Evidence map›Paper›PMID 29490675›Full record

Trial reportGlobalization and health2018

A qualitative evaluation of a simplified cardiovascular management program in Tibet, China.

Maoyi Tian, Xuejun Yin, Danzeng Dunzhu, Zhong Liu, Cong Li, Hao Sun, Ci Song, Laba Sangzhu, Anushka Patel, Julie Redfern and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Globalization and health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01503814 (Simplified Cardiovascular Management Study), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT01503814 nacompletednot on this map

Simplified Cardiovascular Management Study: A Cluster-Randomized Trial to Evaluate the Effects of a Simplified Cardiovascular Management Program in Tibet, China and Haryana, India

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2012 to 2015Enrolled2,086ConditionsCardiovascular DiseaseArmsSimplified cardiovascular disease management
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. 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

11 authors.

Maoyi TianThe George Institute for Global Health at Peking University Health Science Center, Beijing, China.
Xuejun YinThe George Institute for Global Health at Peking University Health Science Center, Beijing, China.
Danzeng DunzhuTibet University, Lhasa, China.
Zhong LiuTibet University, Lhasa, China.
Cong LiThe George Institute for Global Health at Peking University Health Science Center, Beijing, China.
Hao SunChina Medical University, Shenyang, China.
Ci SongTibet University, Lhasa, China.
Laba SangzhuTibet University, Lhasa, China.
Anushka PatelThe George Institute for Global Health, University of New South Wales, Sydney, Australia.
Julie RedfernThe George Institute for Global Health, University of New South Wales, Sydney, Australia. jredfern@georgeinstitute.org.au.
Lijing L YanThe George Institute for Global Health at Peking University Health Science Center, Beijing, China. lijing.yan@duke.edu.

Funding

Demographic Analysis on Determinants of Healthy Longevity in ChinaR01AG023627 · NIA · DUKE UNIVERSITY · PI ZENG, YI · 2004 to 2014
$3.9M
NHLBI NIH HHS HHSN268200900027CNIA NIH HHS R01 AG023627
6 · The paper itself

Abstract

backgroundThe simplified cardiovascular management (SimCard Study) program was a cluster randomized controlled trial conducted in Tibet, China to evaluate a multifaceted intervention consisting of appropriate medication prescriptions and lifestyle recommendations delivered by village doctors. The intervention was effective in improving the management of cardiovascular diseases in resource-limited settings. The aim of this qualitative study was to examine stakeholder feedback and to inform future research and scaling up.

methodA total of 28 face-to-face individual interviews were conducted. The interviews were conducted in 6 out of 14 intervention villages by 2 interviewers who speak the local language. Participants included 18 community members at high risk of CVD, 6 village doctors, 2 local project coordinators, and 2 county officials. Interview guides were used to facilitate the interview covering the focus of perceived usefulness and content of the intervention, fidelity to the intervention, and potential scalability of the intervention. Qualitative interviews were coded using thematic analysis.

resultsThe average age of the participants was 41 years and 70% were female. Our findings showed that the intervention was delivered according to the protocol and was described as a useful program for CVD management by both high-risk individuals and village doctors. However, lack of knowledge among high-risk individuals, insufficient availability of healthcare providers, inadequate financial incentive, and incomplete infrastructure such as difficulty in transportation and cell phone signal were identified as the main barriers to successful implementation and scale-up.

conclusionThe intervention was implemented in line with the protocol and provided substantial benefits for relevant community members and health professionals. However, multiple health system barriers need to be addressed for successful scale-up in rural China.

trial registrationUnique identifier: NCT01503814 . Registered 11 December 2011.

Indexed as

AdultAgedCardiovascular DiseasesFemaleHealth PromotionHumansMaleMiddle AgedProgram EvaluationQualitative ResearchTibetCardiovascular diseasesQualitative studyRural healthTibetVillage doctor

Identifiers

PMID29490675
PMCPMC5831713

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.