Evidence map›Paper›PMID 38777393›Full record

Trial reportBMJ global health2024

Effectiveness of community-based diabetes and hypertension prevention and management programmes in Indonesia and Viet Nam: a quasi-experimental study.

Manuela Fritz, Michael Grimm, Hoang Thi My Hanh, Jaap A R Koot, Giang Hoang Nguyen, Thi-Phuong-Lan Nguyen, Ari Probandari, Vitri Widyaningsih, Robert Lensink

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMJ global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05239572 (Scaling Up Non-Communicable Diseases Interventions in South East Asia), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

NCT05239572 nacompletednot on this map

Scaling Up Non-Communicable Diseases Interventions in South East Asia

TypeinterventionalSponsorUniversity Medical Center GroningenRan2022 to 2023Enrolled16,850ConditionsDiabetes Mellitus, Type 2, Hypertension, Cardiovascular DiseasesArmsscreening, prevention and counselling
3 · Its place in the literature

Who cites it

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

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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

9 authors.

Manuela FritzDepartment of Economics, Econometrics and Finance, University of Groningen, Groningen, The Netherlands m.k.fritz@rug.nl.ORCID http://orcid.org/0000-0002-6507-644X
Michael GrimmSchool of Business, Economics and Information Systems, University of Passau, Passau, Germany.ORCID http://orcid.org/0000-0002-7897-4214
Hoang Thi My HanhHealth Strategy and Policy Institute, Hanoi, Viet Nam.
Jaap A R KootDepartment of Health Sciences, University Medical Center Groningen, Groningen, The Netherlands.ORCID http://orcid.org/0000-0002-6933-0302
Giang Hoang NguyenHealth Strategy and Policy Institute, Hanoi, Viet Nam.
Thi-Phuong-Lan NguyenFaculty of Public Health, Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen City, Viet Nam.
Ari ProbandariFaculty of Medicine, Universitas Sebelas Maret, Surakarta, Central Java, Indonesia.ORCID http://orcid.org/0000-0003-3171-5271
Vitri WidyaningsihFaculty of Medicine, Universitas Sebelas Maret, Surakarta, Central Java, Indonesia.ORCID http://orcid.org/0000-0003-0116-7120
Robert LensinkDepartment of Economics, Econometrics and Finance, University of Groningen, Groningen, The Netherlands.ORCID http://orcid.org/0000-0001-6448-5164

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNon-communicable diseases (NCDs) have surpassed infectious diseases as the leading global cause of death, with the Southeast Asian region experiencing a significant rise in NCD prevalence over the past decades. Despite the escalating burden, screening for NCDs remains at very low levels, resulting in undetected cases, premature mortality and high public healthcare costs. We investigate whether community-based NCD prevention and management programmes are an effective solution.

methodsIn Indonesia, we compare participants in the community-based NCD screening and management programme

resultsIn Indonesia, participants have significantly higher uptake of screening for hypertension and diabetes (+13% from a control mean of 88% (95% CI 9% to 17%); +93% from a control mean of 48% (95% CI 79% to 108%)). In both countries, participants show a higher knowledge about risk factors, symptoms and complications of NCDs (Indonesia: +0.29 SD (0.13-0.45), Viet Nam: +0.17 SD (0.03-0.30)). Yet, the improved knowledge is only partly reflected in improved health behaviour (Viet Nam: fruit consumption +0.33 SD (0.15-0.51), vegetable consumption +0.27 SD (0.04-0.50)), body mass index (BMI) (Viet Nam: BMI -0.07 SD (-0.13 to -0.00)) or metabolic risk factors (Indonesia: systolic blood pressure: -0.13 SD (-0.26 to -0.00)).

conclusionCommunity-based NCD programmes are well suited to increase screening and to transmit health knowledge. Due to their extensive outreach within the community, they can serve as a valuable complement to the screening services provided at the primary healthcare level. Yet, limited coverage, insufficient resources and a high staff turnover remain a problem. TRIAL REGISTRATION NUMBER: NCT05239572.

Indexed as

HypertensionAdultAgedCommunity Health ServicesDiabetes MellitusFemaleHealth Knowledge, Attitudes, PracticeHumansIndonesiaMaleMass ScreeningMiddle AgedProgram EvaluationRisk FactorsVietnamCardiovascular diseaseDiabetesGlobal HealthHealth services researchScreening

Identifiers

PMID38777393
PMCPMC11116884

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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.