Evidence map›Paper›PMID 27855099›Full record

Trial reportBMJ open2016

Cluster randomised feasibility trial to improve the Control of Hypertension In Rural India (CHIRI): a study protocol.

Michaela A Riddell, Rohina Joshi, Brian Oldenburg, Clara Chow, K R Thankappan, Ajay Mahal, Nihal Thomas, Velandai K Srikanth, Roger G Evans, Kartik Kalyanram and 11 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 13% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Hypertension in Rural India: The Contribution of Socioeconomic Position.Journal of the American Heart Association · 2020
    Article
  9. Article
  10. Article
  11. Article
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

21 authors at 8 institutions in 3 countries.

Michaela A RiddellSchool of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.
Rohina JoshiThe George Institute for Global Health, University of Sydney, Sydney, New South Wales, Australia.
Brian OldenburgMelbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Clara ChowThe George Institute for Global Health, University of Sydney, Sydney, New South Wales, Australia.
K R ThankappanAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Ajay MahalSchool of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.
Nihal ThomasDepartment of Endocrinology, Diabetes and Metabolism, Christian Medical College, Vellore, Tamil Nadu, India.
Velandai K SrikanthSchool of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.
Roger G EvansDepartment of Physiology, Monash University, Melbourne, Australia.
Kartik KalyanramRishi Valley Rural Health Centre, Chittoor District, Andhra Pradesh, India.
Kamakshi KartikRishi Valley Rural Health Centre, Chittoor District, Andhra Pradesh, India.
Pallab K MaulikGeorge Institute for Global Health, Hyderabad, Telangana, India.
Simin ArabshahiSchool of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.
R P VarmaAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Rama K GuggillaGeorge Institute for Global Health, Hyderabad, Telangana, India.
Oduru SureshThe George Institute for Global Health, University of Sydney, Sydney, New South Wales, Australia.
G K MiniAchutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Fabrizio D'EspositoMelbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Thirunavukkarasu SathishMelbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Mohammed AlimGeorge Institute for Global Health, Hyderabad, Telangana, India.
Amanda G ThriftSchool of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0001-8533-4170
Monash Health · AUThe University of Melbourne · AUSree Chitra Thirunal Institute for Medical Sciences and Technology · INThe University of Sydney · AUGeorge Institute for Global Health · INChristian Medical College, Vellore · INMonash University · AUThe George Institute for Global Health · GB

Funding

DBT-Wellcome Trust India Alliance IA/I/13/1/500879Wellcome Trust
6 · The paper itself

Abstract

introductionHypertension is emerging in rural populations of India. Barriers to diagnosis and treatment of hypertension may differ regionally according to economic development. Our main objectives are to estimate the prevalence, awareness, treatment and control of hypertension in 3 diverse regions of rural India; identify barriers to diagnosis and treatment in each setting and evaluate the feasibility of a community-based intervention to improve control of hypertension. METHODS AND ANALYSIS: This study includes 4 main activities: (1) assessment of risk factors, quality of life, socioeconomic position and barriers to changes in lifestyle behaviours in ∼14 500 participants; (2) focus group discussions with individuals with hypertension and indepth interviews with healthcare providers, to identify barriers to control of hypertension; (3) use of a medicines-availability survey to determine the availability, affordability and accessibility of medicines and (4) trial of an intervention provided by Accredited Social Health Activists (ASHAs), comprising group-based education and support for individuals with hypertension to self-manage blood pressure. Wards/villages/hamlets of a larger Mandal are identified as the primary sampling unit (PSU). PSUs are then randomly selected for inclusion in the cross-sectional survey, with further randomisation to intervention or control. Changes in knowledge of hypertension and risk factors, and clinical and anthropometric measures, are assessed. Evaluation of the intervention by participants provides insight into perceptions of education and support of self-management delivered by the ASHAs. ETHICS AND DISSEMINATION: Approval for the overall study was obtained from the Health Ministry's Screening Committee, Ministry of Health and Family Welfare (India), institutional review boards at each site and Monash University. In addition to publication in peer-reviewed articles, results will be shared with federal, state and local government health officers, local healthcare providers and communities. TRIAL REGISTRATION NUMBER: CTRI/2016/02/006678; Pre-results.

Indexed as

AdultCluster AnalysisCommunity Health ServicesCross-Sectional StudiesFeasibility StudiesFemaleFocus GroupsHealth Services AccessibilityHumansHypertensionIndiaMaleMiddle AgedPatient Acceptance of Health CareQuality of LifeRural Health Servicesclinical trialEDUCATION & TRAINING (see Medical Education & Training)Indiaprevalenceself-management

Identifiers

PMID27855099
PMCPMC5073516
OpenAlexW2528018805

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.