Conquering Hypertension in Vietnam: Solutions at Grassroots Level

Summary

The objectives of the proposed project are to evaluate the implementation and effectiveness of two multi-faceted community and clinic-based strategies on the control of elevated blood pressure (BP) among adults in Vietnam via a cluster-randomized trial design.

Sixteen communities will be randomized to either an intervention (8 communities) or comparison group (8 communities). Eligible and consenting adult study participants with HTN (n = 680) will be assigned to intervention/comparison status based on the community in which they reside.

Conditions

• Hypertension

Interventions

OTHER

Vietnam National Hypertension Program

A training program for health care workers including physicians and nurses and a health educational program for general public regarding hypertension management at community level will be implemented

OTHER

Expanded community health worker services

A training program will be implemented for community health workers regarding hypertension management at community level so that they can assist patients better manage their blood pressure at home.

BEHAVIORAL

Storytelling intervention

The storytelling intervention consists of interactive, literacy-appropriate, and culturally sensitive multimedia storytelling modules for motivating behavior change through the power of patients speaking in their own voice. Based on preferences that emerged during the researchers' formative work with the partnering rural communities, the storytelling intervention will be delivered by DVD, with serial installments at baseline and at 3, 6, and 12 months after trial enrollment.

BEHAVIORAL

Home blood pressure self-monitoring

Patients with hypertension will be provided blood pressure monitors and guided to self-measure their blood pressure and to record their blood pressure daily at home.

Sponsors & Collaborators

• University of Massachusetts, Worcester

  collaborator OTHER

• Baylor Research Institute

  collaborator OTHER

• National Heart, Lung, and Blood Institute (NHLBI)

  collaborator NIH

• Ministry of Health, Vietnam

  lead OTHER_GOV

Principal Investigators

• Tran Thi Mai Oanh, PhD · Health Strategy and Policy Institute

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

25 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-11-07

Primary Completion

2023-01-31

Completion

2023-04-30

Countries

• Vietnam

Study Locations