INVESTIGADORES
AUGUSTOVSKI Federico Ariel
artículos
Título:
Comprenhensive approach for hypertension control in low-income populations: rationale and study design for hypertension control program in Argentina
Autor/es:
MILLS KT; RUBINSTEIN, A.; IRAZOLA V; CHEN J; BERATARRECHEA, A.; POGGIO, R; DOLAN J; AUGUSTOVSKI, F.; SHI L; KROUSEL-WOOD M; BAZZANO LA; HE J
Revista:
Am J Med Sci
Editorial:
The American Journal
Referencias:
Año: 2014 p. 139 - 145
Resumen:
Although the efficacy and effectiveness of lifestyle
modifications and antihypertensive pharmaceutical treatment for
the prevention and control of hypertension and concomitant
cardiovascular disease have been demonstrated in randomized
controlled trials, this scientific knowledge has not been fully applied
in the general population, especially in low-income communities.
This article summarizes interventions to improve hypertension
management and describes the rationale and study design for
a cluster randomized trial testing whether a comprehensive intervention
program within a national public primary care system will
improve hypertension control among uninsured hypertensive men
and women and their families. We will recruit 1,890 adults from 18
clinics within a public primary care network in Argentina. Clinic
patients with uncontrolled hypertension, their spouses and hypertensive
family members will be enrolled. The comprehensive
intervention program targets the primary care system through health
care provider education, a home-based intervention among patients
and their families (home delivery of antihypertensive medication,
self-monitoring of blood pressure [BP], health education for
medication adherence and lifestyle modification) conducted by
community health workers and a mobile health intervention. The
primary outcome is net change in systolic BP from baseline to month
18 between intervention and control groups among hypertensive
study participants. The secondary outcomes are net change in
diastolic BP, BP control and cost-effectiveness of the intervention.
This study will generate urgently needed data on effective, practical
and sustainable intervention programs aimed at controlling hypertension
and concomitant cardiovascular disease in underserved
populations in low- and middle-income countries.