clinical (reduced blood pressure and weight/BMI), and biochemical (improved glycaemic index and reduced serum lipids) cardiovascular risk factors, as well as improvements in biochemical kidney disease outcomes (reduced urine protein excretion and improvements in serum creatinine and/or eGFR)

This protocol outlines a planned scoping review to evaluate the impact of non-pharmacological interventions on cardiovascular and kidney disease outcomes in remote Indigenous communities using the RE-AIM framework.

Limitations

  • Low reporting of outcomes from identified studies, especially kidney disease related outcomes
  • Search criteria focused predominantly on Indigenous populations in North America and Western Pacific countries

Cite This Study

Okpechi et al. (2022) conducted a review in Cardiovascular disease and chronic kidney disease. Community-based non-pharmacological interventions vs. Control group or baseline was evaluated on Changes in behavioral, clinical, and biochemical cardiovascular risk factors and kidney disease outcomes. Community-based non-pharmacological interventions for cardiovascular and kidney disease outcomes in remote Indigenous communities will be evaluated in this planned scoping review.

synapsesocial.com/papers/6a93f4193c3b3bc8ec6d172ehttps://doi.org/10.1371/journal.pone.0269839
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