Implementing and scaling up a team-based care strategy for hypertension control in colombia and jamaica
Active Cooperative Agreement Awarded Last action
- Award ID
- UH3HL152373
- Recipient
-
The University Of The West Indies UEI RY1HKEY93NN6
- Awarding agency
-
National Heart Lung and Blood Institute
National Institutes of Health, Department of Health and Human Services
- Obligated
- $5,803,405
Award facts
- Assistance listing
- 93.837 Cardiovascular Diseases Research
- Completion date 84% complete
- Originally
- Funding agency
- National Institute of Neurological Disorders and Stroke National Institutes of Health, Department of Health and Human Services
- Place of performance
- 2703 S Chicago Ave, South Milwaukee, WI 53172, USA
Award details come from USAspending.gov.
Description
- Abstract
- Hypertension disproportionally affects populations in low- and middle-income countries (LMICS), especially in latin america and the caribbean (LAC), with a high prevalence and low control rate, resulting in an excess burden of cardiovascular disease (CVD). Despite widely available evidence-based interventions, only 7.7% of patients in LMICS had their blood pressure (BP) controlled in 2010. To close the knowledge-practice GAP for hypertension control in LAC, a multidisciplinary team of investigators from colombia, jamaica, and the US will work with national and local government agencies and health systems to test the implementation and effectiveness outcomes of implementing and scaling up a team-based care strategy for BP control in colombia and jamaica. The RE-aim (reach effectiveness adoption implementation maintenance) framework is being used to guide the development and evaluation of the implementation strategies. Physician-nurse (or pharmacist)-community health worker (CHW) teams will work collaboratively with patients to achieve shared treatment goals. Nurses or pharmacists will titrate medications using a simple protocol under physician supervision, chws will conduct health coaching on lifestyle change and medication adherence, and patients will actively engage in self-management (including home BP monitoring). Specific aim 1 will test the reach, effectiveness, adoption, implementation (FIDELITY), and maintenance (SUSTAINABILITY) of implementing a team- based care strategy in a cluster randomized trial. A total of 40 primary care clinics (20 from colombia and 20 from jamaica; 32 patients per clinic and 1,280 in total) will be randomly assigned to a team-based care strategy or enhanced usual care for 12 months to test implementation and effectiveness outcomes. A 6-month post-trial follow-up study will be conducted to assess SUSTAINABILITY. This trial has 90% statistical power to detect an absolute difference of 15% in hypertension control (BP
Transactions
| Action | Obligated | Date |
|---|---|---|
| Amendment | $0 | |
| Amendment | $0 | |
| Amendment | $0 | |
| Amendment | $0 | |
| Amendment | $157,724 | |
| Amendment | $157,724 | |
| Amendment | $157,724 | |
| Amendment | $157,724 | |
| Amendment | $250,000 | |
| Amendment | $250,000 | |
| Amendment | $299,724 | |
| Amendment | $299,724 | |
| Amendment | $851,823 | |
| Amendment | $84,030 | |
| Amendment | $879,329 | |
| Amendment | $879,329 | |
| Original award | $1,378,550 |
Show all 17
Quick answers
Who received award UH3HL152373?
UH3HL152373 was awarded to The University Of The West Indies by National Heart Lung and Blood Institute (National Institutes of Health) on September 5, 2022.
How much is award UH3HL152373 worth?
$5,803,405 has been obligated on UH3HL152373.
Which agency awarded UH3HL152373?
National Heart Lung and Blood Institute (National Institutes of Health) awarded UH3HL152373, with funding from National Institute of Neurological Disorders and Stroke (National Institutes of Health).
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