Community Models for Hypertension and Diabetes Care for Refugees

Stopped early

Conditions studied: Hypertension, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Comorbidities and Coexisting Conditions

In brief

The project will investigate and improve a community health worker (CHW) based model for non-communicable disease (NCD) care in a humanitarian emergency.

Key facts

Study ID

NCT04229667

Run by

International Rescue Committee

People needed

600

Starts

2020-01-31

Expected to finish

2020-02-28

Last updated by the study team

2021-07-20

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Adult (≥18 years of age) with clinically-diagnosed hypertension OR type II diabetes AND;
• Poor adherence, defined as:
• Missed ≥2 appointments in the past six months AND/OR;
• Poor disease control:
• Hypertension: Blood pressure >160/90 (EHS/ESC Grade II/III) with or without therapy, on their last measurement in clinic AND/OR; Evidence of hypertensive end organ damage including ischemic heart disease, left ventricular hypertrophy on ECG, eGFR < 60, hypertensive retinopathy, heart failure, myocardial infarction AND/OR; Type II diabetes: HbA1C is >8.5% OR random blood glucose >200 mg/dL with or without insulin/pill therapy AND/OR; Patient has comorbidity and/or evidence of diabetic end organ damage, including ischemic heart disease, left ventricular hypertrophy on ECG, eGFR < 60, retinopathy, heart failure, myocardial infarction, poorly healing wounds (e.g., diabetic foot), amputation, blindness and eye problems.
• Comorbid diabetes and hypertension:
• Disabled (house-bound)
• Type I diabetes (insulin-dependent): all adult cases of insulin-dependent diabetes (likely type I diabetes), due to the nature of treatment interruption which causes rapid decompensations.

You may not qualify if…

• Pregnancy
• Hospitalization for the majority of the study period
• Patients who leave the study neighborhood or repatriate to Syria

Where it is running

• International Rescue Committee — New York, New York, United States

Full record on ClinicalTrials.gov

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