A multifaceted intervention to improve treatment of osteoporosis in postmenopausal women with wrist fractures: a cluster randomized trial

2008 ◽  
Vol 19 (12) ◽  
pp. 1733-1740 ◽  
Author(s):  
A. Cranney ◽  
M. Lam ◽  
L. Ruhland ◽  
R. Brison ◽  
M. Godwin ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Postmenopausal Women ◽  
Cluster Randomized Trial ◽  
Multifaceted Intervention ◽  
Treatment Of Osteoporosis ◽  
Wrist Fractures ◽  
Improve Treatment ◽  
Cluster Randomized

A cluster randomized trial comparing two interventions to improve treatment of major depression in primary care

2005 ◽  
Vol 35 (1) ◽  
pp. 25-33 ◽  
Author(s):  
ANTON C. VERGOUWEN ◽  
ABRAHAM BAKKER ◽  
HUIBERT BURGER ◽  
THEO J. VERHEIJ ◽  
FRANK KOERSELMAN
Keyword(s):  
Primary Care ◽  
Major Depression ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Improve Treatment ◽  
Cluster Randomized

Rationale and Design of a Cluster Randomized Trial of a Village Doctor-Led Intervention on Hypertension Control in China

2021 ◽  
Author(s):  
Yingxian Sun ◽  
Zhao Li ◽  
Xiaofan Guo ◽  
Ying Zhou ◽  
Nanxiang Ouyang ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Village Doctor ◽  
Health Coaching ◽  
Multifaceted Intervention ◽  
Hypertension Control ◽  
Rural Residents ◽  
Village Doctors ◽  
Cluster Randomized ◽  
The Village

Abstract Background In China, hypertension prevalence is high and increasing while the control rate is low, especially in rural areas. Traditionally, village doctors play an important role in infectious disease control and delivering essential health services to rural residents. We aim to test the effectiveness of a village doctor-led multifaceted intervention compared to usual care on blood pressure (BP) control and cardiovascular disease (CVD) among rural residents with hypertension in China. Methods In the China Rural Hypertension Control Project (CRHCP), a cluster randomized trial, 163 villages were randomly assigned to the village doctor-led intervention and 163 villages to control. A total of 33,995 individuals aged ≥40 years with an untreated BP ≥140/90 mmHg or treated BP ≥130/80 mmHg or with an untreated BP ≥130/80 mmHg and a history of clinical CVD were recruited into the study. The village doctor-led multifaceted intervention is designed to overcome barriers at the healthcare system, provider, patient, and community levels. Village doctors receive training on standard BP measurement, protocol-based hypertension treatment, and health coaching. They also receive technical support and supervision from hypertension specialists/primary care physicians and performance-based financial incentives. Study participants receive health coaching on home BP monitoring, lifestyle changes, and adherence to medications. The primary outcome is BP control (<130/80 mmHg) at 18 months in phase 1 and CVD events over 36 months in phase 2. Conclusions The CRHCP will provide critically important data on the effectiveness, implementation, and sustainability of a hypertension control strategy in rural China for reducing the BP-related CVD burden. Clinical trials registration ClinicalTrials.gov identifier NCT03527719

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