Intervention Study on Hypertension Management Combined With Health Promotion at Commune Level

Study Overview
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Brief Summary
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A quasi-experimental study design was chosen to compare the model of hypertension management at commune-level with conventional management for people with high blood pressure in two communes (one for intervention versus one for reference). A intervention model included the commune-based programme on hypertension management combined with comprehensive health promotion campaigns

Detailed Description
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A quasi-experimental study design was chosen: two communes were purposively selected from Ba-Vi setting: Phu-Phuong for reference and Phu-Cuong for intervention communes A hypertension management programme and the nested comprehensive health promotion campaigns were implemented simultaneously in Phu-Cuong while nothing performed in Phu-Phuong except for local conventional healthcare services. The health promotion campaigns aimed at smoking cessation, reduction of alcohol consumption, encourage of unsalted diet and physical activity, all of which targeted to every local inhabitants. The hypertension management programme focused on monthly check-ups, drug delivery and individual lifestyle consultation, all of which targeted to hypertensives only. Baseline cross-sectional survey was used to assess cardiovascular pattern in local community before intervention and recruit people with high blood pressure for the management programme in intervention commune Repeated cross-sectional surveys were used to evaluate the impacts of health promotion. Cohort study on hypertensives was used to evaluate the impacts of the management programme.

Official Title
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Quasi-experimental Intervention Study on Hypertension Management Combined With Comprehensive Healthy Lifestyle Promotion at Commune Level

Conditions
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Hypertension, Cardiovascular Risk Factor, Lifestyle

Intervention / Treatment
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* Other: Commune Hypertension Management


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult people above 25 Exclusion Criteria: People deny to join the study

Ages Eligible for Study
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Minimum Age: 25 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Conventional Healthcare services<br>People with high blood pressure detected during screening survey or opportunistically during study period will be referred to receive the conventional health care services for hypertension at district hospital or local commune health station | |
| Experimental: Commune Hypertension Management<br>People with high blood pressure were managed in commune-based hypertension management programme | Other: Commune Hypertension Management<br>* People with high blood pressure will be invited to join the management programme, with monthly check-up, delivery of multi anti-hypertensive drugs and lifestyle consultation. Antihypertensive drugs delivered to local patients included (1) low-dose hypothiazide diuresis, (2) calcium channel blocker and (3) ACEI<br>* Other names: Commune-based Hypertension Management;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of people with high blood pressure receiving treatment and being controlled in intervention commune | Changes in proportion of treated and controlled hypertension after 3-years intervention compared to baseline | Baseline and after 3-year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in prevalences of behavioral cardiovascular risk factors in intervention commune | Changes in prevalence of behavioral cardiovascular risk factors after 3-years intervention compared to baseline | Baseline and after 3-year | 
| Changes in average blood pressure in the population in intervention commune | Changes in average systolic and diastolic blood pressure in the studied population after 3-year intervention | Baseline and after 3 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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hypertension, cardiovascular risk factor, lifestyle