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Home blood pressure management intervention in low- to middle-income countries: protocol for a mixed methods study

Anderson, Cheryl, Dadabhai, Sufia, Damasceno, Albertino, Dzudie, Anastase, Shariful Islam, Sheikh Mohammed, Kamath, Deepak, Kandula, Namratha, Kayange, Noel, Quispe, Renato, Roy, Ambuj, Shah, Syed and Vidal-Perez, Rafael 2017, Home blood pressure management intervention in low- to middle-income countries: protocol for a mixed methods study, JMIR Research Protocols, vol. 6, no. 10, pp. 1-7, doi: 10.2196/resprot.7148.

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Title Home blood pressure management intervention in low- to middle-income countries: protocol for a mixed methods study
Author(s) Anderson, Cheryl
Dadabhai, Sufia
Damasceno, Albertino
Dzudie, Anastase
Shariful Islam, Sheikh MohammedORCID iD for Shariful Islam, Sheikh Mohammed orcid.org/0000-0001-7926-9368
Kamath, Deepak
Kandula, Namratha
Kayange, Noel
Quispe, Renato
Roy, Ambuj
Shah, Syed
Vidal-Perez, Rafael
Journal name JMIR Research Protocols
Volume number 6
Issue number 10
Article ID e188
Start page 1
End page 7
Total pages 7
Publisher JMIR Publications
Place of publication Toronto, Ont.
Publication date 2017-10-16
ISSN 1929-0748
Keyword(s) blood pressure
home management
self-management
LMIC
Summary 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.
Language eng
DOI 10.2196/resprot.7148
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30104248

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.