Effectiveness of community-based health education and home support program to reduce blood pressure among patients with uncontrolled hypertension in Nepal: A cluster-randomized trial

Khanal, Mahesh Kumar; Bhandari, Pratiksha; Dhungana, Raja Ram; Bhandari, Pratik; Rawal, Lal; Gurung, Yadav; Paudel, K. N.; Singh, Amit; Devkota, Surya; Courten, Barbora de

doi:10.1371/journal.pone.0258406

Cited by 13 publications

(22 citation statements)

References 25 publications

(36 reference statements)

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“…HTN medication was missed due to forgetfulness, negligence, and unaffordability ( 62 ), which could be attributed to a lack of or poor HTN knowledge among community members ( 50 ) and the female community health volunteers (FCHVs) ( 81 ). However, when these cadres were trained and prepared as change agents, the intervention could reduce a mean blood pressure by 2.3–4.9 mm Hg and increase the proportion of BP control and knowledge of the community members ( 70 , 82 ).…”

Section: Resultsmentioning

confidence: 99%

Need for HTA supported risk factor screening for hypertension and diabetes in Nepal: A systematic scoping review

Adhikari

Dhakal

Adhikari³

et al. 2022

Front. Cardiovasc. Med.

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ObjectiveHealth Technology Assessment (HTA) is a comprehensive and important tool for assessment and decision-making in public health and healthcare practice. It is recommended by the WHO and has been applied in practice in many countries, mostly the developed ones. HTA might be an important tool to achieve universal health coverage (UHC), especially beneficial to low-and-middle-income countries (LMIC). Even though the Package for Essential Non-communicable Diseases (PEN) has already been initiated, there is a clear policy gap in the HTA of any health device, service, or procedure, including the assessment of cardiovascular risk factors (CVRFs) in Nepal. Hence, we carried out the review to document the HTA supported evidence of hypertension and diabetes screening, as CVRFs in Nepal.Materials and methodsWe searched in PubMed, Cochrane, and Google Scholar, along with some gray literature published in the last 6 years (2016–2021) in a systematic way with a controlled vocabulary using a well-designed and pilot tested search strategy, screened them, and a total of 53 articles and reports that matched the screening criteria were included for the review. We then, extracted the data in a pre-designed MS-Excel format, first in one, and then, from it, in two, with more specific data.ResultsOf 53 included studies, we reported the prevalence and/or proportion of hypertension and diabetes with various denominators. Furthermore, HTA-related findings such as cost, validity, alternative tool or technology, awareness, and intervention effectiveness have been documented and discussed further, however, not summarized due to their sparingness.ConclusionOverall, the prevalence of DM (4.4–18.8%) and HTN (17.2–70.0%) was reported in most studies, with a few, covering other aspects of HTA of DM/HTN. A national policy for establishing an HTA agency and some immediately implementable actions are highly recommended.

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Section: Resultsmentioning

confidence: 99%

Need for HTA supported risk factor screening for hypertension and diabetes in Nepal: A systematic scoping review

Adhikari

Dhakal

Adhikari³

et al. 2022

Front. Cardiovasc. Med.

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“…High blood pressure is a major risk factor for many diseases and the leading cause of death worldwide (23). High blood pressure is a major modifiable risk factor for stroke, cardiovascular disease and renal failure, and disability worldwide (24,25). Because the symptoms of high blood pressure are not known, people do not feel the dangers and do not believe they are at risk (23).…”

Section: Discussionmentioning

confidence: 99%

Can e-learning change patients' awareness of controlling blood pressure?

Ahmadi

Salehi

Binazir

et al. 2022

ijhs

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Background and Aim: Hypertension is one of the chronic diseases that has been introduced as a silent killer and public health crisis in the world. Due to the increase in this dangerous disease, education about blood and blood pressure control can help reduce it. This study aimed to investigate the effect of virtual education on the knowledge of patients with hypertension. Materials and Methods: The present study is an intervention that was performed on 70 people over 35 years of age with hypertension in Varamin. Sampling in this study was random. In this study, individuals were divided into two groups of 35 intervention and control. First, the level of knowledge of both groups was determined using a researcher-made electronic questionnaire. Then, the intervention group was given virtual training through the Skype platform. After two months, the knowledge of both groups was measured again using an electronic questionnaire, and statistical data were analyzed using SPSS 26 software and the necessary tests. All necessary measures were taken in compliance with ethical standards in research and health protocols. Results: The results of this study showed that there was no significant difference between the two groups before the intervention (P> 0.05).

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“…20 Original Article than our findings whereas many studies from other part of Nepal reported prevalence of hypertension more than 30% which is higher than our findings. [12][13][14][24][25][26] These studies however differed in terms of sample size, participant's age, residence and ethnicity. Mean prevalence of hypertension in our study is consistent with the mean prevalence of hypertension found in the different systemic reviews and meta-analysis studies of Nepal (27.3%).…”

Section: Discussionmentioning

confidence: 99%

“…9,10 Several studies have shown that prevalence of hypertension is increasing in Nepal. [11][12][13][14] Prevalence and risk factors may vary according to different populations and comparatively fewer studies are conducted among rural population, moreover there was no study conducted in this population to assess prevalence of hypertension and risk factors. Thus our study intended to estimate the prevalence of hypertension and find its risk factors in the rural area of Nepal.…”

Section: Introductionmentioning

confidence: 96%

A Community Based Cross Sectional Study to Estimate the Prevalence and Associated Factors of Hypertension in Rural Nepal

Chataut

Ghimire

Jonchhe

et al. 2020

Kathmandu Univ. Med. J.

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Background Hypertension is a major global public health problem because of its high prevalence as it significantly increases the risk of heart attack, stroke, kidney failure and blindness. Epidemiological shift in prevalence of non-communicable diseases have been observed in Nepal and it is also evident that hypertension and related complications are major contributors to death and disability in Nepal. Objective To estimate the prevalence and explore the associated factors of hypertension in study population. Method A community based cross-sectional study was conducted in rural population of Nepal with multistage sampling design. A total of 422 participants aged 18 to 65 years of age participated in the study. The information was obtained using pretested questionnaire which included demographic information of individuals and other risk factors like alcohol and tobacco use, physical activity. Anthropometric measurements and blood pressure was recorded and hypertension was defined as per JNC VII criteria. Result The overall prevalence of hypertension was 27.7% (male: 32.7%, female: 19.8%). Mean systolic and diastolic BP were 123.79 ± 12.46 mmHg and 81.56 ± 8.32 mmHg, respectively. Age (eldest age group, AOR=4.92: CI: 1.24-19.46), participants with lower level of education (higher education, AOR=0.173: CI: 0.05-0.53), ethnicity (Janajatis, AOR=2.85: CI: 1.44-5.65) and smoking (current smokers, AOR=10.30: CI: 4.39-24.16) are found to be significantly associated with hypertension. Conclusion This study showed the prevalence of hypertension is high in study population. Increasing age, low level of education, ethnicity and smoking were independent risk factors for hypertension.

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Effectiveness of community-based health education and home support program to reduce blood pressure among patients with uncontrolled hypertension in Nepal: A cluster-randomized trial

Cited by 13 publications

References 25 publications

Need for HTA supported risk factor screening for hypertension and diabetes in Nepal: A systematic scoping review

Need for HTA supported risk factor screening for hypertension and diabetes in Nepal: A systematic scoping review

Can e-learning change patients' awareness of controlling blood pressure?

A Community Based Cross Sectional Study to Estimate the Prevalence and Associated Factors of Hypertension in Rural Nepal

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