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).
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
DOI 10.5334/aogh.3060
narrative_reviewCited 9×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
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