Scaling Up Community-based Noncommunicable Disease Research Into Practice in Pokhara Metropolitan City of Nepal

Launched by JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH · Dec 13, 2024

Keywords

ClinConnect Summary

This clinical trial is focused on helping people in Pokhara, Nepal, who have high blood pressure, type 2 diabetes, or who smoke cigarettes. The researchers want to see if a program that includes home visits by trained female community health volunteers and regular text messages can improve health outcomes. Specifically, they are looking to find out if these visits and messages can lower blood pressure, reduce blood sugar levels, and help smokers quit.

To participate in this study, individuals must be at least 18 years old, live in Pokhara, and meet at least one of the following criteria: they have high blood pressure, type 2 diabetes, or they smoke. Participants will be compared to a group that does not receive these additional services. If you join the study, you can expect support from health volunteers who will help you manage your condition through personalized advice and regular check-ins via text messages. This trial is not yet recruiting participants, but it aims to make a positive impact on community health in Pokhara.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Meeting at least one of the following three conditions
• • Hypertensive, as defined as
• • BP≥140/90 mmHg at two separate measurements, or
• • Under pharmacotherapies for hypertension
• • Type 2 diabetes, as defined as
• • Fingerprick glucose≥100 mg/dL, and plasma fasting glucose ≥126 mg/dL, and HbA1c≥6.5, or
• • Under pharmacotherapies for type 2 diabetes
• • Current smoker, as defined as
• • Ever smoked ≥100 cigarettes in lifetime, and
• • Currently smokes every day or on some days.
• • 2. Registered on the voter list in Pokhara.
• • 3. Not plan to migrate outside of Pokhara during the study period
• Exclusion Criteria:
• • 1. Blood pressure ≥180/120 mmHg or
• • 2. Blood glucose \>250 mg/dL or \<54 mg/dL
• • 3. Diagnosed with secondary hypertension by health professionals
• • 4. Diagnosed with other diabetes besides type 2 by health professionals
• 5. Presenting with acute symptoms that may require hospitalizations, which includes but not limited to:
• • Nausea, vomiting, diarrhea
• • Abdominal pain
• • Polyuria, polydipsia, polyphagia
• • Loss of motor or sensory function
• • Altered mental status.
• • Chest pain, chest tightness
• • Dyspnea, shortness of breath
• • Fever
• • 6. Diagnosed as terminally ill by a health professional, defined as life expectancy of 6 months or less.
• • 7. Pregnant or intend to be pregnant