Designing interventions for blood pressure control in challenging settings: Active not passive intervention is needed

Padwal, Raj

doi:10.1111/jch.13431

Cited by 3 publications

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 40 The remaining 7 articles were commentary pieces or reviews that did not enroll patients, but still provided insights relevant to our objectives. 54 , 55 , 56 , 57 , 58 , 59 , 60 The articles included 23 full-length articles and 14 abstracts. The articles were published from 2010 to 2021, with nearly half (n = 16) published in the past 5 years.…”

Section: Resultsmentioning

confidence: 99%

“…In an editorial commentary about this study, Padwal suggested that passive virtual care interventions like text messages are unlikely to be effective and that more dynamic interventions such as tele-transmitting blood pressure devices are a better strategy. 56 Further cultural engagement with Indigenous communities is needed to have 2-eyed seeing initiated with Indigenous ways of knowing to evaluate the approaches and goals for CVD management. 68 …”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Virtual Care With Digital Technologies for Rural Canadians Living With Cardiovascular Disease

et al. 2022

View full text Add to dashboard Cite

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Virtual Care With Digital Technologies for Rural Canadians Living With Cardiovascular Disease

et al. 2022

View full text Add to dashboard Cite

“…52 In an editorial commentary about this study, Padwal suggests that passive virtual care interventions like text messages are unlikely to be effective and that more dynamic interventions such as tele-transmitting blood pressure devices are a better strategy. 53 Further cultural engagement with Indigenous communities is needed to have two-eyed seeing initiated with Indigenous ways of knowing to approaches and goals for CVD management. 54…”

Section: Resultsmentioning

confidence: 99%

Virtual care with digital technologies for rural and remote Canadians living with cardiovascular disease

Buyting

Melville

Chatur

et al. 2020

Preprint

View full text Add to dashboard Cite

Canada is a wealthy nation with a geographically diverse population, seeking health innovations to better serve patients in accordance with the Canada Health Act. In this country, population and geography converge with social determinants, policy, procurement regulations, and technological advances, in order to achieve equity in the management and distribution of healthcare. Rural and remote patients are a vulnerable population; when managing chronic conditions such as cardiovascular disease, there is inequity when it comes to accessing specialist physicians at the recommended frequency—increasing the likelihood of poor health outcomes. Ensuring equitable care for this population is an unrealized priority of several provincial and federal government mandates. Virtual care technology may provide practical, economical, and innovative solutions to remedy this discrepancy. Here we review the literature pertaining to the use of virtual care technologies to monitor patients with cardiovascular disease living in rural areas of Canada. A search strategy was developed to identify the literature specific to this context across three bibliographic databases. 166 unique citations were ultimately assessed for eligibility, of which 36 met the inclusion criteria. In our assessment of these articles, we provide a summary of the interventions studied, their reported effectiveness in reducing adverse events and mortality, the challenges to implementation, and the receptivity of these technologies amongst patients, providers and policy makers. Further, we glean insight into the barriers and opportunities to ensure equitable care for rural patients and conclude that there is an ongoing need for clinical trials assessing virtual care technologies in this context.SummaryPatients living in rural and remote communities’ experience diverse challenges to receiving equitable healthcare as is mandated by the Canada Health Act. Advances in virtual care technology may provide practical, economical, and innovative solutions to ensure this for patients in remote and rural living situations. Here we provide a state-of-the-art review of virtual care technologies available to patients with cardiovascular disease living in rural areas of Canada.

show abstract

“…With poor access to healthcare being a defining characteristic of a tribal community, the components of any intervention model will have to include the role of community health workers (CHWs), mobile clinics and use of technology to make a seamless package of services. Active interventions including the use of non-physician practitioners such as pharmacists and use of mHealth interventions were advocated to achieve blood pressure control in the rural and remote Canadian First Nations 14 . A three years cluster randomized controlled trial currently underway in 32 villages of Gadchiroli at Madhya Pradesh, India, to test a package of interventions (screening by trained CHWs; referral to a mobile outreach clinic for initiation of treatment and follow up and counselling by the CHWs through monthly home visits) can provide important insights on the feasibility and effectiveness of this approach for addressing hypertension in the tribal populations of India 15 .…”

mentioning

confidence: 99%

Addressing hypertension among tribal people of India

Krishnan

2021

Indian Journal of Medical Research

View full text Add to dashboard Cite

Designing interventions for blood pressure control in challenging settings: Active not passive intervention is needed

Cited by 3 publications

References 11 publications

Virtual Care With Digital Technologies for Rural Canadians Living With Cardiovascular Disease

Virtual Care With Digital Technologies for Rural Canadians Living With Cardiovascular Disease

Virtual care with digital technologies for rural and remote Canadians living with cardiovascular disease

Addressing hypertension among tribal people of India

Contact Info

Product

Resources

About