Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in G...

Autores: Hernández Galdamez, Diego; Mansilla, Kristyne; Peralta, Ana Lucía; Rodríguez Szaszdi, Javier; Ramírez, Juan Manuel; Roche, Dina; Gulayin, Pablo Elías; Ramirez Zea, Manuel; He, Jiang; Irazola, Vilma; Fort, Meredith P.
Año de publicación: 2021
Idioma: inglés
Tipo de recurso: artículo
Estado: versión publicada
Descripción: Background: The COVID-19 pandemic presents a challenge to health care for patients with chronic diseases, especially hypertension, because of the important association and increased risk of these patients with a severe presentation of COVID-19 disease. The Guatemalan Ministry of Health has been implementing a multi-component program aimed at improving hypertension control in rural communities since 2019 as a part of an intervention research cluster randomized trial. When the first cases of COVID-19 were reported (March 13, 2020) in Guatemala, our study paused all study field activities, and began monitoring participants through phone calls. The objective of this paper is to describe the approach used to monitor study participants during the COVID-19 pandemic and compare data obtained during phone calls for intervention and control group participants. Methods: We developed a cross-sectional study within the HyTREC (Hypertension Outcomes for T4 Research within Lower Middle-Income Countries) project ‘Multicomponent Intervention to Improve Hypertension Control in Central America: Guatemala’ in which phone calls were made to participants from both intervention and control groups to monitor measures important to the study: delivery of antihypertensive medications in both groups, receipt of coaching sessions and use of a home blood pressure monitor by intervention group participants, as well as reasons that they were not implemented. Results: Regarding the delivery of antihypertensive drugs by the MoH to participants, those in the intervention group had a higher level of medication delivery (73%) than the control group (51%), p<0.001. Of the total participants in the intervention group, 62% had received at least one health coaching session in the previous three months and 81% used a digital home blood pressure monitor at least twice a week. Intervention activities were lower than expected due to restricted public transportation on top of decreased availability of health providers. Conclusion: In Guatemala, specifically in rural settings, access to antihypertensive medications and health services during pandemic times was impaired and less than expected, even after accounting for the program’s implementation activities and actions.
Fil: Hernández Galdamez, Diego. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala
Fil: Mansilla, Kristyne. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala
Fil: Peralta, Ana Lucía. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala
Fil: Rodríguez Szaszdi, Javier. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala
Fil: Ramírez, Juan Manuel. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala
Fil: Roche, Dina. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala
Fil: Gulayin, Pablo Elías. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Ramirez Zea, Manuel. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala
Fil: He, Jiang. Tulane University School of Public Health and Tropical Medicine; 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
Fil: Fort, Meredith P.. Colorado School of Public Health; Estados Unidos
Materia: CARDIOVASCULAR DISEASES
COVID-19
HYPERTENSION
IMPLEMENTATION SCIENCE
MHEALTH
NON-COMMUNICABLE DISEASES
Nivel de accesibilidad: acceso abierto
Condiciones de uso: https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
Institución: Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador: oai:ri.conicet.gov.ar:11336/212277

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repository_id_str	3498
network_name_str	CONICET Digital (CONICET)
spelling	Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in GuatemalaHernández Galdamez, DiegoMansilla, KristynePeralta, Ana LucíaRodríguez Szaszdi, JavierRamírez, Juan ManuelRoche, DinaGulayin, Pablo ElíasRamirez Zea, ManuelHe, JiangIrazola, VilmaFort, Meredith P.CARDIOVASCULAR DISEASESCOVID-19HYPERTENSIONIMPLEMENTATION SCIENCEMHEALTHNON-COMMUNICABLE DISEASEShttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: The COVID-19 pandemic presents a challenge to health care for patients with chronic diseases, especially hypertension, because of the important association and increased risk of these patients with a severe presentation of COVID-19 disease. The Guatemalan Ministry of Health has been implementing a multi-component program aimed at improving hypertension control in rural communities since 2019 as a part of an intervention research cluster randomized trial. When the first cases of COVID-19 were reported (March 13, 2020) in Guatemala, our study paused all study field activities, and began monitoring participants through phone calls. The objective of this paper is to describe the approach used to monitor study participants during the COVID-19 pandemic and compare data obtained during phone calls for intervention and control group participants. Methods: We developed a cross-sectional study within the HyTREC (Hypertension Outcomes for T4 Research within Lower Middle-Income Countries) project ‘Multicomponent Intervention to Improve Hypertension Control in Central America: Guatemala’ in which phone calls were made to participants from both intervention and control groups to monitor measures important to the study: delivery of antihypertensive medications in both groups, receipt of coaching sessions and use of a home blood pressure monitor by intervention group participants, as well as reasons that they were not implemented. Results: Regarding the delivery of antihypertensive drugs by the MoH to participants, those in the intervention group had a higher level of medication delivery (73%) than the control group (51%), p<0.001. Of the total participants in the intervention group, 62% had received at least one health coaching session in the previous three months and 81% used a digital home blood pressure monitor at least twice a week. Intervention activities were lower than expected due to restricted public transportation on top of decreased availability of health providers. Conclusion: In Guatemala, specifically in rural settings, access to antihypertensive medications and health services during pandemic times was impaired and less than expected, even after accounting for the program’s implementation activities and actions.Fil: Hernández Galdamez, Diego. Institute Of Nutrition Of Central America And Panama Guatemala; GuatemalaFil: Mansilla, Kristyne. Institute Of Nutrition Of Central America And Panama Guatemala; GuatemalaFil: Peralta, Ana Lucía. Institute Of Nutrition Of Central America And Panama Guatemala; GuatemalaFil: Rodríguez Szaszdi, Javier. Institute Of Nutrition Of Central America And Panama Guatemala; GuatemalaFil: Ramírez, Juan Manuel. Institute Of Nutrition Of Central America And Panama Guatemala; GuatemalaFil: Roche, Dina. Institute Of Nutrition Of Central America And Panama Guatemala; GuatemalaFil: Gulayin, Pablo Elías. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Ramirez Zea, Manuel. Institute Of Nutrition Of Central America And Panama Guatemala; GuatemalaFil: He, Jiang. Tulane University School of Public Health and Tropical Medicine; 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; ArgentinaFil: Fort, Meredith P.. Colorado School of Public Health; Estados UnidosUbiquity Press2021-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/212277Hernández Galdamez, Diego; Mansilla, Kristyne; Peralta, Ana Lucía; Rodríguez Szaszdi, Javier; Ramírez, Juan Manuel; et al.; Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in Guatemala; Ubiquity Press; Global Heart; 16; 1; 11-2021; 1-102211-81602211-8179CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.5334/GH.954info:eu-repo/semantics/altIdentifier/url/https://globalheartjournal.com/articles/10.5334/gh.954info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:23:25Zoai:ri.conicet.gov.ar:11336/212277instacron: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:34982025-09-29 10:23:25.828CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv	Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in Guatemala
title	Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in Guatemala
spellingShingle	Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in Guatemala Hernández Galdamez, Diego CARDIOVASCULAR DISEASES COVID-19 HYPERTENSION IMPLEMENTATION SCIENCE MHEALTH NON-COMMUNICABLE DISEASES
title_short	Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in Guatemala
title_full	Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in Guatemala
title_fullStr	Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in Guatemala
title_full_unstemmed	Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in Guatemala
title_sort	Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in Guatemala
dc.creator.none.fl_str_mv	Hernández Galdamez, Diego Mansilla, Kristyne Peralta, Ana Lucía Rodríguez Szaszdi, Javier Ramírez, Juan Manuel Roche, Dina Gulayin, Pablo Elías Ramirez Zea, Manuel He, Jiang Irazola, Vilma Fort, Meredith P.
author	Hernández Galdamez, Diego
author_facet	Hernández Galdamez, Diego Mansilla, Kristyne Peralta, Ana Lucía Rodríguez Szaszdi, Javier Ramírez, Juan Manuel Roche, Dina Gulayin, Pablo Elías Ramirez Zea, Manuel He, Jiang Irazola, Vilma Fort, Meredith P.
author_role	author
author2	Mansilla, Kristyne Peralta, Ana Lucía Rodríguez Szaszdi, Javier Ramírez, Juan Manuel Roche, Dina Gulayin, Pablo Elías Ramirez Zea, Manuel He, Jiang Irazola, Vilma Fort, Meredith P.
author2_role	author author author author author author author author author author
dc.subject.none.fl_str_mv	CARDIOVASCULAR DISEASES COVID-19 HYPERTENSION IMPLEMENTATION SCIENCE MHEALTH NON-COMMUNICABLE DISEASES
topic	CARDIOVASCULAR DISEASES COVID-19 HYPERTENSION IMPLEMENTATION SCIENCE MHEALTH NON-COMMUNICABLE DISEASES
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 COVID-19 pandemic presents a challenge to health care for patients with chronic diseases, especially hypertension, because of the important association and increased risk of these patients with a severe presentation of COVID-19 disease. The Guatemalan Ministry of Health has been implementing a multi-component program aimed at improving hypertension control in rural communities since 2019 as a part of an intervention research cluster randomized trial. When the first cases of COVID-19 were reported (March 13, 2020) in Guatemala, our study paused all study field activities, and began monitoring participants through phone calls. The objective of this paper is to describe the approach used to monitor study participants during the COVID-19 pandemic and compare data obtained during phone calls for intervention and control group participants. Methods: We developed a cross-sectional study within the HyTREC (Hypertension Outcomes for T4 Research within Lower Middle-Income Countries) project ‘Multicomponent Intervention to Improve Hypertension Control in Central America: Guatemala’ in which phone calls were made to participants from both intervention and control groups to monitor measures important to the study: delivery of antihypertensive medications in both groups, receipt of coaching sessions and use of a home blood pressure monitor by intervention group participants, as well as reasons that they were not implemented. Results: Regarding the delivery of antihypertensive drugs by the MoH to participants, those in the intervention group had a higher level of medication delivery (73%) than the control group (51%), p<0.001. Of the total participants in the intervention group, 62% had received at least one health coaching session in the previous three months and 81% used a digital home blood pressure monitor at least twice a week. Intervention activities were lower than expected due to restricted public transportation on top of decreased availability of health providers. Conclusion: In Guatemala, specifically in rural settings, access to antihypertensive medications and health services during pandemic times was impaired and less than expected, even after accounting for the program’s implementation activities and actions. Fil: Hernández Galdamez, Diego. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala Fil: Mansilla, Kristyne. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala Fil: Peralta, Ana Lucía. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala Fil: Rodríguez Szaszdi, Javier. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala Fil: Ramírez, Juan Manuel. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala Fil: Roche, Dina. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala Fil: Gulayin, Pablo Elías. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Ramirez Zea, Manuel. Institute Of Nutrition Of Central America And Panama Guatemala; Guatemala Fil: He, Jiang. Tulane University School of Public Health and Tropical Medicine; 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 Fil: Fort, Meredith P.. Colorado School of Public Health; Estados Unidos
description	Background: The COVID-19 pandemic presents a challenge to health care for patients with chronic diseases, especially hypertension, because of the important association and increased risk of these patients with a severe presentation of COVID-19 disease. The Guatemalan Ministry of Health has been implementing a multi-component program aimed at improving hypertension control in rural communities since 2019 as a part of an intervention research cluster randomized trial. When the first cases of COVID-19 were reported (March 13, 2020) in Guatemala, our study paused all study field activities, and began monitoring participants through phone calls. The objective of this paper is to describe the approach used to monitor study participants during the COVID-19 pandemic and compare data obtained during phone calls for intervention and control group participants. Methods: We developed a cross-sectional study within the HyTREC (Hypertension Outcomes for T4 Research within Lower Middle-Income Countries) project ‘Multicomponent Intervention to Improve Hypertension Control in Central America: Guatemala’ in which phone calls were made to participants from both intervention and control groups to monitor measures important to the study: delivery of antihypertensive medications in both groups, receipt of coaching sessions and use of a home blood pressure monitor by intervention group participants, as well as reasons that they were not implemented. Results: Regarding the delivery of antihypertensive drugs by the MoH to participants, those in the intervention group had a higher level of medication delivery (73%) than the control group (51%), p<0.001. Of the total participants in the intervention group, 62% had received at least one health coaching session in the previous three months and 81% used a digital home blood pressure monitor at least twice a week. Intervention activities were lower than expected due to restricted public transportation on top of decreased availability of health providers. Conclusion: In Guatemala, specifically in rural settings, access to antihypertensive medications and health services during pandemic times was impaired and less than expected, even after accounting for the program’s implementation activities and actions.
publishDate	2021
dc.date.none.fl_str_mv	2021-11
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/11336/212277 Hernández Galdamez, Diego; Mansilla, Kristyne; Peralta, Ana Lucía; Rodríguez Szaszdi, Javier; Ramírez, Juan Manuel; et al.; Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in Guatemala; Ubiquity Press; Global Heart; 16; 1; 11-2021; 1-10 2211-8160 2211-8179 CONICET Digital CONICET
url	http://hdl.handle.net/11336/212277
identifier_str_mv	Hernández Galdamez, Diego; Mansilla, Kristyne; Peralta, Ana Lucía; Rodríguez Szaszdi, Javier; Ramírez, Juan Manuel; et al.; Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in Guatemala; Ubiquity Press; Global Heart; 16; 1; 11-2021; 1-10 2211-8160 2211-8179 CONICET Digital CONICET
dc.language.none.fl_str_mv	eng
language	eng
dc.relation.none.fl_str_mv	info:eu-repo/semantics/altIdentifier/doi/10.5334/GH.954 info:eu-repo/semantics/altIdentifier/url/https://globalheartjournal.com/articles/10.5334/gh.954
dc.rights.none.fl_str_mv	info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv	openAccess
rights_invalid_str_mv	https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv	application/pdf application/pdf
dc.publisher.none.fl_str_mv	Ubiquity Press
publisher.none.fl_str_mv	Ubiquity Press
dc.source.none.fl_str_mv	reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas
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repository.mail.fl_str_mv	dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control during the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in G...

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