Trained health workers help adults with high blood pressure and blood sugar

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults already in the SCORE! Cohort study who have high blood pressure, high cholesterol or high blood sugar. A health worker who is not a doctor will help them for 12 months.

Age

18 years and older

Sex

All sexes can join

Disease stage

Uncontrolled heart risk factors: blood pressure with top number 140 or more or bottom number 90 mm Hg or more, non-HDL cholesterol above 2.66 mmol/L (103 mg/dL), or random blood glucose of 11.1 mmol/L (200 mg/dL) or more or HbA1c of 6.5% (48 mmol/mol) or more.

Biomarker or test result

Blood pressure, non-HDL cholesterol and blood sugar results as listed above.

Main reasons for not taking part

• Taking part in another study or program that would interfere with this trial
• Known history of coronary artery disease or stroke
• Severe other illness with life expectancy under 1 year
• Pregnancy or plans to become pregnant within 12 months
• Other serious conditions or practical problems likely to interfere with taking part

The registry criteria, word for word

What the trial wants to find out

This study is a substudy of the Strenghtening Community Roots (SCORE!) Cohort study. The investigators will look for people, enrolled in the SCORE! Cohort study, with abnormal results related to blood sugar and fat, as well as high blood pressure and heart disease risks. The investigaors will try to help the community improve sugar, fat and blood pressure through trained people who are not necessarily a medical doctor but have health-sciences-training backgrounds. These people are called Non-Physician Health Workers (NPHW), and they will be under the direction of a medical doctor and will be also in close communication with the participants and the medical doctor to improve their health. This will happen through a total of 12 months, having online and on-site visits, for follow-up.

The group in the trial

• Implementation group.Treatment being tested

  The study is based on the HOPE-4 protocol, where trained individuals will support participants in adhering to healthy lifestyle recommendations and support their access to a family physician to follow up on care recommendations. The NPHWs will be allied health professionals (e.g., pharmacists, internationally trained physicians, physiotherapists, nurses). The team will train them on study goals, responsibilities, data management, and follow-up, based on the HOPE-4 training manual. Training will be given once at the beginning of their role and then once annually. The NPHW will support the participant, if needed, in contacting the family doctor and assisting to arrange a follow-up study. If required, the family doctor can contact the NPHW. If further discussion is required or there are questions regarding the study that require further discussion, the NPHW will contact the study physician to address these issues.

  Treatment: Non-Physician Health Worker