Peer Counsellor Intervention for Reducing Mortality and/or Hospitalization in Adults with Hypertensive Urgency in Tanzania (Record no. 28061)
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| 000 -LEADER | |
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| fixed length control field | 03346nam a22004097a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20240611135321.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | 20240611135321.0 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240611140819.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 240611b |||||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Fuller form of name | Godfrey A Kisigo |
| 245 ## - TITLE STATEMENT | |
| Title | Peer Counsellor Intervention for Reducing Mortality and/or Hospitalization in Adults with Hypertensive Urgency in Tanzania |
| Remainder of title | A pilot study. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania : |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS-Bugando] : |
| Date of publication, distribution, etc. | 2023 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | Pages 01-09 |
| Extent | Includes References |
| 490 ## - SERIES STATEMENT | |
| Volume/sequential designation | American Journal of Hypertension, 2023 Aug; 36(8): 446–454. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract :<br/><br/><br/>Background : Worldwide, people with hypertensive urgency experience high rates of hospitalization and death due to medication non-adherence. Interventions to improve medication adherence and health outcomes after hypertensive urgency are urgently needed.<br/><br/>Methods : This prospective cohort assessed the effect of a peer counselor intervention—named Rafiki mwenye msaada—on the 1-year incidence of hospitalization and/or death among adults with hypertensive urgency in Mwanza, Tanzania. We enrolled 50 patients who presented with hypertensive urgency to 2 hospitals in Mwanza, Tanzania. All 50 patients received a Rafiki mwenye msaada an individual-level, time-limited case management intervention. Rafiki mwenye msaada aims to empower adult patients with hypertensive urgency to manage their high blood pressure. It consists of 5 sessions delivered over 3 months by a peer counselor. Outcomes were compared to historical controls.<br/><br/>Results : Of the 50 patients (median age, 61 years), 34 (68%) were female, and 19 (38%) were overweight. In comparison to the historical controls, the intervention cohort had a significantly lower proportion of patients with a secondary level of education (22% vs. 35%) and health insurance (40% vs. 87%). Nonetheless, the 1-year cumulative incidence of hospitalization and/or death was 18% in the intervention cohort vs. 35% in the control cohort (adjusted Hazard Ratio, 0.48, 95% CI 0.24–0.97; P = 0.041). Compared to historical controls, intervention participants maintained higher rates of medication use and clinic attendance at both 3- and 6-months but not at 12 months. Of intervention participants who survived and remained in follow-up, >90% reported good medication adherence at all follow-up time points.<br/><br/>Conclusion : Our findings support the hypothesis that a peer counselor intervention may improve health outcomes among adults living with hypertensive urgency. A randomized clinical trial is needed to evaluate the intervention’s effectiveness.<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Adherence |
| General subdivision | Blood pressure |
| General subdivision | Hospitalization |
| General subdivision | Hypertension |
| General subdivision | Hypertensive urgency |
| General subdivision | Mortality |
| General subdivision | Peer counselor intervention |
| General subdivision | Tanzania |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Frank Mgeta |
| Fuller form of name | Onike Mcharo |
| Fuller form of name | Elialilia Okello |
| Fuller form of name | Bahati Wajanga |
| Fuller form of name | Fredrick Kalokola |
| Fuller form of name | Graham Mtui |
| Fuller form of name | Radhika Sundararajan |
| Fuller form of name | Robert N Peck |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://doi.org/10.1093/ajh/hpad037">https://doi.org/10.1093/ajh/hpad037</a> |
| Link text | https://doi.org/10.1093/ajh/hpad037 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | RESEARCH ARTICLES |
| Suppress in OPAC | |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Date acquired | Total checkouts | Barcode | Date last seen | Uniform resource identifier | Price effective from | Koha item type |
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| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 06/11/2024 | 20240611135321.0 | 06/11/2024 | https://doi.org/10.1093/ajh/hpad037 | 06/11/2024 | RESEARCH ARTICLES |