To Test the Effectiveness of a Trained Nurse Led, M-health Enabled Intervention to Control Blood Pressure in India

NCT ID: NCT03164317

Last Updated: 2021-07-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

1872 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-20

Study Completion Date

2021-03-31

Brief Summary

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This study evaluates the effect of a mobile health technology enabled trained nurse led intervention on control of blood pressure among patients with hypertension seeking care in the community health centres in the southern state of Andhra Pradesh, India. half the community health centres will receive the intervention and the other half will receive the routine care.

Detailed Description

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The burden of hypertension is very high in India but the control rates of hypertension are very low. One of the important reasons for this is the lack of awareness and the inability of the doctors working in busy out patient settings of public health facilities to care adequately for the patients. Hence there is a need for task shifting.

In this trial a trained nurse care coordinator will be placed in the Community Health Centres (CHCs) and she will be provided with an Electronic Decision Support System (EDSS), in the form of an android application installed on a tablet, to treat hypertension. The trial will be carried out in twelve CHCs of Visakhapatnam district in southern Indian state of Andhra Pradesh.

Conditions

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Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Intervention

Trained NCC together with electronic decision support system

Group Type ACTIVE_COMPARATOR

Intervention

Intervention Type OTHER

A trained nurse care coordinator enabled with a electronic decision support system placed at the CHCs to share the task of management of hypertension.

Control

No trained NCC and electronic decision support system

Group Type OTHER

Control

Intervention Type OTHER

No NCC or EDSS will be placed in the CHCs. Doctors working in the CHCs will be given training (one day) on evidence based management of hypertension

Interventions

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Intervention

A trained nurse care coordinator enabled with a electronic decision support system placed at the CHCs to share the task of management of hypertension.

Intervention Type OTHER

Control

No NCC or EDSS will be placed in the CHCs. Doctors working in the CHCs will be given training (one day) on evidence based management of hypertension

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Participants aged ≥30 years.
2. Willing to provide written informed consent for the study.
3. Identified as suffering from hypertension (≥160/100 mmHg) with or without co-morbidities such as left ventricular hypertrophy, heart failure, coronary artery disease, peripheral vascular disease, or diabetes mellitus

Exclusion Criteria

1. Participants aged \<30years
2. Unwilling/unable to provide written informed consent for the study
3. Having malignancies or life threatening conditions
4. Currently participating in other clinical trials
5. Those with plans to move residence in the year ahead.
Minimum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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All India Institute of Medical Sciences

OTHER

Sponsor Role collaborator

Indian Council of Medical Research

OTHER_GOV

Sponsor Role collaborator

Centre for Chronic Disease Control, India

OTHER

Sponsor Role lead

Responsible Party

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Dr. Dorairaj Prabhakaran

Executive Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dorairaj Prabhakaran, MD, DM

Role: PRINCIPAL_INVESTIGATOR

Centre for Chronic Disease Control

Locations

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Community Health Centre

Aganampudi, Andhra Pradesh, India

Site Status

Area Hospital

Anakapalle, Andhra Pradesh, India

Site Status

Community Health Centre

Araku, Andhra Pradesh, India

Site Status

Community Health Centre

Bhimili, Andhra Pradesh, India

Site Status

Community Health Centre

Chintapalli, Andhra Pradesh, India

Site Status

Community Health Centre

Chodavaram, Andhra Pradesh, India

Site Status

Community Health Centre

K Kotpadu, Andhra Pradesh, India

Site Status

Community Health Centre

Kotavaratla, Andhra Pradesh, India

Site Status

Community Health Centre

Nakkapalli, Andhra Pradesh, India

Site Status

Community Health Centre

Pāderu, Andhra Pradesh, India

Site Status

Community Health Centre

V Madugula, Andhra Pradesh, India

Site Status

Community Health Centre

Yelamanchili, Andhra Pradesh, India

Site Status

Countries

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India

References

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Srinivasapura Venkateshmurthy N, Mc Namara K, Koorts H, Mohan S, S Ajay V, Jindal D, Malipeddi BR, Roy A, Tandon N, Prabhakaran D, Worsley T, Maddison R, O'Reilly S. Process evaluation protocol for a cluster randomised trial of a complex, nurse-led intervention to improve hypertension management in India. BMJ Open. 2019 May 19;9(5):e027841. doi: 10.1136/bmjopen-2018-027841.

Reference Type DERIVED
PMID: 31110103 (View on PubMed)

Srinivasapura Venkateshmurthy N, Ajay VS, Mohan S, Jindal D, Anand S, Kondal D, Tandon N, Rao MB, Prabhakaran D. m-Power Heart Project - a nurse care coordinator led, mHealth enabled intervention to improve the management of hypertension in India: study protocol for a cluster randomized trial. Trials. 2018 Aug 7;19(1):429. doi: 10.1186/s13063-018-2813-2.

Reference Type DERIVED
PMID: 30086778 (View on PubMed)

Other Identifiers

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CCDC-2017-001

Identifier Type: -

Identifier Source: org_study_id

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