Evidence map›Paper›PMID 34686171›Full record

ReviewBMC public health2021

Core health-components, contextual factors and program elements of community-based interventions in Southeast Asia - a realist synthesis regarding hypertension and diabetes.

Zinzi E Pardoel, Sijmen A Reijneveld, Robert Lensink, Vitri Widyaningsih, Ari Probandari, Claire Stein, Giang Nguyen Hoang, Jaap A R Koot, Christine J Fenenga, Maarten Postma and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
1.9field-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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A Guideline for Contextual Adaptation of Community-Based Health Interventions.International journal of environmental research and public health · 2022
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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

11 authors at 5 institutions in 4 countries.

Zinzi E PardoelDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands. z.e.pardoel@umcg.nl.ORCID 0000-0002-6520-2637
Sijmen A ReijneveldDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands.
Robert LensinkFaculty of Economics and Business, University of Groningen, Groningen, The Netherlands.
Vitri WidyaningsihDepartment of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Ari ProbandariDepartment of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
Claire SteinHelpAge International, Yangon, Myanmar.
Giang Nguyen HoangHealth Strategy and Policy Institute, Hanoi, Vietnam.
Jaap A R KootDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands.
Christine J FenengaDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands.
Maarten PostmaDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands.
Johanna A LandsmanDepartment of Health Sciences, University of Groningen, University Medical Center Groningen, Hanzeplein 1, Building 3217, 9700 RB, Groningen, The Netherlands.
University Medical Center Groningen · NLSebelas Maret University · IDHealth Strategy and Policy Institute · VNMyanmar Oxford Clinical Research Unit · MMUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Southeast Asia, diabetes and hypertension are on the rise and have become major causes of death. Community-based interventions can achieve the required behavioural change for better prevention. The aims of this review are 1) to assess the core health-components of community-based interventions and 2) to assess which contextual factors and program elements affect their impact in Southeast Asia.

methodsA realist review was conducted, combining empirical evidence with theoretical understanding. Documents published between 2009 and 2019 were systematically searched in PubMed/Medline, Web of Science, Cochrane Library, Google Scholar and PsycINFO and local databases. Documents were included if they reported on community-based interventions aimed at hypertension and/or diabetes in Southeast Asian context; and had a health-related outcome; and/or described contextual factors and/or program elements.

resultsWe retrieved 67 scientific documents and 12 grey literature documents. We identified twelve core health-components: community health workers, family support, educational activities, comprehensive programs, physical exercise, telehealth, peer support, empowerment, activities to achieve self-efficacy, lifestyle advice, activities aimed at establishing trust, and storytelling. In addition, we found ten contextual factors and program elements that may affect the impact: implementation problems, organized in groups, cultural sensitivity, synergy, access, family health/worker support, gender, involvement of stakeholders, and referral and education services when giving lifestyle advice.

conclusionsWe identified a considerable number of core health-components, contextual influences and program elements of community-based interventions to improve diabetes and hypertension prevention. The main innovative outcomes were, that telehealth can substitute primary healthcare in rural areas, storytelling is a useful context-adaptable component, and comprehensive interventions can improve health-related outcomes. This extends the understanding of promising core health-components, including which elements and in what Southeast Asian context.

Indexed as

Diabetes MellitusHypertensionCommunity Health WorkersExerciseHealth PromotionHumansCommunity-based interventionsContextual factorsCore health-componentsDiabetesHypertensionNon-communicable diseasesProgram elementsRealist synthesis/reviewSoutheast Asia

Identifiers

PMID34686171
PMCPMC8539840
OpenAlexW3207037342

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.