Scaling Up Community-based Noncommunicable Disease Research Into Practice in Pokhara Metropolitan City of Nepal

Summary

The goal of this clinical trial is to evaluate whether a multifaceted community-based intervention, comprising 1) screening and lifestyle counseling by female community health volunteers (FCHVs); community health workers in Nepal, through home visits, and 2) regular Short Message Service (SMS) messages, can effectively reduce systolic blood pressure (SBP), lower fasting blood glucose, and increase smoking cessation rates among adults living in Pokhara with hypertension, type 2 diabetes, and smoking habits, respectively. The main research questions are: * Can FCHV home visits combined with regular mobile phone messages focused on blood pressure management reduce systolic blood pressure in adults with hypertension? * Can FCHV home visits combined with regular mobile phone messages focused on diabetes management lower fasting blood glucose levels in adults with type 2 diabetes? * Can FCHV home visits combined with regular mobile phone messages focused on smoking cessation increase the cessation rate among current smokers? Researchers will compare the intervention group with a usual care group, which does not receive regular FCHV home visits for managing the three aforementioned risk factors or mobile phone messages.

Eligibility

Inclusion Criteria:

1. Meeting at least one of the following three conditions

   * Hypertensive, defined as
   * BP≥140/90 mmHg at two separate measurements
   * Type 2 diabetes, defined as
   * Fingerprick glucose≥100 mg/dL, and plasma fasting glucose ≥126 mg/dL, and HbA1c≥6.5
   * Current smoker, defined as
   * Ever smoked ≥100 cigarettes in lifetime, and
   * Currently smokes every day.
2. Registered on the voter list in Pokhara.
3. Not planning to migrate outside of Pokhara during the study period

Exclusion Criteria:

1. Blood pressure ≥180/120 mmHg or
2. Blood glucose \>250 mg/dL or \<54 mg/dL
3. Diagnosed with secondary hypertension by health professionals
4. Diagnosed with other diabetes besides type 2 by health professionals
5. Presenting with acute symptoms that may require hospitalizations, which includes but not limited to:

   * Nausea, vomiting, diarrhea
   * Abdominal pain
   * Polyuria, polydipsia, polyphagia
   * Loss of motor or sensory function
   * Altered mental status.
   * Chest pain, chest tightness
   * Dyspnea, shortness of breath
   * Fever
6. Diagnosed as terminally ill by a health professional, defined as life expectancy of 6 months or less.
7. Pregnant or intend to be pregnant

Conditions4

Browse More Trials