Control of Hypertension and diAbetes in MINas Gerais
NCT05660928 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 5862
Last updated 2025-09-18
Summary
Hypertension and diabetes mellitus (DM) are highly prevalent in low and middle-income countries, and the proportion of patients with uncontrolled diseases is higher than in high income countries. Innovative strategies are required to surpass barriers of low sources, distance, and quality of healthcare. Our aim is to assess the uptake and effectiveness of the implementation of an integrated multidimensional strategy in the primary care setting, for the management of patients with hypertension and diabetes mellitus (DM) in Brazil. This is a scale up implementation study that has mixed-methods, and comprehends four steps: (1) needs assessment, including a standardized structured questionnaire and focus groups with healthcare practitioners; (2) baseline period, three months before the implementation of the intervention; (3) cluster randomized controlled trial (RCT) with a 12-month follow-up period; and (4) a qualitative study after the end of follow-up. The cluster RCT will randomize 35 centres to intervention (n= 18) or usual care (n= 17). Patients ≥18 years-old, with diagnosis of hypertension and/or DM, of five Brazilian cities in a resource-constrained area will be enrolled. The intervention consists of a multifaceted strategy, with a multidisciplinary approach, including telehealth tools (decision support systems, short message service, telediagnosis), continued education with an approach to issues related to the care of people with hypertension and diabetes in primary care, including pharmacological and non-pharmacological treatment and behavioural change. The project has actions focused on professionals and patients.
Conditions
- Arterial Hypertension
- Diabetes Mellitus
Interventions
- OTHER
-
Multidimensional intervention
Multidimensional intervention, with mutidisciplinary approach.
Sponsors & Collaborators
-
Federal University of the Valleys of Jequitinhonha and Mucuri
collaborator OTHER - collaborator OTHER_GOV
-
University of Southampton
collaborator OTHER -
Federal University of Minas Gerais
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-12-21
- Primary Completion
- 2025-07-31
- Completion
- 2025-07-31
Countries
- Brazil
Study Locations
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