Effectiveness of a comprehensive blood pressure control program in primary health care in Peru

Kim, Jong Koo; Jo, Hyeyeon; Malo, Miguel Á.; Nam, Eun Woo

doi:10.26633/rpsp.2020.18

Cited by 15 publications

(18 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Mean SMASc scores from 0-weeks were the following for each domain: Knowledge (11), goals for the future (8), daily routines (10), emotional adjustment (9), and social support (11). The 0-week questionnaire demonstrated one participant required immediate need for self-management support, while 4 of participants demonstrated no acute need for self-management support for certain domains.…”

Section: Resultsmentioning

confidence: 99%

“…Two of participants produced scores re ecting no need for self-management support. The mean SMASc scores at 12-weeks were the following for each domain: Knowledge (12), goals for the future (12), daily routines (11), emotional adjustment (11), and social support (12). At 12-weeks 100% of participants had SMACs scores that were re ective of no need for self-management support.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Targeting Hypertension in a Low-Income, Uninsured Population Through a Self-Management Program

Stock¹

2022

Preprint

View full text Add to dashboard Cite

PurposeSelf-management is a crucial skill for optimal management of chronic health conditions such as hypertension. Low-income and uninsured individuals are especially vulnerable to the risks and complications associated with hypertension. Self-management programs have demonstrated positive results for management of chronic health conditions. This volunteer clinic for the medically underserved in Central Florida does not have an established protocol for hypertension management. Therefore, the purpose of this project was to pilot a hypertension self-management program with the primary goal of improving blood pressure.Project DesignThis was a pilot project to determine the effectiveness of a hypertension self-management program in a low-income, uninsured population.MethodSeven eligible participants participated in a 12-week hypertension self-management program. The self-management program consisted of individual sessions focused on education, self-monitoring, and support. The program included three face-to-face appointments and two follow-up phone calls.ResultsOn average participants’ systolic blood pressures decreased by 9.14 mmHg, and diastolic blood pressures decreased by 6.14 mmHg. Self-management assessment scores increased in every participant, and 86% of participants had a reduction in weight and body mass index. Attendance at scheduled appointments was 100%, and home blood pressure log completeness was 75.98% for twice a day monitoring, 84.18% for once-a day monitoring.ConclusionThis hypertension self-management program demonstrated positive outcomes in a short period of time. It is a low-cost and feasible option for this volunteer medical clinic for the medically underserved.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Targeting Hypertension in a Low-Income, Uninsured Population Through a Self-Management Program

Stock¹

2022

Preprint

View full text Add to dashboard Cite

show abstract

“…[3,18,19] The studies from Cuba and Peru were done in a small sample in a defined geographical area. [18,19] On the other hand, Thailand implemented a nationwide program which led to 30% community level hypertension control by 2014. [3] We documented the scalability of primary care-based hypertension management for half a million patients over two years.…”

Section: Discussionmentioning

confidence: 99%

The India Hypertension Control Initiative–early outcomes in 26 districts across five states of India, 2018–2020

Kaur

Kunwar²,

Sharma³

et al. 2022

J Hum Hypertens

View full text Add to dashboard Cite

Hypertension is the leading single preventable risk factor for cardiovascular disease. The India Hypertension Control Initiative (IHCI) project was designed to improve hypertension control in public sector clinics. The project was launched in 2018–2019 in 26 districts across five states: Punjab (5), Madhya Pradesh (3), Kerala (4), Maharashtra (4), and Telangana (10), with five core strategies: standard treatment protocol, reliable supply of free antihypertensive drugs, team-based care, patient-centered care, and an information system to track individual patient treatment and blood pressure control. All states implemented simple treatment protocols with three drugs: a long-acting dihydropyridine calcium channel blocker (amlodipine), angiotensin receptor blocker (telmisartan), and thiazide or a thiazide-like diuretic (hydrochlorothiazide or chlorthalidone). Medication supplies were adequate to support at least one month of treatment. Overall, 570,365 hypertensives were enrolled in 2018–2019; 11% did not have follow-up visits in the most recent 12 months. Clinic-level blood pressure control averaged 43% (range 22–79%) by Jan-March, 2020. The proportion of the estimated people with hypertension who had it controlled and documented in public clinics increased three-fold, albeit from very low levels (1.4–5.0%). The IHCI demonstrated the feasibility of implementing protocol-based hypertension treatment and control supported by a reliable drug supply and accurate information systems at scale in Indian primary health care facilities. Lessons from the IHCI’s initial phase will inform plans to improve screening in health care facilities, increase retention in care, and ensure a sustained supply of drugs as part of a nationwide hypertension control program.

show abstract

“…Por otro lado, en un estudio realizado en Chile ( 17 ) y otro en Perú ( 18 ) se encontró que la edad media de los pacientes fue de 62,2 años y 62,0 años respectivamente, lo cual es inferior a lo descrito en el presente reporte. Esto puede indicar que en la población colombiana existe mayor prevalencia de HTA en edades avanzadas, lo que puede atribuirse al enfoque en la prevención primaria y a los avances en el Modelo Integral de Atención en Salud, sin embargo, no se encontró literatura que compare los programas de dichos países.…”

Section: Discussionunclassified

“…Al respecto, Kim y cols. ( 18 ) en su artículo realizaron una comparación del perfil de presión arterial de los participantes y se encontró diferencia en la TAS de 10,8% y en la TAD de 3,6%, lo cual es superior a lo obtenido en el presente estudio. Los autores aplicaron un programa diseñado por ellos llamado, Programa Integral de Control de la Presión Arterial.…”

Section: Discussionunclassified

Impacto de la Iniciativa HEARTS en una institución de salud de segundo nivel en Colombia

Rivas

Tobón

Gallego

et al. 2022

Revista Panamericana De Salud Pública

View full text Add to dashboard Cite

RESUMEN Objetivo. Identificar el impacto de la iniciativa HEARTS en los pacientes con hipertensión arterial atendidos en un hospital colombiano. Métodos. Estudio cuasiexperimental, retrospectivo entre 2017 y 2019 con pacientes hipertensos mayores de 18 años, incluidos en la estrategia HEARTS, atendidos en el Hospital Santa Mónica del municipio de Dosquebradas, departamento de Risaralda. La unidad de análisis fue la historia clínica. Se evaluaron las metas de presión arterial (definido en la Iniciativa HEARTS como un paciente con presión arterial sistólica <140 mmHg y <90 mmHg en la presión diastólica) al momento del ingreso al programa HEARTS y un año después. Se incluyeron variables sociodemográficas, farmacológicas, clínicas, metas de presión arterial y cumplimiento de la iniciativa. Se realizaron análisis descriptivos y se aplicó regresión logística binaria (p <0.05). Resultados. Se analizaron 372 pacientes de los cuales 262 eran mujeres (70,4%). La edad media fue de 66,3 ± 12,2 años. En la primera consulta de control se reportaron 285 pacientes (76,6%) que presentaron cifras de tensión arterial en metas, en la segunda consulta este logro fue alcanzado por el 84,1% de los pacientes (n=313 diferencia media: 7,5%, IC95%: 1,8 a 13,1; p = 0,005). Después de la implementación de la Iniciativa HEARTS el 77,4% en los pacientes (n=288) continuaron con el manejo inicial. Cumplir las recomendaciones HEARTS aumenta la probabilidad de estar en las metas (p=0,033; OR= 2,688; IC= 1,081 - 6,684). Conclusiones. La implementación de la Iniciativa HEARTS impactó favorablemente las cifras de tensión arterial en pacientes con hipertensión, con beneficios adicionales en variables que disminuyen el riesgo cardiovascular.

show abstract

Effectiveness of a comprehensive blood pressure control program in primary health care in Peru

Cited by 15 publications

References 20 publications

Targeting Hypertension in a Low-Income, Uninsured Population Through a Self-Management Program

Targeting Hypertension in a Low-Income, Uninsured Population Through a Self-Management Program

The India Hypertension Control Initiative–early outcomes in 26 districts across five states of India, 2018–2020

Impacto de la Iniciativa HEARTS en una institución de salud de segundo nivel en Colombia

Contact Info

Product

Resources

About