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dc.contributor.author
Paniagua Avila, Alejandra
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Fort, Meredith P.
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Glasgow, Russell E.
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Gulayin, Pablo Elías
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Hernández Galdamez, Diego
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Mansilla, Kristyne
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Palacios, Eduardo
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Peralta, Ana Lucia
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Roche, Dina
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Rubinstein, Adolfo Luis
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He, Jiang
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Ramirez Zea, Manuel
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Irazola, Vilma
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dc.date.available
2021-10-01T11:37:21Z
dc.date.issued
2020-06
dc.identifier.citation
Paniagua Avila, Alejandra; Fort, Meredith P.; Glasgow, Russell E.; Gulayin, Pablo Elías; Hernández Galdamez, Diego; et al.; Evaluating a multicomponent program to improve hypertension control in Guatemala: Study protocol for an effectiveness-implementation cluster randomized trial; BioMed Central; Trials; 21; 1; 6-2020; 1-11
dc.identifier.issn
1745-6215
dc.identifier.uri
http://hdl.handle.net/11336/142202
dc.description.abstract
Background: Hypertension is a major risk factor for cardiovascular disease (CVD). Despite advances in hypertension prevention and treatment, the proportion of patients who are aware, treated and controlled is low, particularly in low-income and middle-income countries (LMICs). We will evaluate an adapted version of a multilevel and multicomponent hypertension control program in Guatemala, previously proven effective and feasible in Argentina. The program components are: protocol-based hypertension treatment using a standardized algorithm; team-based collaborative care; health provider education; health coaching sessions; home blood pressure monitoring; blood pressure audit; and feedback.Methods: Using a hybrid type 2 effectiveness-implementation design, we will evaluate clinical and implementation outcomes of the multicomponent program in Guatemala over an 18-month period. Through a cluster randomized trial, we will randomly assign 18 health districts to the intervention arm and 18 to enhanced usual care across five departments, enrolling 44 participants per health district and 1584 participants in total. The clinical outcomes are (1) the difference in the proportion of patients with controlled hypertension (< 130/80 mmHg) between the intervention and control groups at 18 months and (2) the net change in systolic and diastolic blood pressure from baseline to 18 months. The context-enhanced Reach, Efficacy, Adoption, Implementation, Maintenance (RE-AIM)/Practical Robust Implementation and Sustainability Model (PRISM) framework will guide the evaluation of the implementation at the level of the patient, provider, and health system. Using a mixed-methods approach, we will evaluate the following implementation outcomes: acceptability, adoption, feasibility, fidelity, adaptation, reach, sustainability, and cost-effectiveness.Discussion: We will disseminate the study findings, and promote scale up and scale out of the program, if proven effective. This study will generate urgently needed data on effective, adoptable, and sustainable interventions and implementation strategies to improve hypertension control in Guatemala and other LMICs.
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application/pdf
dc.language.iso
eng
dc.publisher
BioMed Central
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by/2.5/ar/
dc.subject
CARDIOVASCULAR DISEASE
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GUATEMALA
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HEALTH SYSTEMS
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HYPERTENSION
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IMPLEMENTATION SCIENCE
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IMPLEMENTATION STRATEGIES
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LOW-INCOME AND MIDDLE-INCOME COUNTRIES
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MULTICOMPONENT PROGRAM
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NON-COMMUNICABLE DISEASES
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PRIMARY CARE
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Otras Ciencias de la Salud
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Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Evaluating a multicomponent program to improve hypertension control in Guatemala: Study protocol for an effectiveness-implementation cluster randomized trial
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
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info:eu-repo/semantics/publishedVersion
dc.date.updated
2021-09-07T15:00:22Z
dc.journal.volume
21
dc.journal.number
1
dc.journal.pagination
1-11
dc.journal.pais
Reino Unido
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dc.journal.ciudad
Londres
dc.description.fil
Fil: Paniagua Avila, Alejandra. Columbia University; Estados Unidos
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Fil: Fort, Meredith P.. Institute Of Nutrition Of Central America And Panamá; Guatemala
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Fil: Glasgow, Russell E.. University of Colorado; Estados Unidos
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Fil: Gulayin, Pablo Elías. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Hernández Galdamez, Diego. institute of Nutrition of Central America and Panamá; Guatemala
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Fil: Mansilla, Kristyne. institute of Nutrition of Central America and Panamá; Guatemala
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Fil: Palacios, Eduardo. Ministerio de Salud y Asistencia Social; Guatemala
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Fil: Peralta, Ana Lucia. Institute of Nutrition of Central America and Panamá ; Guatemala
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Fil: Roche, Dina. Institute of Nutrition of Central America and Panamá ; Guatemala
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Fil: Rubinstein, Adolfo Luis. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
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Fil: He, Jiang. University Translational Science Institute; Estados Unidos
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Fil: Ramirez Zea, Manuel. Institute of Nutrition of Central America and Panamá ; Guatemala
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Fil: Irazola, Vilma. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.journal.title
Trials
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-020-04345-8
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info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1186/s13063-020-04345-8
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