EFFECTS OF CARDIAC REHABILITATION ON FUNCTIONAL CAPACITY AND CARDIOVASCULAR RISK FACTORS IN BRAZILIAN PATIENTS ASSISTED BY PUBLIC HEALTH CARE: PROTOCOL OF A RANDOMIZED CONTROLLED TRIAL

2015 ◽  
Vol 31 (10) ◽  
pp. S16
Author(s):  
G.S. Chaves ◽  
G. Ghisi ◽  
T.C. Sérvio ◽  
P. Oh ◽  
S.L. Grace ◽  
...  
2021 ◽  
Vol 20 (11) ◽  
Author(s):  
Nida Khan ◽  
Muhammad Amir Khan ◽  
Muhammad Ahmar Khan ◽  
Amna Ejaz ◽  
Azza Warraitch ◽  
...  

Objectives: This cluster Randomized Controlled Trial (cRCT) aims to evaluate the effectiveness of an integrated ECD package in preventing developmental delays among children aged two years, in public health care centers, as compared to a control arm. Methods: This is a parallel, two-arm, cluster randomized controlled trial. 768 mother-child pairs (‘dyads’) attending any of the 24-public health centers in two districts of Pakistan will be recruited, with an average of 32 participants per cluster. In the intervention arm, ECD based counselling sessions will be delivered to mother–child dyads by trained staff at public health care centers. Our primary outcome is reduction in prevalence of two or more developmental delays among children, from 38% to 23% in the intervention arm. Unit of randomization will be public health care center. 24 eligible clusters recruited will be randomized into intervention and control arms, using 1:1 allocation. Discussion: The integrated model of child care into primary health care has the potential to provide a feasible and sustainable model for improving child developmental scale. Key words: Early Child Development; Prevention; Developmental Delays; Public healthcare facilities


2020 ◽  
Author(s):  
Zahra Darabi ◽  
Marzieh Araban ◽  
Amir Abbas Azizi ◽  
Kambiz Ahmadi Angali ◽  
Fatemeh Borazjani

Abstract Background: Hypertension HTN is a global public health problem with an increasing incidence worldwide. On one hand the imperative role of self-efficacy in controlling of chronic disease has been reported; on the other hand, dietary approach to stop hypertension (DASH) diet reported as one of most appropriate dietary approaches for controlling HTN. Here in present study we aimed to investigate the efficiency of mobile app for improving self-efficacy on adherence of DASH diet in HTN patients. Methods: the present randomized controlled trial conducted on 88 patients with hypertension who referring to public health care centers between Novomber2019 to March 2020. The subjects were randomly assigned to receive mobile app for DASH-related recommendation +usual care; or control group to follow their habitual diets and given usual health care in public health care centers for twelve weeks. Self-efficacy, SBP and DBP, body mass index, physical activity and dietary intakes were assessed at the baseline and the end of trial. The ANCOVA was used to show the differences between the two groups and adjusting for baseline and covariates. Results: Results showed that whilst there were no significant differences in DBP and SBP at the baseline, but intervention lead to significant decrease in both SBP and DBP. Results from self-efficacy showed that baseline values were not significantly different between two groups; however, all five components improved significantly at the end of trial. Conclusion: Here we showed that using mobile apps for educating DASH diet and improving self-efficacy lead to better control of BP among patients whilst their self-efficacy improved simultaneously.Trial registration: Iran Clinical Trials Registry: IRCT20190930044933N1.Date of registration:31.10.2019URL of trial registry record: https://www.irct.ir/trial/42612


2020 ◽  
Vol 141 ◽  
pp. 106302
Author(s):  
María Barroso ◽  
M. Dolors Zomeño ◽  
Jorge L. Díaz ◽  
Silvia Pérez-Fernández ◽  
Ruth Martí-Lluch ◽  
...  

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