Screening, Early Referral and Lifestyle Tailored E_prescription for Cardiovascular Prevention (SELECT)

Aga Khan University

Status: Unknown

Conditions: Hypertension,Essential; Prevention; Cerebral Infarction; Type2 Diabetes Mellitus; Cardiovascular Diseases

Treatments: Behavioral: SELECT mHealth Program

Study type: Observational

Funder types: Other

Identifiers

NCT04082091

2019-0599-2619

Details and patient eligibility

About

We will evaluate an e_Prescription intervention can be integrated into an electronic screening program, which together exploit: (i) reach - the adult population has 100% mobile phone ownership and 92% internet national coverage; and (ii) behavioral change - the intervention can teach verbally and visually, thus bypassing literacy challenges, to allow simple, low-cost, repetition messaging for habit reinforcement. Uptake of the program through the various stages will be evaluated in ~2000 adults of a large representative suburban district of Karachi: As well as before-and-after physiological measures, including blood pressure (BP) and blood glucose, a random sample of 30-40 participants will be invited for interview to assess success and failure of the program. This is a pragmatic feasibility intervention implementation study.

Full description

The goal of this pilot study is to demonstrate feasibility of a scalable , population-wide, approach to early detection and management of people at high-risk of CVD using electronic screening, referral, treatment and lifestyle modification based on health theory and considerable background research for local applicability.

It is a mixed method, feasibility study based in Malir District of Karachi, the largest city in Pakistan, to demonstrate uptake, participation and response of our mHealth intervention.

Enrollment: 2,000 estimated patients

Sex: All

Ages: 18 to 90 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• All adult (>18 years) residents of Malir district
• Own a mobile phone
• Provide written informed consent are eligible to participate

Exclusion criteria

• Not permanent residents of Malir district.
• A person who is decision impaired due to stroke, or aphasia or dementia .
• Serious cognitive deficits that impair the visualization or understanding of SMS, IVR and e_prescription messages