Evidence map›Paper›PMID 31110103›Full record

ArticleBMJ open2019

Process evaluation protocol for a cluster randomised trial of a complex, nurse-led intervention to improve hypertension management in India.

Nikhil Srinivasapura Venkateshmurthy, Kevin Mc Namara, Harriet Koorts, Sailesh Mohan, Vamadevan S Ajay, Devraj Jindal, Bhaskara Rao Malipeddi, Ambuj Roy, Nikhil Tandon, Dorairaj Prabhakaran and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03164317 (A Cluster Randomised Controlled Trial of M-health Enabled, Nurse Care Coordinator Led Intervention to Improve Management of Hypertension in India), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT03164317 nacompletednot on this map

A Cluster Randomised Controlled Trial of M-health Enabled, Nurse Care Coordinator Led Intervention to Improve Management of Hypertension in India: m-Power Heart Project

TypeinterventionalSponsorCentre for Chronic Disease Control, IndiaRan2018 to 2021Enrolled1,872ConditionsHypertensionArmsIntervention, Control
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

13 authors.

Nikhil Srinivasapura VenkateshmurthySchool of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia.ORCID 0000-0003-4037-6371
Kevin Mc NamaraSchool of Medicine, Deakin University, Burwood, Victoria, Australia.
Harriet KoortsSchool of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia.
Sailesh MohanCentre for Chronic Conditions and Injuries, Public Health Foundation of India, Gurgaon, Haryana, India.
Vamadevan S AjayCentre for Chronic Disease Control, New Delhi, Delhi, India.
Devraj JindalCentre for Chronic Disease Control, New Delhi, Delhi, India.
Bhaskara Rao MalipeddiInterventional Cardiology, KIMS ICON Hospital, Visakhapatnam, Andhra Pradesh, India.
Ambuj RoyDepartment of Cardiology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Nikhil TandonDepartment of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, Delhi, India.
Dorairaj PrabhakaranCentre for Chronic Conditions and Injuries, Public Health Foundation of India, Gurgaon, Haryana, India.
Tony WorsleySchool of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia.
Ralph MaddisonSchool of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia.
Sharleen O'ReillySchool of Exercise and Nutrition Sciences, Deakin University, Burwood, Victoria, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIndia has high prevalence of hypertension but low awareness, treatment and control rate. A cluster randomised trial entitled 'm-Power Heart Project' is being implemented to test the effectiveness of a nurse care coordinator (NCC) led complex intervention to address uncontrolled hypertension in the community health centres (CHCs). The trial's process evaluation will assess the fidelity and quality of implementation, clarify the causal mechanisms and identify the contextual factors associated with variation in the outcomes. The trial will use a theory-based mixed-methods process evaluation, guided by the Consolidated Framework for Implementation Research. METHODS AND ANALYSIS: The process evaluation will be conducted in the CHCs of Visakhapatnam (southern India). The key stakeholders involved in the intervention development and implementation will be included as participants. In-depth interviews will be conducted with intervention developers, doctors, NCCs and health department officials and focus groups with patients and their caregivers. NCC training will be evaluated using Kirkpatrick's model for training evaluation. Key process evaluation indicators (number of patients recruited and retained; concordance between the treatment plans generated by the electronic decision support system and treatment prescribed by the doctor and so on) will be assessed. Fidelity will be assessed using Borrelli TRIAL REGISTRATION NUMBER: NCT03164317; Pre-results.

Indexed as

Blood PressureCommunity Health ServicesDisease ManagementFemaleHumansHypertensionIndiaMaleProcess Assessment, Health CareRandomized Controlled Trials as Topicconsolidate framework for implementation researchhypertensionIndiamixed-methodsprocess evaluation

Identifiers

PMID31110103
PMCPMC6530308

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.