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dc.contributor.authorVedanthan, Rajesh
dc.contributor.authorKamano, Jemima H
dc.contributor.authorNaanyu, Violet
dc.contributor.authorDelong, Allison K
dc.contributor.authorWere, Martin C
dc.contributor.authorFinkelstein, Eric A
dc.contributor.authorMenya, Diana
dc.contributor.authorAkwanalo, Constantine O
dc.contributor.authorBloomfield, Gerald S
dc.contributor.authorBinanay, Cynthia A
dc.contributor.authorVelazquez, Eric J
dc.contributor.authorHogan, Joseph W
dc.contributor.authorHorowitz, Carol R
dc.contributor.authorInui, Thomas S
dc.contributor.authorKimaiyo, Sylvester
dc.contributor.authorFuster, Valentin
dc.identifier.citationTrials. 2014; 15(1):143es_ES
dc.description.abstractBACKGROUND: Hypertension is the leading global risk factor for mortality. Hypertension treatment and control rates are low worldwide, and delays in seeking care are associated with increased mortality. Thus, a critical component of hypertension management is to optimize linkage and retention to care. METHODS/DESIGN: This study investigates whether community health workers, equipped with a tailored behavioral communication strategy and smartphone technology, can increase linkage and retention of hypertensive individuals to a hypertension care program and significantly reduce blood pressure among them. The study will be conducted in the Kosirai and Turbo Divisions of western Kenya. An initial phase of qualitative inquiry will assess facilitators and barriers of linkage and retention to care using a modified Health Belief Model as a conceptual framework. Subsequently, we will conduct a cluster randomized controlled trial with three arms: 1) usual care (community health workers with the standard level of hypertension care training); 2) community health workers with an additional tailored behavioral communication strategy; and 3) community health workers with a tailored behavioral communication strategy who are also equipped with smartphone technology. The co-primary outcome measures are: 1) linkage to hypertension care, and 2) one-year change in systolic blood pressure among hypertensive individuals. Cost-effectiveness analysis will be conducted in terms of costs per unit decrease in blood pressure and costs per disability-adjusted life year gained. DISCUSSION: This study will provide evidence regarding the effectiveness and cost-effectiveness of strategies to optimize linkage and retention to hypertension care that can be applicable to non-communicable disease management in low- and middle-income countries. TRIAL REGISTRATION: This trial is registered with (NCT01844596) on 30 April 2013.es_ES
dc.description.sponsorshipResearch reported in this publication was supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health under award number 1U01HL114200, United States, under The Global Alliance for Chronic Diseases programme RV receives salary support from the Fogarty International Center of the National Institutes of Health under Award Number K01 TW 009218 - 03.es_ES
dc.relation.isversionofPublisher's versiones_ES
dc.subject.meshAfrican Continental Ancestry Group es_ES
dc.subject.meshBlood Pressure es_ES
dc.subject.meshCell Phone es_ES
dc.subject.meshClinical Protocols es_ES
dc.subject.meshCommunication es_ES
dc.subject.meshCost-Benefit Analysis es_ES
dc.subject.meshHealth Care Costs es_ES
dc.subject.meshHealth Knowledge, Attitudes, Practicees_ES
dc.subject.meshHumans es_ES
dc.subject.meshHypertension es_ES
dc.subject.meshKenya es_ES
dc.subject.meshMotivational Interviewing es_ES
dc.subject.meshPatient Compliance es_ES
dc.subject.meshPatients es_ES
dc.subject.meshProfessional-Patient Relations es_ES
dc.subject.meshTime Factors es_ES
dc.subject.meshTreatment Outcome es_ES
dc.subject.meshCommunity Health Services es_ES
dc.subject.meshCommunity Health Workers es_ES
dc.subject.meshHealth Behavior es_ES
dc.subject.meshResearch Design es_ES
dc.subject.meshRural Health Services es_ES
dc.titleOptimizing linkage and retention to hypertension care in rural Kenya (LARK hypertension study): study protocol for a randomized controlled triales_ES
dc.rights.licenseAtribución 4.0 Internacional*
dc.contributor.funderNational Heart, Lung, and Blood Institute (United States)es_ES
dc.contributor.funderNational Institues of Health (United States)es_ES
dc.repisalud.orgCNICCNIC::Grupos de investigación::Imagen Cardiovascular y Estudios Poblacionaleses_ES

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Atribución 4.0 Internacional
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