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The Effect of Household-based Screening on Blood Pressure Changes in South Africa

Hypertension Clinical Trial

Official title:
The Effect of Household-based Screening on Blood Pressure Changes in South Africa: a Regression Discontinuity Study

Clinical Trial Summary

This study will evaluate the effect of household-based screening and care encouragement for blood pressure on subsequent changes in blood pressure. The study uses a quasi-experimental regression discontinuity design with existing population-based secondary data from the 2008, 2010, 2012, 2014, and 2017 waves of the National Income Dynamics Study in South Africa.

Clinical Trial Description

Household-based screening and referral to care for blood pressure may improve blood pressure control at the population level in many low- and middle-income countries.

This observational study will use a quasi-experimental regression discontinuity design to evaluate the effect of household-based screening for blood pressure with care encouragement for potentially hypertensive individuals on subsequent changes in blood pressure over time.

Individuals had their blood pressure measured in the household as part of the National Income Dynamics Study data collection. If individuals had a measured blood pressure in the hypertensive zone, they were told that they had elevated blood pressure, that high blood pressure can lead to life threatening consequences, and that they should seek further care. The study exploits the fact that individuals were given this information based on a hard blood pressure cutoff. Therefore, the investigators will evaluate the causal effect of this household-based intervention in the absence of randomization by comparing individuals with a baseline blood pressure just above and below the cut off. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT03762304
Study type Observational
Source University Hospital Heidelberg
Contact
Status Completed
Phase
Start date February 2008
Completion date December 2017
View Details
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