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Home Blood Pressure Management Intervention in Low- to Middle-Income Countries: Protocol for a Mixed Methods Study

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dc.contributor.author Anderson, Cheryl
dc.contributor.author Dadabhai, Sufia
dc.contributor.author Damasceno, Albertino
dc.contributor.author Dzudie, Anastase
dc.contributor.author Islam, Sheikh Mohammed Shariful
dc.contributor.author Kamath, Deepak
dc.contributor.author Kandula, Namratha
dc.contributor.author Kayange, Noel
dc.contributor.author Quispe, Renato
dc.contributor.author Roy, Ambuj
dc.contributor.author Shah, Syed
dc.contributor.author Vidal-Perez, Rafael
dc.date.accessioned 2019-01-25T16:59:39Z
dc.date.available 2019-01-25T16:59:39Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4913
dc.description.abstract BACKGROUND: Control of hypertension in low- and middle-income countries (LMICs) is poor, often less than 10%. A strong body of evidence demonstrates that home blood pressure management lowers blood pressure, and recent guidelines from the National Institute for Clinical Health and Excellence recommends home blood pressure monitoring. However, the preponderance of data on the benefits of home blood pressure management comes from studies in high-income countries. OBJECTIVE: The objective of the study is to examine whether an intervention of home blood pressure management is feasible in LMICs. Home blood pressure management is defined as self-monitoring of blood pressure and self-titration of antihypertensive medications. We will identify barriers and facilitators of home blood pressure management and explore unique contextual factors in LMICs that influence implementation of home blood pressure management. METHODS: Participants will be recruited from 6 sites from 2015 to 2018. Patients and health care workers will be included. We will use mixed methods including focus groups, interviews, and standardized checklists. When possible, we will adapt materials from prior successful studies so that they are culturally and contextually appropriate. RESULTS: This ongoing study is funded by the World Heart Federation. The information that is obtained will be used to develop a randomized clinical trial of home blood pressure management in LMICs. CONCLUSIONS: The data generated from this qualitative study will provide much needed information from patients and health care workers about barriers and facilitators of home blood pressure management and unique contextual factors that might influence implementation of home blood pressure management in LMICs. en_US
dc.language.iso eng
dc.publisher JMIR Publications
dc.relation.ispartofseries JMIR Research Protocols
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject blood pressure en_US
dc.subject home management en_US
dc.subject LMIC en_US
dc.subject self-management en_US
dc.title Home Blood Pressure Management Intervention in Low- to Middle-Income Countries: Protocol for a Mixed Methods Study en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.2196/resprot.7148
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00
dc.relation.issn 1929-0748


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