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dc.contributor.author
Abrahams Gessel, Shafika
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Beratarrechea, Andrea Gabriela
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Irazola, Vilma
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Gutierrez, Laura
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Moyano, Daniela Luz
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Fernandez, Ariel
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Ciganda, Alvaro
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Celis, Leo Anthony
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Winkler, Eric
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Rubinstein, Adolfo Luis
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Gaziano, Thomas A.
dc.date.available
2020-02-17T20:19:28Z
dc.date.issued
2018-07
dc.identifier.citation
Abrahams Gessel, Shafika; Beratarrechea, Andrea Gabriela; Irazola, Vilma; Gutierrez, Laura; Moyano, Daniela Luz; et al.; Using mHealth tools to improve access, coverage and treatment of uninsured people with high cardiovascular disease risk in Argentina: A study protocol for a pragmatic cluster randomised trial; BMJ Publishing Group; BMJ Innovations; 4; 3; 7-2018; 135-141
dc.identifier.issn
2055-8074
dc.identifier.uri
http://hdl.handle.net/11336/97815
dc.description.abstract
Introduction Cardiovascular disease (CVD) accounts for approximately one-third of Argentina's deaths. Despite government provision of free primary care health services to the uninsured population, with a focus on non-communicable diseases, screening and management of those with high CVD risk at primary care clinics (PCCs) remain low. Methods and analysis This pragmatic cluster randomised trial will take place in two provinces of Argentina and will recruit 740 participants. Eight PCCs will be randomised to either the intervention or current practice arm. Community health workers (CHWs) in the intervention arm will be trained to use a set of integrated mHealth tools (a validated risk screening tool mobile application; electronic scheduling system using wireless access to PCCs; and educational text messages) to screen for CVD and to schedule appointments with primary care providers for persons with high CVD risk (≥10%). The primary aims of this study are to determine if the use of mHealth tools will (1) increase attendance of first appointments scheduled by CHWs for persons determined to have high risk for CVD during screening and, (2) lead to an increase in follow-up visits at PCCs by high risk patients. Secondary outcomes include assessing the proportion of high-risk patients receiving appropriate medications and a cost-effective analysis of the intervention. Ethics and dissemination This study has been approved by the Institutional Review Boards at Partners/Brigham and Women's Hospital (USA) and the Hospital Italiano de Buenos Aires (Argentina). The open-source software for the mHealth tools will be made publicly available at the end of the study. Trial registration number NCT02913339.
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application/pdf
dc.language.iso
eng
dc.publisher
BMJ Publishing Group
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
CARDIOVASCULAR
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MHEALTH
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PREVENTION
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PRIMARY CARE
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Otras Ciencias Médicas
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Otras Ciencias Médicas
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CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Using mHealth tools to improve access, coverage and treatment of uninsured people with high cardiovascular disease risk in Argentina: A study protocol for a pragmatic cluster randomised 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
2020-01-31T18:59:16Z
dc.identifier.eissn
2055-642X
dc.journal.volume
4
dc.journal.number
3
dc.journal.pagination
135-141
dc.journal.pais
Reino Unido
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dc.journal.ciudad
Londres
dc.description.fil
Fil: Abrahams Gessel, Shafika. Harvard University; Estados Unidos
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Fil: Beratarrechea, Andrea Gabriela. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Gutierrez, Laura. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Moyano, Daniela Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Fernandez, Ariel. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Ciganda, Alvaro. Instituto de Efectividad Clínica y Sanitaria; Argentina
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Fil: Celis, Leo Anthony. Massachusetts Institute of Technology; Estados Unidos
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Fil: Winkler, Eric. Massachusetts Institute of Technology; Estados Unidos
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Fil: Rubinstein, Adolfo Luis. Ministerio de Salud de la Nación; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
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Fil: Gaziano, Thomas A.. Harvard University; Estados Unidos. Brigham and Women’s Hospital; Estados Unidos
dc.journal.title
BMJ Innovations
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://innovations.bmj.com/content/4/3/135
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1136/bmjinnov-2017-000255
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