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Adapting a club-based medication delivery strategy to a hypertension context: the CLUBMEDS Study in Nigeria

INTRODUCTION: The prevalence of hypertension in sub-Saharan Africa is among the world’s highest; however, awareness, treatment and control of hypertension in this region are suboptimal. Among other barriers, the overburdened healthcare system poses a great challenge for hypertension control. Communi...

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Autores principales: Santo, Karla, Isiguzo, Godsent C, Atkins, Emily, Mishra, Shiva R, Panda, Rajmohan, Mbau, Lilian, Fayomi, Samuel B, Ugwu, Collins, Odili, Augustine, Virani, Salim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6629410/
https://www.ncbi.nlm.nih.gov/pubmed/31289095
http://dx.doi.org/10.1136/bmjopen-2019-029824
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author Santo, Karla
Isiguzo, Godsent C
Atkins, Emily
Mishra, Shiva R
Panda, Rajmohan
Mbau, Lilian
Fayomi, Samuel B
Ugwu, Collins
Odili, Augustine
Virani, Salim
author_facet Santo, Karla
Isiguzo, Godsent C
Atkins, Emily
Mishra, Shiva R
Panda, Rajmohan
Mbau, Lilian
Fayomi, Samuel B
Ugwu, Collins
Odili, Augustine
Virani, Salim
author_sort Santo, Karla
collection PubMed
description INTRODUCTION: The prevalence of hypertension in sub-Saharan Africa is among the world’s highest; however, awareness, treatment and control of hypertension in this region are suboptimal. Among other barriers, the overburdened healthcare system poses a great challenge for hypertension control. Community peer-support groups are an alternative and promising strategy to improve adherence and blood pressure (BP) control. The CLUBMEDS study aims to evaluate the feasibility and impact of adherence clubs to improve hypertension control in Nigeria. METHODS AND ANALYSIS: The CLUBMEDS study will include a formative (pre-implementation) qualitative evaluation, a pilot study and a process (postimplementation) qualitative evaluation. At the formative stages, focus group discussions with patient groups and in-depth interviews with healthcare providers, managers and key decision makers will be conducted to understand the feasibility, barriers and facilitators, opportunities and challenges for the successful implementation of the CLUBMEDS strategy. The CLUBMEDS pilot study will be implemented in two primary healthcare facilities, one urban and one rural, in Southeast Nigeria. Each adherence club, which consists of a group of 10–15 patients with hypertension under the leadership of a role-model patient, serves as a support group to encourage and facilitate adherence, BP self-monitoring and medication delivery on a monthly basis. A process evaluation will be conducted at the end of the pilot study to evaluate the acceptability and engagement with the CLUBMEDS strategy. To date, 104 patients were recruited and grouped into nine clubs, in which patients will be followed-up for 6 months. ETHICS AND DISSEMINATION: The study was approved by the University of Abuja Teaching Hospital and the Federal Teaching Hospital Abakaliki Human Research Ethics Committees and all patients provided informed consent. Our findings will provide preliminary data on the potential effectiveness and acceptance of this strategy in a hypertension context. Study findings will be disseminated via scientific forums.
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spelling pubmed-66294102019-07-30 Adapting a club-based medication delivery strategy to a hypertension context: the CLUBMEDS Study in Nigeria Santo, Karla Isiguzo, Godsent C Atkins, Emily Mishra, Shiva R Panda, Rajmohan Mbau, Lilian Fayomi, Samuel B Ugwu, Collins Odili, Augustine Virani, Salim BMJ Open Cardiovascular Medicine INTRODUCTION: The prevalence of hypertension in sub-Saharan Africa is among the world’s highest; however, awareness, treatment and control of hypertension in this region are suboptimal. Among other barriers, the overburdened healthcare system poses a great challenge for hypertension control. Community peer-support groups are an alternative and promising strategy to improve adherence and blood pressure (BP) control. The CLUBMEDS study aims to evaluate the feasibility and impact of adherence clubs to improve hypertension control in Nigeria. METHODS AND ANALYSIS: The CLUBMEDS study will include a formative (pre-implementation) qualitative evaluation, a pilot study and a process (postimplementation) qualitative evaluation. At the formative stages, focus group discussions with patient groups and in-depth interviews with healthcare providers, managers and key decision makers will be conducted to understand the feasibility, barriers and facilitators, opportunities and challenges for the successful implementation of the CLUBMEDS strategy. The CLUBMEDS pilot study will be implemented in two primary healthcare facilities, one urban and one rural, in Southeast Nigeria. Each adherence club, which consists of a group of 10–15 patients with hypertension under the leadership of a role-model patient, serves as a support group to encourage and facilitate adherence, BP self-monitoring and medication delivery on a monthly basis. A process evaluation will be conducted at the end of the pilot study to evaluate the acceptability and engagement with the CLUBMEDS strategy. To date, 104 patients were recruited and grouped into nine clubs, in which patients will be followed-up for 6 months. ETHICS AND DISSEMINATION: The study was approved by the University of Abuja Teaching Hospital and the Federal Teaching Hospital Abakaliki Human Research Ethics Committees and all patients provided informed consent. Our findings will provide preliminary data on the potential effectiveness and acceptance of this strategy in a hypertension context. Study findings will be disseminated via scientific forums. BMJ Publishing Group 2019-07-09 /pmc/articles/PMC6629410/ /pubmed/31289095 http://dx.doi.org/10.1136/bmjopen-2019-029824 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Cardiovascular Medicine
Santo, Karla
Isiguzo, Godsent C
Atkins, Emily
Mishra, Shiva R
Panda, Rajmohan
Mbau, Lilian
Fayomi, Samuel B
Ugwu, Collins
Odili, Augustine
Virani, Salim
Adapting a club-based medication delivery strategy to a hypertension context: the CLUBMEDS Study in Nigeria
title Adapting a club-based medication delivery strategy to a hypertension context: the CLUBMEDS Study in Nigeria
title_full Adapting a club-based medication delivery strategy to a hypertension context: the CLUBMEDS Study in Nigeria
title_fullStr Adapting a club-based medication delivery strategy to a hypertension context: the CLUBMEDS Study in Nigeria
title_full_unstemmed Adapting a club-based medication delivery strategy to a hypertension context: the CLUBMEDS Study in Nigeria
title_short Adapting a club-based medication delivery strategy to a hypertension context: the CLUBMEDS Study in Nigeria
title_sort adapting a club-based medication delivery strategy to a hypertension context: the clubmeds study in nigeria
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6629410/
https://www.ncbi.nlm.nih.gov/pubmed/31289095
http://dx.doi.org/10.1136/bmjopen-2019-029824
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