Using community-based participatory research in improving the management of hypertension in communities: A scoping review

Abstract

Background: Hypertension (HT) is a key contributor to cardiovascular diseases (CVDs). The improved management of HT in the community and primary care settings should be a priority for low- and middle-income countries (LMICs). Improving the prevention and management of HT in primary care settings should also be a priority for developing countries. There is a need for more studies using community-based approaches that show the impact of these programmes on HT outcomes, which may motivate policymakers to invest in such approaches. The ward-based outreach team or village healthcare worker models were meant to provide such approaches, but many of these have become lower levels of curative care. We conducted a scoping review to examine how community-based participatory research (CBPR) was being used to improve HT management.Methods: Several electronic databases were searched, namely PubMed, MEDLINE, Google Scholar and Web of Science, generating 798 references. The publications were screened through several rounds. Data were extracted and imported into a Microsoft Excel spreadsheet, numerically summarised and qualitatively analysed.Results: Nine articles were included. These publications originated from the United States, Colombia, Canada, China, South Africa and Zimbabwe. Mixed methods, qualitative, randomised control trials and quasi-experimental studies were used to implement CBPR in the studies included. All the studies addressed complex health problems and inequities among the minorities utilising multiple stakeholder participation. Academic–community coalitions were formed, which enabled engagement and sharing of power equitably. As a result, there was acceptability and sustainability of interventions.Conclusion: A CBPR framework can be used to define the context, group dynamics, implementation and outcomes of HT. It is possible to apply CBPR in HT management to appropriately address health disparities while emphasising a community-driven approach. To achieve this, tailored health education platforms should be developed and implemented.

Use of co‐design methodology in the development of cardiovascular disease secondary prevention interventions: A scoping review

“…Although co-design has been used frequently to develop health interventions for 'underserved' population groups such as people with disabilities or from culturally and linguistically diverse communities, [60][61][62] it was interesting to find that only one study involving these populations was identified in this review. Pekmezaris et al 37 included Black and Hispanic patients and disparity experts in their study to create a telemonitoring intervention for heart failure that is acceptable and feasible for use with a lower-income, Black and Hispanic patient population.…”

“… 18 Involving consumers in this way has been shown to increase acceptance, uptake, long‐term adherence and satisfaction with interventions, as well as improve the health outcomes of end‐users. 19 , 20 For this reason, evidence for the use of the co‐design approach in the development of healthcare interventions is increasing across many disciplines. 21 However, despite an abundance of CVD intervention studies in the literature, few describe the use of co‐design methodologies.…”

“…Co‐design is a relatively new concept within healthcare, although over the past decade, researchers and healthcare providers have increasingly involved consumers and nonacademic stakeholders in the development of public health interventions to improve process and health outcomes 18 . Involving consumers in this way has been shown to increase acceptance, uptake, long‐term adherence and satisfaction with interventions, as well as improve the health outcomes of end‐users 19,20 . For this reason, evidence for the use of the co‐design approach in the development of healthcare interventions is increasing across many disciplines 21 .…”

Pesquisa participativa baseada na comunidade (CBPR) na promoção da saúde com pessoas com hipertensão mediante uso de mídias sociais: revisão de escopo

“…Durante a seleção dos artigos, por meio da sintaxe anteriormente mencionada, no momento de leitura dos resumos, foi localizado um estudo, do tipo Scoping Review com o Título: "Using community-based participatory research in improving the management of hypertension in communities: a scoping review" (15) . Constatou-se que este apresentava a metodologia e problemática que se propunha realizar neste trabalho.…”

Community-based intervention for managing hypertension and diabetes in rural Bangladesh

“…Community-based integrated services with a public health approach and collaboration of various sectors are needed to confront the risk behaviors and risk factors for NCDs in settings with limited resources [ 3 ]. Previous studies reported that community-based programs against NCDs are essential for the participation of community residents and the integrated implementation of strategies [ 4 – 6 ]. Community-based approaches are essential for NCDs in resource-limited settings; interventional studies to identify the effective strategies toward NCDs are urgent public health issues.…”