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Trials
Published in: Trials 1/2024

Open Access 01-12-2024 | Hypertension | Study protocol

Effectiveness of peer-led intervention in control of non-communicable diseases in rural areas of Khordha district: study protocol for a cluster randomized controlled trial

Authors: Priyamadhaba Behera, Binod Kumar Patro, Arvind Kumar Singh, Susmita Dora, Debapriya Bandhopadhyay, Gautom Kumar Saharia, Anupam Dey, Surama Manjari Behera, Sonu H. Subba

Published in: Trials | Issue 1/2024

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Abstract

Background

The main contributors to death and disability from chronic illnesses in developing nations are elevated blood pressure (hypertension), blood sugar (diabetes mellitus), and blood cholesterol (dyslipidaemia). Even though there are affordable treatments, the treatment gap for these conditions is still significant. Few pilot studies from industrialized nations discuss the value of peer-led interventions for achieving community-level management of blood pressure and blood sugar. This study aims to evaluate the effectiveness of peer-led intervention compared to standard care in achieving control of selected non-communicable diseases (NCDs) in Indian context at 1 year of intervention among people of 30–60 years with hypertension and/or diabetes mellitus and/or dyslipidaemia.

Methods

A cluster-randomized controlled trial will be conducted in villages of two rural blocks of the Khordha district of Odisha from August 2023 to December 2024. A total of 720 eligible participants (360 in the intervention group and 360 in the control group) will be recruited and randomized into two study arms. The participants in the intervention arm will receive a peer-led intervention model for 6 months in addition to standard care. The sessions will be based on the six domains of NCDs — self-care, follow-up care, medication, physical activity, diet, limiting substance use, mental health and co-morbidities. The mean reduction in blood pressure, HbA1C, and blood cholesterol in the intervention arm compared to the standard care arm will be the main outcome.

Discussion

The increasing burden of NCDs demands for newer strategies for management. Peer-led interventions have proven to be useful at the international level. Incorporating it in India will have remarkable results in controlling NCDs.

Trial registration

Clinical Trial Registry of India (CTRI) CTRI/2023/02/050022. Registered on 23 February 2023.
Appendix
Available only for authorised users
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Metadata
Title
Effectiveness of peer-led intervention in control of non-communicable diseases in rural areas of Khordha district: study protocol for a cluster randomized controlled trial
Authors
Priyamadhaba Behera
Binod Kumar Patro
Arvind Kumar Singh
Susmita Dora
Debapriya Bandhopadhyay
Gautom Kumar Saharia
Anupam Dey
Surama Manjari Behera
Sonu H. Subba
Publication date
01-12-2024
Publisher
BioMed Central
Published in
Trials / Issue 1/2024
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-023-07824-w

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