IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045.
Hong Sun, Pouya Saeedi, Suvi Karuranga...
https://pubmed.ncbi.nlm.nih.gov/34879977Actively Recruiting
Phase 1
Age: 40Years +
All Genders
Healthy Volunteers
ID06258473
Addressing Gaps in the Hypertension and Diabetes Care Continuum in Rural Bangladesh Through mHealth and Decentralized Primary Care: The Dinajpur Study
Led by BRAC University · Updated on 2024-02-14
6750
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
Sponsors
B
BRAC University
Lead Sponsor
I
Imperial College London
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating a new approach to improve care for adults with hypertension and diabetes in rural Bangladesh. The study aims to understand how integrated, decentralized primary care involving training, mobile health (mHealth) technology, task shifting, and community-based care compares to usual care and mHealth alone. This research will explore how these methods affect treatment, prevention, patient lifestyle changes, and healthcare system costs over 36 months. The study includes three groups: one receiving multicomponent decentralized care with mHealth support and community health worker involvement; one receiving only mHealth intervention using the Simple App; and one receiving usual government primary care. The multicomponent care combines training for providers, community clinic services, and supportive monitoring visits. The mHealth-only group uses the app for patient management without additional community care. Usual care involves standard screening and treatment at subdistrict health facilities. Participants will be monitored through community surveys and facility-based data collection over almost three years. Researchers will assess blood pressure and diabetes control, treatment steps, lifestyle factors, patient burdens like travel and wait times, and barriers to care. Evaluations include quantitative measures, qualitative interviews, and economic analysis to inform broader implementation. The primary outcome is control of hypertension and diabetes after 2 years and 9 months.
CONDITIONS
Brief Title
Addressing Gaps in the Hypertension and Diabetes Care Continuum in Rural Bangladesh: The Dinajpur Study
Who Can Participate
Age: 40Years +
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
- All participants aged 40 or above
- Diagnosed with hypertension and diabetes
- Residents of specific study areas in rural Bangladesh
- Willing to participate in the study
You will not qualify if you...
- Adults younger than 40 years
- Children
- Pregnant women
- Severely ill individuals
- People with severe physical or mental disabilities
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Multicomponent decentralized care
Duration - Up to 2 years and 9 months
Participants receive training and support on the Simple app for hypertension and diabetes management, with care provided through decentralized primary care including community clinics and community health workers for screening, counseling, medication dispensing, and follow-up.
Quarterly supervision visits and ongoing care visits as needed
mHealth
Duration - Up to 2 years and 9 months
Participants receive training and support on the Simple app for hypertension and diabetes management at primary care facilities with routine care pathways maintained.
Quarterly supervision visits and routine care visits as per usual care
Usual care
Duration - Up to 2 years and 9 months
Participants receive existing usual care provided by government primary care system including screening, treatment initiating, drug refill, and routine follow-up at subdistrict NCD corners.
Routine care visits as scheduled by healthcare providers
Trial Site Locations
Total: 1 location
1
BRAC James P Grant School of Public Health
Dhaka, Bangladesh, 1213
Actively Recruiting
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Research Team
M
Malay K Mridha, PhD
W
Wubin Xie, DrPH
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SINGLE_GROUP
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
3
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Published Research Related To This Trial
Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: Update From the GBD 2019 Study.
Gregory A Roth, George A Mensah, Catherine O Johnson...
https://pubmed.ncbi.nlm.nih.gov/33309175Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19·1 million participants.
NCD Risk Factor Collaboration (NCD-RisC)
https://pubmed.ncbi.nlm.nih.gov/27863813Association of hypertension treatment and control with all-cause and cardiovascular disease mortality among US adults with hypertension.
Qiuping Gu, Charles F Dillon, Vicki L Burt...
https://pubmed.ncbi.nlm.nih.gov/19851295High blood pressure and cardiovascular disease mortality risk among U.S. adults: the third National Health and Nutrition Examination Survey mortality follow-up study.
Qiuping Gu, Vicki L Burt, Ryne Paulose-Ram...
https://pubmed.ncbi.nlm.nih.gov/18261929Health system performance for people with diabetes in 28 low- and middle-income countries: A cross-sectional study of nationally representative surveys.
Jennifer Manne-Goehler, Pascal Geldsetzer, Kokou Agoudavi...
https://pubmed.ncbi.nlm.nih.gov/30822339The state of hypertension care in 44 low-income and middle-income countries: a cross-sectional study of nationally representative individual-level data from 1·1 million adults.
Pascal Geldsetzer, Jennifer Manne-Goehler, Maja-Emilia Marcus...
https://pubmed.ncbi.nlm.nih.gov/31327566Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension.
Bin Zhou, Pablo Perel, George A Mensah...
https://pubmed.ncbi.nlm.nih.gov/34050340Long-term and recent trends in hypertension awareness, treatment, and control in 12 high-income countries: an analysis of 123 nationally representative surveys.
NCD Risk Factor Collaboration (NCD-RisC)
https://pubmed.ncbi.nlm.nih.gov/31327564Improving primary care for patients with chronic illness: the chronic care model, Part 2.
Thomas Bodenheimer, Edward H Wagner, Kevin Grumbach
https://pubmed.ncbi.nlm.nih.gov/12377092