Transforming Hypertension Treatment in Nigeria Using a Type II Hybrid Interrupted Time Series Design

  • STATUS
    Recruiting
  • End date
    Mar 30, 2024
  • participants needed
    57600
  • sponsor
    Northwestern University
Updated on 29 March 2021
hypertension
combinations
systolic blood pressure
amlodipine
amlodipine 5 mg
losartan
blood pressure diastolic
raised blood pressure

Summary

The purpose of the Transforming Hypertension Treatment in Nigeria Program is to improve awareness, treatment, and control of hypertension in Nigeria through the adaptation, implementation, and evaluation of the effectiveness and implementation of a system-level hypertension control program.

Description

This study includes the implementation and evaluation of a culturally- and contextually-adapted intervention package based on the Kaiser Permanente Northern California and World Health Organization HEARTS programs for hypertension diagnosis and treatment at primary health centers in Abuja, Nigeria. The intervention has been adapted based on a local needs' assessment including evidence synthesis and specific exploration of health care workers' knowledge, attitudes, and behaviors related to hypertension, causes, consequences, and treatment, including fixed-dose combination and patient self-management, and patients' knowledge, attitudes, and behaviors related to hypertension, causes, consequences, and treatment. Implementation pathways have been developed with particular attention to overcoming modifiable system- and patient-level barriers to hypertension treatment and control across capability, intentional, and system domains using the Consolidated Framework for Implementation Research. Preparedness and capacity have been assessed at primary health centers (e.g. available staff; information systems; use of clinical guidelines) through an adapted Service Availability and Readiness Assessment (SARA) instrument during the formative work for this study.

Details
Condition Vascular Diseases, Hypertension, Diabetes and Hypertension, High Blood Pressure (Hypertension), High Blood Pressure (Hypertension - Pediatric), Elevated Blood Pressure, high blood pressure, arterial hypertension
Treatment Evidence-based hypertension treatment, Evidence-based hypertension treatment with drug treatment A, Evidence-based hypertension treatment with drug treatment B
Clinical Study IdentifierNCT04158154
SponsorNorthwestern University
Last Modified on29 March 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Adults (18 years)
Elevated blood pressure (Systolic Blood Pressure 130 mmHg or Diastolic Blood Pressure 80 mmHg) documented or measured by a health care professional (e.g., physician, Community Health Extension Worker, or Community Health Officer)

Exclusion Criteria

Individuals who are not yet adults (minors)
Prisoners or other detained individuals
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If you are confirmed eligible after full screening, you will be required to understand and sign the informed consent if you decide to enroll in the study. Once enrolled you may be asked to make scheduled visits over a period of time.

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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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