Evidence map›Paper›PMID 27316539›Full record

Trial reportTrials2016

Community-based intervention for blood pressure reduction in Nepal (COBIN trial): study protocol for a cluster-randomized controlled trial.

Dinesh Neupane, Craig S McLachlan, Bo Christensen, Arjun Karki, Henry B Perry, Per Kallestrup

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02428075 (Protocol for Community-based Intervention for Blood Pressure Reduction in Nepal), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02428075 nacompletednot on this map

Protocol for Community-based Intervention for Blood Pressure Reduction in Nepal: a Community-based Cluster Randomized Controlled Trial

TypeinterventionalSponsorUniversity of AarhusRan2015 to 2017Enrolled1,638ConditionsHypertensionArmsFCHV visit
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. The case for an integrated biobanking initiative in South Asia.The Lancet regional health. Southeast Asia · 2026
    Review
  5. Article
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  13. Pesticide exposure and diabetes mellitus in a semi-urban Nepali population: a cross-sectional study.International archives of occupational and environmental health · 2020
    Article
  14. Mean dietary salt intake in Nepal: A population survey with 24-hour urine collections.Journal of clinical hypertension (Greenwich, Conn.) · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dinesh NeupaneCenter for Global Health, Department of Public Health, Aarhus University, Bartholins Allé 2, 8000, Aarhus C, Denmark. dn@ph.au.dk.
Craig S McLachlanRural Clinical School, University of New South Wales, Samuels Building, Sydney, NSW, 2052, Australia.
Bo ChristensenDepartment of Public Health, Institute of General Medical Practice, Aarhus University, Aarhus, Denmark.
Arjun KarkiPatan Academy of Health Sciences, Kathmandu, Nepal.
Henry B PerryDepartment of International Health, Health Systems Program, Bloomberg School of Public Health, The Johns Hopkins University, Baltimore, MD, USA.
Per KallestrupCenter for Global Health, Department of Public Health, Aarhus University, Bartholins Allé 2, 8000, Aarhus C, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertension contributes to a significant burden of cardiovascular disease in low- and middle-income countries; however, responses are inadequate because of a lack of conclusive evidence on population-based approaches to hypertension control. METHODS/

designThe objective of the present study is to determine the effect of family-based home health education and blood pressure monitoring by trained female community health volunteers. The primary outcome is change in mean systolic blood pressure. A community-based, open-masked, two-armed, cluster-randomized trial will be conducted in Lekhnath Municipality of Nepal. The municipality is divided into 15 administrative clusters. Randomization will be conducted for 14 clusters: 7 for the intervention arm and 7 for the control arm. The participants were recruited from a prevalence study conducted earlier. On the basis of population proportion size, 929 individuals for the intervention group and 709 individuals for the control group will participate in the study. Due to the nature of the study, study participants are not compensated or insured. As part of the blood pressure intervention, trained female community health volunteers will conduct home visits for health education and blood pressure measurement. The primary outcomes will be modeled by using multiple linear regression analysis. DISCUSSION: This project will be an investigation of a community-based intervention to control blood pressure in countries with limited resources. The study will provide detailed information on the burden of blood pressure and also whether treatment targets are being met. Moreover, evidence will be provided on the future role of female community health volunteers for hypertension management in Nepal. The lessons learned from this study may also be replicated in other rural areas of Nepal and elsewhere in the world with similar settings.

trial registrationClinicalTrials.gov NCT02428075 . Registered on 23 April 2015.

Indexed as

Clinical ProtocolsHealth EducationAdultAgedBlood Pressure DeterminationFamilyHumansHypertensionMiddle AgedSample SizeCommunity-basedCommunity health workerFemale Community Health VolunteersHypertensionNepalNon-communicable diseasesPrimary Health Care

Identifiers

PMID27316539
PMCPMC4912718

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.