Community-based intervention for blood pressure reduction in Nepal (COBIN trial): study protocol for a...

Area of Science:

• Public Health
• Cardiovascular Disease Research
• Health Education

Background:

• Hypertension poses a significant cardiovascular disease burden in low- and middle-income countries.
• Current responses to hypertension control are often inadequate due to limited evidence on effective population-based strategies.

Purpose of the Study:

• To determine the effect of family-based home health education and blood pressure monitoring by community health volunteers on systolic blood pressure.
• To provide evidence on the role of female community health volunteers in hypertension management in Nepal.

Main Methods:

• A community-based, cluster-randomized trial conducted in Lekhnath Municipality, Nepal.
• Intervention involved home visits by trained female community health volunteers for health education and blood pressure measurement.
• Primary outcome (change in mean systolic blood pressure) analyzed using multiple linear regression.

Main Results:

• This section is to be filled once the study results are available.

Conclusions:

• The study will investigate a community-based intervention for blood pressure control in resource-limited settings.
• Findings will offer insights into the burden of hypertension and treatment target achievement.
• Lessons learned may be applicable to similar rural settings globally.