Research

Adherence

Non-physician health workers (NPHW) leading comprehensive care models, including screening, counseling, and medication management under physician supervision, effectively improve blood pressure control and reduce cardiovascular risk scores.

In settings with limited physician access, utilizing trained non-physician health workers for screening, counseling, and medication management under supervision can significantly improve blood pressure control and reduce cardiovascular risk.

GoodSupportsHIGH confidence
HOPE-4 reported that this comprehensive model of care led by NPHW improved blood pressure control (69% in the intervention group vs 30% in the control group; p < 0.0001) and CVD risk (a reduction in the Framingham Risk Score for 10 year CVD risk was –11.2% in the intervention vs –6.4% in the control, P < 0.0001).
Loshana Sockalingam et al. · Annals of Global Health · 2021

Why this rating

Based on a cluster-randomized controlled trial (HOPE-4), which is high-quality evidence for an intervention.

Source

The Rise in Cardiovascular Risk Factors and Chronic Diseases in Guyana: A Narrative Review

Loshana Sockalingam et al. · Annals of Global Health · 2021

narrative_reviewCited 9×
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