Grenada Heart Project–Community Health ActioN to EncouraGe healthy BEhaviors (GHP-CHANGE): A randomized control peer group–based lifestyle intervention

Latina, Jacqueline; Fernández‐Jiménez, Rodrigo; Bansilal, Sameer; Sartori, Samantha; Vedanthan, Rajesh; Lewis, Marcelle; Kofler, Claire; Hunn, Marilyn; Martin, F; Bagiella, Emilia; Farkouh, Michael E.; Fuster, Valentín

doi:10.1016/j.ahj.2019.08.022

Cited by 14 publications

(27 citation statements)

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“…Thus, this review includes a total of 27 studies as five articles were secondary references. Fourteen studies were from lower-middle [ 32 – 45 ] and eleven from upper-middle income countries [ 26 , 30 , 46 – 54 ] or both [ 55 ] and only one was from a low-income country [ 56 ]. One study was conducted in Kenya in sub-Saharan Africa [ 32 ] and another in three countries, China, India and Mexico [ 55 ].…”

Section: Resultsmentioning

confidence: 99%

“…Of the remaining studies, seven were from India [ 33 – 37 , 43 , 55 ], five from China [ 46 – 50 ], and two from Iran [ 26 , 30 ], Pakistan [ 38 , 39 ] and Sri Lanka [ 42 , 44 ]. Bangladesh [ 40 ], Grenada [ 54 ], Malaysia [ 51 ], Nepal [ 56 ], Thailand [ 53 ], Russia [ 52 ] and Vietnam [ 41 ] each had a single study.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies were cluster randomized controlled trials [ 33 , 34 , 39 , 40 , 42 – 45 , 56 ], eight were randomized controlled trials [ 35 – 37 , 46 , 48 , 50 , 53 , 54 ] and ten were controlled before and after studies [ 26 , 30 , 32 , 38 , 41 , 47 , 49 , 51 , 52 , 55 ]. Studies were carried out in different contexts; eight in urban [ 30 , 32 , 36 , 37 , 39 , 48 , 50 , 56 ], three in semi-urban [ 42 , 44 , 51 ], eight in rural [ 33 , 35 , 40 , 41 , 43 , 45 , 49 , 53 ] and two in both rural and urban areas [ 26 , 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies were carried out in different contexts; eight in urban [ 30 , 32 , 36 , 37 , 39 , 48 , 50 , 56 ], three in semi-urban [ 42 , 44 , 51 ], eight in rural [ 33 , 35 , 40 , 41 , 43 , 45 , 49 , 53 ] and two in both rural and urban areas [ 26 , 38 ]. In six studies, the context was unclear [ 34 , 46 , 47 , 52 , 54 , 55 ].…”

Section: Resultsmentioning

confidence: 99%

“…Most studies targeted whole populations [ 26 , 30 , 32 , 33 , 38 , 40 – 45 , 47 , 49 , 55 , 56 ] with health promotion and disease prevention activities while a few targeted risk groups including the elderly [ 48 , 50 ], smokers [ 35 , 52 ], individuals at high risk of diabetes [ 34 , 36 , 37 , 51 ], those with hypertension [ 39 , 46 , 53 ] or more than one CVD risk factor [ 54 ]. All studies targeted both males and females except for four, three conducted in India, that targeted only males [ 35 – 37 ], and one in Sri Lanka that targeted mothers [ 54 ]. The age of participants in the studies was from 18 years and above and participant numbers ranged from 297 in Malaysia [ 51 ] to 12,514 in Iran [ 26 ].…”

Section: Resultsmentioning

confidence: 99%

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Community-Based Interventions for Cardiovascular Disease Prevention in Low-and Middle-Income Countries: A Systematic Review

et al. 2021

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Objectives: To synthesize evidence on the effectiveness of community-based interventions for cardiovascular disease (CVD) prevention in low- and middle-income countries (LMICs) to inform design of effective strategies for CVD prevention.Methods: We searched MEDLINE, EMBASE, CINAHL, Cochrane register of controlled studies and PSYCINFO databases for studies published between January 2000 and June 2019. Other studies were identified from gray literature sources and review of reference lists of included studies. The primary outcomes for the review were those aimed at primary prevention of CVD targeting physical activity, diet, smoking and alcohol consumption.Results: Database searches yielded 15,885 articles and 94 articles were identified through snowball searching. After screening, the articles from LMICs were 32 emanating from 27 studies: 9 cluster randomized trials, eight randomized controlled trials and 10 controlled before and after studies. Community-based interventions successfully improved population knowledge on CVD and risk factors and influenced physical activity and dietary practices. Evidence of interventions on smoking cessation and reduced alcohol consumption was inconsistent.Conclusion: This evidence should inform policy makers in decision-making and prioritizing evidence-based interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Community-Based Interventions for Cardiovascular Disease Prevention in Low-and Middle-Income Countries: A Systematic Review

et al. 2021

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Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

Purgato,

Prina,

Ceccarelli

et al. 2023

Cochrane Database of Systematic Reviews

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Background There is a significant research gap in the field of universal, selective, and indicated prevention interventions for mental health promotion and the prevention of mental disorders. Barriers to closing the research gap include scarcity of skilled human resources, large inequities in resource distribution and utilization, and stigma. Objectives To assess the effectiveness of delivery by primary workers of interventions for the promotion of mental health and universal prevention, and for the selective and indicated prevention of mental disorders or symptoms of mental illness in low‐ and middle‐income countries (LMICs). To examine the impact of intervention delivery by primary workers on resource use and costs. Search methods We searched CENTRAL, MEDLINE, Embase, CINAHL, Global Index Medicus, PsycInfo, WHO ICTRP, and ClinicalTrials.gov from inception to 29 November 2021. Selection criteria Randomized controlled trials (RCTs) of primary‐level and/or community health worker interventions for promoting mental health and/or preventing mental disorders versus any control conditions in adults and children in LMICs. Data collection and analysis Standardized mean differences (SMD) or mean differences (MD) were used for continuous outcomes, and risk ratios (RR) for dichotomous data, using a random‐effects model. We analyzed data at 0 to 1, 1 to 6, and 7 to 24 months post‐intervention. For SMDs, 0.20 to 0.49 represented small, 0.50 to 0.79 moderate, and ≥ 0.80 large clinical effects. We evaluated the risk of bias (RoB) using Cochrane RoB2. Main results Description of studies We identified 113 studies with 32,992 participants (97 RCTs, 19,570 participants in meta‐analyses) for inclusion. Nineteen RCTs were conducted in low‐income countries, 27 in low‐middle‐income countries, 2 in middle‐income countries, 58 in upper‐middle‐income countries and 7 in mixed settings. Eighty‐three RCTs included adults and 30 RCTs included children. Cadres of primary‐level workers employed primary care health workers (38 studies), community workers (71 studies), both (2 studies), and not reported (2 studies). Interventions were universal prevention/promotion in 22 studies, selective in 36, and indicated prevention in 55 RCTs. Risk of bias The most common concerns over risk of bias were performance bias, attrition bias, and reporting bias. Intervention effects 'Probably', 'may', or 'uncertain' indicates 'moderate‐', 'low‐', or 'very low‐'certainty evidence. *Certainty of the evidence (using GRADE) was assessed at 0 to 1 month post‐intervention as specified in the review protocol. In the abstract, we did not report results for outcomes for which evidence was missing or very uncertain. Adults Promotion/universal prevention, compared...

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Lessons Learned From 10 Years of Preschool Intervention for Health Promotion

Santos-Beneit

Fernández‐Jiménez

Cos-Gandoy

et al. 2022

Journal of the American College of Cardiology

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Grenada Heart Project–Community Health ActioN to EncouraGe healthy BEhaviors (GHP-CHANGE): A randomized control peer group–based lifestyle intervention

Cited by 14 publications

References 42 publications

Community-Based Interventions for Cardiovascular Disease Prevention in Low-and Middle-Income Countries: A Systematic Review

Community-Based Interventions for Cardiovascular Disease Prevention in Low-and Middle-Income Countries: A Systematic Review

Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

Lessons Learned From 10 Years of Preschool Intervention for Health Promotion

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