Community Health Assessment Program in the Philippines (CHAP-P)

McMaster University

Status: Completed

Conditions: Hypertension; Diabetes Mellitus, Type 2

Treatments: Other: CHAP-P Sessions

Study type: Interventional

Funder types: Other

Identifiers

NCT03481335

4303

231837 (Other Grant/Funding Number)

107826-001 (Other Grant/Funding Number)

Details and patient eligibility

About

This study aims to evaluate the effectiveness of the Community Health Assessment Program in the Philippines (CHAP-P), looking at the differences between communities implementing CHAP-P versus communities not implementing CHAP-P.

Full description

In this study, the investigators are evaluating the effectiveness of the CHAP-P intervention in communities of the Zamboanga Peninsula, Philippines. Specifically, the investigators are looking at the difference between hemoglobin A1c (HbA1c) levels in randomly selected residents of control communities versus those in communities implementing the CHAP-P intervention. The investigators are also looking at the differences between control and intervention communities in modifiable lifestyle risk factors for diabetes, screening rates for diabetes, rates of newly diagnosed cases of diabetes, general diabetes management, and hospital admission rates, as well as the cost effectiveness of CHAP-P.

The CHAP-P intervention consists of initial and follow-up sessions where trained local volunteers (Barangay Health Workers, or BHWs) take physical measurements (blood pressure, height, weight, waist circumference) and facilitate a diabetes risk survey; based on these findings, they provide education, materials, and referrals to local health resources as needed.

The participant groups in this evaluation include those that attend CHAP-P sessions, randomly selected community members that provide consent for a survey and HbA1c testing, and community members and BHWs/other Lead Local Organization staff who provide consent for focus groups and interviews.

Enrollment: 5,229 patients

Sex: All

Ages: 40+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria (Community Survey Participants & CHAP-P Session Participants):

• Aged 40 years of age or older
• Resident of community

Exclusion Criteria (Community Survey Participants & CHAP-P Session Participants):

• Under 40 years of age
• Resident of a different community

Inclusion Criteria (Barangay Health Workers [BHW]/Lead Local Organization [LLO] Staff)

• Must be a BHW or other LLO staff who is participating in the CHAP-P Intervention

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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5,229 participants in 2 patient groups

Intervention Community

Experimental group

Description:

Intervention communities (barangays) will receive the intervention (CHAP-P sessions).

Treatment:

Other: CHAP-P Sessions

Control Community

No Intervention group

Description:

Control communities (barangays) will receive care as usual.