Abstract：
With less than 20% of people with hypertension achieving their target blood pressure (BP) goals, uncontrolled hypertension remains a major public health problem in India. We conducted a study to assess the effectiveness of a community-based education and peer support programme led by women\'s self-help group (SHG) members in reducing the mean systolic BP among people with hypertension in urban slums of Kochi city, Kerala, India.
A cluster randomised controlled pragmatic trial was conducted where 20 slums were randomised to either the intervention or the control arms. In each slum, participants who had elevated BP (>140/90) or were on antihypertensive medications were recruited. The intervention was delivered through women\'s SHG members (1 per 20-30 households) who provided (1) assistance in daily hypertension management, (2) social and emotional support to encourage healthy behaviours and (3) referral to the primary healthcare system. Those in the control arm received standard of care. The primary outcome was change in mean systolic BP (SBP) after 6 months.
A total of 1952 participants were recruited-968 in the intervention arm and 984 in the control arm. Mean SBP was reduced by 6.26 mm Hg (SE 0.69) in the intervention arm compared with 2.16 mm Hg (SE 0.70) in the control arm; the net difference being 4.09 (95% CI 2.15 to 4.09), p<0.001.
This women\'s SHG members led community intervention was effective in reducing SBP among people with hypertension compared with those who received usual care, over 6 months in urban slums of Kerala, India.
CTRI/2019/12/022252.
A cluster randomised controlled pragmatic trial was conducted where 20 slums were randomised to either the intervention or the control arms. In each slum, participants who had elevated BP (>140/90) or were on antihypertensive medications were recruited. The intervention was delivered through women\'s SHG members (1 per 20-30 households) who provided (1) assistance in daily hypertension management, (2) social and emotional support to encourage healthy behaviours and (3) referral to the primary healthcare system. Those in the control arm received standard of care. The primary outcome was change in mean systolic BP (SBP) after 6 months.
A total of 1952 participants were recruited-968 in the intervention arm and 984 in the control arm. Mean SBP was reduced by 6.26 mm Hg (SE 0.69) in the intervention arm compared with 2.16 mm Hg (SE 0.70) in the control arm; the net difference being 4.09 (95% CI 2.15 to 4.09), p<0.001.
This women\'s SHG members led community intervention was effective in reducing SBP among people with hypertension compared with those who received usual care, over 6 months in urban slums of Kerala, India.
CTRI/2019/12/022252.
摘要：
只有不到20%的高血压患者达到目标血压（BP）。不受控制的高血压仍然是印度的主要公共卫生问题。我们进行了一项研究，以评估由妇女自助小组（SHG）成员领导的社区教育和同伴支持计划在降低高知市城市贫民窟高血压患者的平均收缩压的有效性。喀拉拉邦,印度。
进行了一项整群随机对照实用试验，其中20个贫民窟被随机分配到干预组或对照组。在每个贫民窟，纳入血压升高(>140/90)或服用抗高血压药物的参与者.干预是通过妇女的SHG成员（每20-30个家庭1个）提供（1）在日常高血压管理的援助，（2）社会和情感支持，以鼓励健康的行为和（3）转诊到初级卫生保健系统。控制臂中的人接受了标准的护理。主要结果是6个月后平均收缩压（SBP）的变化。
总共招募了1952名参与者-干预组968名，对照组984名。干预组的平均SBP降低了6.26mmHg（SE0.69），而对照组为2.16mmHg（SE0.70）；净差异为4.09（95％CI2.15至4.09），p<0.001。
与接受常规护理的高血压患者相比，该女性SHG成员领导的社区干预在降低高血压患者SBP方面是有效的，在喀拉拉邦的城市贫民窟超过6个月，印度。
CTRI/2019/12/022252。
进行了一项整群随机对照实用试验，其中20个贫民窟被随机分配到干预组或对照组。在每个贫民窟，纳入血压升高(>140/90)或服用抗高血压药物的参与者.干预是通过妇女的SHG成员（每20-30个家庭1个）提供（1）在日常高血压管理的援助，（2）社会和情感支持，以鼓励健康的行为和（3）转诊到初级卫生保健系统。控制臂中的人接受了标准的护理。主要结果是6个月后平均收缩压（SBP）的变化。
总共招募了1952名参与者-干预组968名，对照组984名。干预组的平均SBP降低了6.26mmHg（SE0.69），而对照组为2.16mmHg（SE0.70）；净差异为4.09（95％CI2.15至4.09），p<0.001。
与接受常规护理的高血压患者相比，该女性SHG成员领导的社区干预在降低高血压患者SBP方面是有效的，在喀拉拉邦的城市贫民窟超过6个月，印度。
CTRI/2019/12/022252。
