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To Develop a High Quality Health Care Delivery Model for the Management of Hypertension and Diabetes at CHCs and District Hospitals of Himachal Pradesh.

NCT01794052 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 6797

Last updated 2016-08-08

No results posted yet for this study

Summary

Hypertension and diabetes are major risk factors for cardiovascular diseases. Although these two conditions can be detected much early in life and are amenable to interventions at primary health care level, the health system in India fails to provide adequate interventions at primary health care level which translates to huge burden of undiagnosed and uncontrolled hypertension and diabetes in the community. This study aims to design a feasible and sustainable evidence-based, decision support-enabled, health care delivery model for the management of hypertension and diabetes in the primary health care facilities of Himachal Pradesh. The study will be conducted at the 5 Community Health Centers (CHCs) and District Hospital of Solan District, Himachal Pradesh using both qualitative and quantitative methods. The design and development of the model will be carried out in the initial six months followed by piloting the services at the CHCs and District Hospital. The impact of the model on quality of care will be assessed in a pre-post design measuring changes in both clinical and process indicators.

Conditions

Interventions

OTHER

Evidence based, DSS enabled, health care delivery model

The study focus on preliminary work before a definitive randomised controlled trial. In this phase, we are developing an intervention for the evidence based management of hypertension and diabetes at primary care setting in India. The components of the interventions that we are developing are: 1. A structured training of the health care staff for identifying people at risk of developing diabetes or hypertension 2. Treating patients as per a standard clinical guidelines 3. Giving health education to patients on lifestyle changes for better self-care 4. Optimizing the care pathways at the health facilities to enable better delivery of the intervention and 5. Development and implementation of a smartphone based decision support system (DSS) with inbuilt diagnostic and treatment algorithm

Sponsors & Collaborators

  • All India Institute of Medical Sciences

    collaborator OTHER

  • Public Health Foundation of India

    collaborator OTHER

  • Centre for Chronic Disease Control, India

    lead OTHER

Principal Investigators

  • Dorairaj Prabhakaran, MD, DM, MSc, FRCP · Centre for Chronic Disease Control

Study Design

Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Model
SINGLE_GROUP

Eligibility

Min Age
30 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2012-12-31
Primary Completion
2014-08-31
Completion
2014-08-31

Countries

  • India

Study Locations

More Related Trials

Entities

Diseases

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT01794052 on ClinicalTrials.gov