Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care...

Autores
Wellmann, Irmgardt Alicia; Ayala, Luis Fernando; Rodríguez, José Javier; Guetterman, Timothy C.; Irazola, Vilma; Palacios, Eduardo; Huffman, Mark D.; Rohloff, Peter; Heisler, Michele; Ramírez Zea, Manuel; Flood, David
Año de publicación
2024
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: The HEARTS technical package was developed by the World Health Organization to address the implementation gap in cardiovascular disease prevention in low- and middle-income countries. Guatemala is a middle-income country that is currently implementing HEARTS. National authorities in Guatemala are interested in exploring how hypertension and diabetes management can be integrated in HEARTS implementation. The objective of this study is to conduct a feasibility and acceptability pilot trial of integrated hypertension and diabetes management based on HEARTS in the publicly funded primary care system in Guatemala.Methods: A single-arm pilot trial for 6 months will be carried out in 11 Ministry of Health primary care facilities starting in September 2023. A planned sample of 100 adult patients diagnosed with diabetes (n = 45), hypertension (n = 45), or both (n = 10) will be enrolled. The intervention will consist of HEARTS-aligned components: Training health workers on healthy-lifestyle counseling and evidence-based treatment protocols, strengthening access to medications and diagnostics, training on risk-based cardiovascular disease management, team-based care and task sharing, and systems monitoring and feedback, including implementation of a facility-based electronic monitoring tool at the individual level. Co-primary outcomes of feasibility and acceptability will be assessed using an explanatory sequential mixed-methods design. Secondary outcomes include clinical effectiveness (treatment with medication, glycemic control, and blood pressure control), key implementation outcomes (adoption, fidelity, usability, and sustainability), and patient-reported outcome measures (diabetes distress, disability, and treatment burden). Using an implementation mapping approach, a Technical Advisory Committee will develop implementation strategies for subsequent scale-up planning.
Fil: Wellmann, Irmgardt Alicia. Institute Of Nutrition Of Central America And Panama; Panamá
Fil: Ayala, Luis Fernando. Institute Of Nutrition Of Central America And Panama; Panamá
Fil: Rodríguez, José Javier. Institute Of Nutrition Of Central America And Panama; Panamá
Fil: Guetterman, Timothy C.. University of Michigan; Estados Unidos
Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Palacios, Eduardo. Ministerio de Salud; Guatemala
Fil: Huffman, Mark D.. Washington University in St. Louis; Estados Unidos
Fil: Rohloff, Peter. Wuqu' Kawoq; Guatemala
Fil: Heisler, Michele. University of Michigan; Estados Unidos
Fil: Ramírez Zea, Manuel. Institute Of Nutrition Of Central America And Panama; Panamá
Fil: Flood, David. Institute Of Nutrition Of Central America And Panama; Panamá
Materia
DIABETES
GLOBAL HEALTH
GUATEMALA
HEALTH POLICY AND SYSTEMS RESEARCH
HYPERTENSION
IMPLEMENTATION RESEARCH
WHO HEARTS TECHNICAL PACKAGE
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/291097
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/291097
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care systemWellmann, Irmgardt AliciaAyala, Luis FernandoRodríguez, José JavierGuetterman, Timothy C.Irazola, VilmaPalacios, EduardoHuffman, Mark D.Rohloff, PeterHeisler, MicheleRamírez Zea, ManuelFlood, DavidDIABETESGLOBAL HEALTHGUATEMALAHEALTH POLICY AND SYSTEMS RESEARCHHYPERTENSIONIMPLEMENTATION RESEARCHWHO HEARTS TECHNICAL PACKAGEhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: The HEARTS technical package was developed by the World Health Organization to address the implementation gap in cardiovascular disease prevention in low- and middle-income countries. Guatemala is a middle-income country that is currently implementing HEARTS. National authorities in Guatemala are interested in exploring how hypertension and diabetes management can be integrated in HEARTS implementation. The objective of this study is to conduct a feasibility and acceptability pilot trial of integrated hypertension and diabetes management based on HEARTS in the publicly funded primary care system in Guatemala.Methods: A single-arm pilot trial for 6 months will be carried out in 11 Ministry of Health primary care facilities starting in September 2023. A planned sample of 100 adult patients diagnosed with diabetes (n = 45), hypertension (n = 45), or both (n = 10) will be enrolled. The intervention will consist of HEARTS-aligned components: Training health workers on healthy-lifestyle counseling and evidence-based treatment protocols, strengthening access to medications and diagnostics, training on risk-based cardiovascular disease management, team-based care and task sharing, and systems monitoring and feedback, including implementation of a facility-based electronic monitoring tool at the individual level. Co-primary outcomes of feasibility and acceptability will be assessed using an explanatory sequential mixed-methods design. Secondary outcomes include clinical effectiveness (treatment with medication, glycemic control, and blood pressure control), key implementation outcomes (adoption, fidelity, usability, and sustainability), and patient-reported outcome measures (diabetes distress, disability, and treatment burden). Using an implementation mapping approach, a Technical Advisory Committee will develop implementation strategies for subsequent scale-up planning.Fil: Wellmann, Irmgardt Alicia. Institute Of Nutrition Of Central America And Panama; PanamáFil: Ayala, Luis Fernando. Institute Of Nutrition Of Central America And Panama; PanamáFil: Rodríguez, José Javier. Institute Of Nutrition Of Central America And Panama; PanamáFil: Guetterman, Timothy C.. University of Michigan; Estados UnidosFil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Palacios, Eduardo. Ministerio de Salud; GuatemalaFil: Huffman, Mark D.. Washington University in St. Louis; Estados UnidosFil: Rohloff, Peter. Wuqu' Kawoq; GuatemalaFil: Heisler, Michele. University of Michigan; Estados UnidosFil: Ramírez Zea, Manuel. Institute Of Nutrition Of Central America And Panama; PanamáFil: Flood, David. Institute Of Nutrition Of Central America And Panama; PanamáSpringer2024-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/291097Wellmann, Irmgardt Alicia; Ayala, Luis Fernando; Rodríguez, José Javier; Guetterman, Timothy C.; Irazola, Vilma; et al.; Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care system; Springer; Implementation Science Communications; 5; 1; 1-2024; 1-152662-2211CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://implementationsciencecomms.biomedcentral.com/articles/10.1186/s43058-023-00539-8info:eu-repo/semantics/altIdentifier/doi/10.1186/s43058-023-00539-8info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2026-08-25T14:50:33Zoai:ri.conicet.gov.ar:11336/291097instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982026-08-25 14:50:33.36CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care system
title Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care system
spellingShingle Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care system
Wellmann, Irmgardt Alicia
DIABETES
GLOBAL HEALTH
GUATEMALA
HEALTH POLICY AND SYSTEMS RESEARCH
HYPERTENSION
IMPLEMENTATION RESEARCH
WHO HEARTS TECHNICAL PACKAGE
title_short Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care system
title_full Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care system
title_fullStr Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care system
title_full_unstemmed Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care system
title_sort Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care system
dc.creator.none.fl_str_mv Wellmann, Irmgardt Alicia
Ayala, Luis Fernando
Rodríguez, José Javier
Guetterman, Timothy C.
Irazola, Vilma
Palacios, Eduardo
Huffman, Mark D.
Rohloff, Peter
Heisler, Michele
Ramírez Zea, Manuel
Flood, David
author Wellmann, Irmgardt Alicia
author_facet Wellmann, Irmgardt Alicia
Ayala, Luis Fernando
Rodríguez, José Javier
Guetterman, Timothy C.
Irazola, Vilma
Palacios, Eduardo
Huffman, Mark D.
Rohloff, Peter
Heisler, Michele
Ramírez Zea, Manuel
Flood, David
author_role author
author2 Ayala, Luis Fernando
Rodríguez, José Javier
Guetterman, Timothy C.
Irazola, Vilma
Palacios, Eduardo
Huffman, Mark D.
Rohloff, Peter
Heisler, Michele
Ramírez Zea, Manuel
Flood, David
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv DIABETES
GLOBAL HEALTH
GUATEMALA
HEALTH POLICY AND SYSTEMS RESEARCH
HYPERTENSION
IMPLEMENTATION RESEARCH
WHO HEARTS TECHNICAL PACKAGE
topic DIABETES
GLOBAL HEALTH
GUATEMALA
HEALTH POLICY AND SYSTEMS RESEARCH
HYPERTENSION
IMPLEMENTATION RESEARCH
WHO HEARTS TECHNICAL PACKAGE
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: The HEARTS technical package was developed by the World Health Organization to address the implementation gap in cardiovascular disease prevention in low- and middle-income countries. Guatemala is a middle-income country that is currently implementing HEARTS. National authorities in Guatemala are interested in exploring how hypertension and diabetes management can be integrated in HEARTS implementation. The objective of this study is to conduct a feasibility and acceptability pilot trial of integrated hypertension and diabetes management based on HEARTS in the publicly funded primary care system in Guatemala.Methods: A single-arm pilot trial for 6 months will be carried out in 11 Ministry of Health primary care facilities starting in September 2023. A planned sample of 100 adult patients diagnosed with diabetes (n = 45), hypertension (n = 45), or both (n = 10) will be enrolled. The intervention will consist of HEARTS-aligned components: Training health workers on healthy-lifestyle counseling and evidence-based treatment protocols, strengthening access to medications and diagnostics, training on risk-based cardiovascular disease management, team-based care and task sharing, and systems monitoring and feedback, including implementation of a facility-based electronic monitoring tool at the individual level. Co-primary outcomes of feasibility and acceptability will be assessed using an explanatory sequential mixed-methods design. Secondary outcomes include clinical effectiveness (treatment with medication, glycemic control, and blood pressure control), key implementation outcomes (adoption, fidelity, usability, and sustainability), and patient-reported outcome measures (diabetes distress, disability, and treatment burden). Using an implementation mapping approach, a Technical Advisory Committee will develop implementation strategies for subsequent scale-up planning.
Fil: Wellmann, Irmgardt Alicia. Institute Of Nutrition Of Central America And Panama; Panamá
Fil: Ayala, Luis Fernando. Institute Of Nutrition Of Central America And Panama; Panamá
Fil: Rodríguez, José Javier. Institute Of Nutrition Of Central America And Panama; Panamá
Fil: Guetterman, Timothy C.. University of Michigan; Estados Unidos
Fil: Irazola, Vilma. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Palacios, Eduardo. Ministerio de Salud; Guatemala
Fil: Huffman, Mark D.. Washington University in St. Louis; Estados Unidos
Fil: Rohloff, Peter. Wuqu' Kawoq; Guatemala
Fil: Heisler, Michele. University of Michigan; Estados Unidos
Fil: Ramírez Zea, Manuel. Institute Of Nutrition Of Central America And Panama; Panamá
Fil: Flood, David. Institute Of Nutrition Of Central America And Panama; Panamá
description Background: The HEARTS technical package was developed by the World Health Organization to address the implementation gap in cardiovascular disease prevention in low- and middle-income countries. Guatemala is a middle-income country that is currently implementing HEARTS. National authorities in Guatemala are interested in exploring how hypertension and diabetes management can be integrated in HEARTS implementation. The objective of this study is to conduct a feasibility and acceptability pilot trial of integrated hypertension and diabetes management based on HEARTS in the publicly funded primary care system in Guatemala.Methods: A single-arm pilot trial for 6 months will be carried out in 11 Ministry of Health primary care facilities starting in September 2023. A planned sample of 100 adult patients diagnosed with diabetes (n = 45), hypertension (n = 45), or both (n = 10) will be enrolled. The intervention will consist of HEARTS-aligned components: Training health workers on healthy-lifestyle counseling and evidence-based treatment protocols, strengthening access to medications and diagnostics, training on risk-based cardiovascular disease management, team-based care and task sharing, and systems monitoring and feedback, including implementation of a facility-based electronic monitoring tool at the individual level. Co-primary outcomes of feasibility and acceptability will be assessed using an explanatory sequential mixed-methods design. Secondary outcomes include clinical effectiveness (treatment with medication, glycemic control, and blood pressure control), key implementation outcomes (adoption, fidelity, usability, and sustainability), and patient-reported outcome measures (diabetes distress, disability, and treatment burden). Using an implementation mapping approach, a Technical Advisory Committee will develop implementation strategies for subsequent scale-up planning.
publishDate 2024
dc.date.none.fl_str_mv 2024-01
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/291097
Wellmann, Irmgardt Alicia; Ayala, Luis Fernando; Rodríguez, José Javier; Guetterman, Timothy C.; Irazola, Vilma; et al.; Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care system; Springer; Implementation Science Communications; 5; 1; 1-2024; 1-15
2662-2211
CONICET Digital
CONICET
url http://hdl.handle.net/11336/291097
identifier_str_mv Wellmann, Irmgardt Alicia; Ayala, Luis Fernando; Rodríguez, José Javier; Guetterman, Timothy C.; Irazola, Vilma; et al.; Implementing integrated hypertension and diabetes management using the World Health Organization’s HEARTS model: protocol for a pilot study in the Guatemalan national primary care system; Springer; Implementation Science Communications; 5; 1; 1-2024; 1-15
2662-2211
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://implementationsciencecomms.biomedcentral.com/articles/10.1186/s43058-023-00539-8
info:eu-repo/semantics/altIdentifier/doi/10.1186/s43058-023-00539-8
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.265058

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