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dc.contributor.author
Beratarrechea, Andrea Gabriela
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dc.contributor.author
Abrahams Gessel, Shafika
dc.contributor.author
Irazola, Vilma
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dc.contributor.author
Gutierrez, Laura
dc.contributor.author
Moyano, Daniela Luz
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dc.contributor.author
Gaziano, Thomas A.
dc.date.available
2021-11-26T15:16:38Z
dc.date.issued
2019-04
dc.identifier.citation
Beratarrechea, Andrea Gabriela; Abrahams Gessel, Shafika; Irazola, Vilma; Gutierrez, Laura; Moyano, Daniela Luz; et al.; Using mHealth Tools to Improve Access and Coverage of People With Public Health Insurance and High Cardiovascular Disease Risk in Argentina: A Pragmatic Cluster Randomized Trial; American Heart Association; Journal of the American Heart Association; 8; 8; 4-2019; 1-24
dc.identifier.issn
2047-9980
dc.identifier.uri
http://hdl.handle.net/11336/147512
dc.description.abstract
Background-—Control of cardiovascular disease (CVD) risk factors is suboptimal in Argentina, despite the government’s provision of free blood pressure and cholesterol-lowering medications for people without private insurance. We assessed whether community health workers’ use of an integrated mHealth tool encourages patients to attend visits at primary care clinics to improve CVD risk management in 2 provinces of Argentina. Methods and Results-—We conducted a pragmatic cluster randomized trial, with primary care clinics randomly assigned to intervention or control. Eligible people were aged 40 to 79 years, lived in the catchment area of primary care clinics, possessed a mobile phone for personal use, had public health coverage, and a 10-year CVD risk ≥10%. In the control arm, community health workers screened for CVD risk using a paper-based tool and encouraged high-risk people to present to the primary care clinics for care. In the intervention arm, community health workers used the mHealth tool to calculate CVD risk and confirm a scheduled physician appointment. Primary outcomes were the proportion of participants who attended a baseline visit and completed at least 1 follow-up, respectively. We enrolled 755 people (376 interventions; 379 controls). Intervention participants were significantly more likely to complete baseline visits (49.4% versus 13.5%, P value 0.0008) and follow-up visits (31.9% versus 7.7%; P value 0.0041). The use of chronic medication and current smoking were significant predictors of primary outcomes. Conclusions-—Use of mHealth tools identifies patients at high CVD risk in their home, increases the likelihood of participating in chronic CVD risk factor management, and strengthens referrals.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
American Heart Association
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
ARGENTINA
dc.subject
CARDIOVASCULAR
dc.subject
MHEALTH
dc.subject
PREVENTION
dc.subject
SCREENING
dc.subject.classification
Epidemiología
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dc.subject.classification
Ciencias de la Salud
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Using mHealth Tools to Improve Access and Coverage of People With Public Health Insurance and High Cardiovascular Disease Risk in Argentina: A Pragmatic Cluster Randomized Trial
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2021-01-04T14:33:14Z
dc.journal.volume
8
dc.journal.number
8
dc.journal.pagination
1-24
dc.journal.pais
Estados Unidos
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dc.description.fil
Fil: Beratarrechea, Andrea Gabriela. 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
dc.description.fil
Fil: Abrahams Gessel, Shafika. Harvard University. Harvard School of Public Health; Estados Unidos
dc.description.fil
Fil: Irazola, Vilma. 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
dc.description.fil
Fil: Gutierrez, Laura. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Moyano, Daniela Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Gaziano, Thomas A.. Harvard University. Harvard School of Public Health; Estados Unidos
dc.journal.title
Journal of the American Heart Association
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://www.ahajournals.org/doi/10.1161/JAHA.118.011799
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1161/JAHA.118.011799
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