Effect of community-based intervention on self-management of blood pressure among hypertensive adults: findings from the Communities for Healthy Hearts Quasi-experimental Study in Vietnam

Khuong, Quynh Long; Bui, Phuong Linh; Adler, Alma J; Shellaby, Jason Thatcher; Aerts, Ann; McGuire, Helen; Bui, Van Truong; Tran, Tuan Anh; Le, Minh Dat; Nguyen, Thi My Linh; Hoang, Hong Hanh; Tran, Thu Ngan; Nguyen, Bao Ngoc; Nguyen, Thi Ngoc Phuong; Vuong, Van; Hoang, Van Minh

doi:10.35500/jghs.2020.2.e10

“…In a recent quasi-experimental study, CH2 interventions were found to significantly increase BP self-management activities such as accessing free BP checks, using BP diaries, and receiving and responding to SMS messages. Retention rates and adherence to treatment exceeded what was found in other studies, and the evidence suggests that the focus on self-care and treatment adherence contributed to these results as well as enabling people living with hypertension to manage their BP 31 .…”

Section: Discussionmentioning

confidence: 53%

Improving hypertension awareness and management in Vietnam through a community-based model

McGuire

¹

,

Vân²,

Thu³

et al. 2022

Sci Rep

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Hypertension prevalence in Vietnam is high, but few people are aware of their disease status. Detection, diagnosis, and treatment are limited, so new approaches are needed to improve awareness and manage the condition, especially at the primary health care level. The Communities for Healthy Hearts programme operated in four districts of Ho Chi Minh City, with the aim of increasing awareness and ensuring linkage to care. Interventions focused on extending services beyond health facilities to convenient community locations; training cadres of community volunteers to screen, refer, and follow up with clients; training health workers in facilities to diagnose, educate, and manage patients referred from the community; and supporting the process with digital case tracking. Community-based blood pressure screenings took place in client homes, commune health stations, and non-traditional sites such as coffee shops, dentists’ offices, marketplaces, neighbourhood watch/security posts, and tailor shops. In total, 121,273 adults aged 40 and older were screened. Of these, 25.1% had elevated blood pressure or a previous hypertension diagnosis and were referred to health facilities. Of those referred, 56.2% were confirmed to have hypertension, and of those confirmed, 75.2% were treated. Of those treated, 51.0% achieved blood pressure control, a favourable outcome over past programmes.

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“…Retention rates and adherence to treatment exceeded what was found in other studies, and the evidence suggests that the focus on self-care and treatment adherence contributed to these results as well as enabling people living with hypertension to manage their BP. [31] The COVID-19 pandemic has further highlighted the need for an inclusive strategy to build resilient health systems. Interventions such as those tested in CH2 provide valuable lessons learned to shape the way forward.…”

Section: Discussionmentioning

confidence: 99%

Improving hypertension awareness and management in Vietnam through a community-based model

McGuire¹,

Vân²,

Tu³

et al. 2022

Preprint

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0

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Hypertension prevalence in Vietnam is high, but few people are aware of their disease status. Detection, diagnosis, and treatment are limited, so new approaches are needed to improve awareness and manage the condition, especially at the primary health care level. The Communities for Healthy Hearts programme operated in four districts of Ho Chi Minh City, with the aim of increasing awareness and ensuring linkage to care. Interventions focused on extending services beyond health facilities to convenient community locations; training cadres of community volunteers to screen, refer, and follow up with clients; training health workers in facilities to diagnose, educate, and manage patients referred from the community; and supporting the process with digital case tracking. Community-based blood pressure screenings took place in client homes, commune health stations, and non-traditional sites such as coffee shops, dentists’ offices, marketplaces, neighbourhood watch/security posts, and tailor shops. In total, 121,273 adults aged 40 and older were screened. Of these, 25.1% had elevated blood pressure or a previous hypertension diagnosis and were referred to health facilities. Of those referred, 56.2% were confirmed to have hypertension, and of those confirmed, 75.2% were treated. Of those treated, 51.0% achieved blood pressure control, a favourable outcome over past programmes.

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“…Following these publications, Canadian hypertension experts were invited to partner with hypertension experts in other countries [11]. These included Brazil, Saudi Arabia, Vietnam [12], Mongolia, and Russia, and recently China [13] to improve the awareness, treatment, and control of hypertension with interventions based on CPD principles and patient engagement strategies. As an example, in the Yaroslavl region of Russia, the program included a strong emphasis on CPD and over 4 years was associated with a 95% relative increase in control of hypertension, and an almost 25% reduction in stroke incidence [14].…”

mentioning

confidence: 99%

Change of education strategy associated with slippage in Canadian hypertension awareness treatment and control rates

Tobe

¹

,

Campbell

²

,

Padwal

³

et al. 2021

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Effect of community-based intervention on self-management of blood pressure among hypertensive adults: findings from the Communities for Healthy Hearts Quasi-experimental Study in Vietnam

Cited by 4 publications

References 21 publications

Improving hypertension awareness and management in Vietnam through a community-based model

Improving hypertension awareness and management in Vietnam through a community-based model

Improving hypertension awareness and management in Vietnam through a community-based model

Change of education strategy associated with slippage in Canadian hypertension awareness treatment and control rates

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