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| Sponsored by: |
Cooperation Afrique |
|---|---|
| Information provided by: | Cooperation Afrique |
| ClinicalTrials.gov Identifier: | NCT00744458 |
Purpose
The purpose of this study is to determine the efficacy of three different interventions to improve treatment adherence among patients with arterial hypertension or diabetes in rural Cameroon.
| Condition | Intervention |
|---|---|
|
Diabetes Arterial Hypertension |
Other: Treatment contract Other: Tracing and recall at home by a community worker Other: Incentive |
| Study Type: | Interventional |
| Study Design: | Health Services Research, Randomized, Open Label, Active Control, Parallel Assignment |
| Official Title: | A Prospective Randomised Trial Comparing Three Interventions to Improve Treatment Adherence Among Patients With Arterial Hypertension or Diabetes in Rural Cameroon (TAHADIRA-Trial 1) |
| Estimated Enrollment: | 300 |
| Study Start Date: | August 2008 |
| Estimated Study Completion Date: | December 2009 |
| Estimated Primary Completion Date: | November 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| 1: Active Comparator |
Other: Treatment contract
Patients signs in for a agreement - to respect a regular follow-up at the health facility.
|
| 2: Active Comparator |
Other: Treatment contract
Patients signs in for a agreement - to respect a regular follow-up at the health facility.
Other: Tracing and recall at home by a community worker
The local health committee sends out a member to trace the patient and to motivate him to take up again regular treatment visits.
|
| 3: Active Comparator |
Other: Treatment contract
Patients signs in for a agreement - to respect a regular follow-up at the health facility.
Other: Incentive
Incentive by giving free treatment after a 4-month regular follow-up
|
Non communicable chronic diseases such as arterial hypertension (AH) and diabetes (DM) are a great burden for public health in Cameroon. However, outside the main cities access to appropriate diagnosis and treatment of these health-conditions is still very poor.
The Swiss NGO "Fondation Coopération Afrique" started in 2007 a program to integrate chronic disease management with focus on AH and DM into the primary health care system of peripheral non-physician health facilities in a rural area of Central Cameroon. A first evaluation after one year revealed very low treatment adherence among the newly diagnosed patients as the main challenge.
In order to improve patient's adherence we expose them randomly to one of three interventions:
The first intervention consists in a written agreement on long-lasting therapy (treatment contract). Patients get information about the importance of a regular long term treatment and personal engagement to follow treatment and clinical controls regularly.
The second intervention introduces in addition to the treatment contract a reminder system. In case of follow-up failure a community worker traces the patient to recall the visit at the health centre.
The third intervention consists of the treatment contract combined with a financial incentive in form of one month free treatment after four months of regular follow-up.
We allocated randomly one of the three interventions to each health center.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| Contact: Niklaus D Labhardt, MD | 613216760 ext 0041 | niklaus.labhardt@gmail.com |
| Contact: Engelbert Manga, MD, MPH | 99922032 ext 00237 | e.manga@gmx.net |
| Cameroon, Central Province | |
| Medical districts of Mfou, Mbankomo Obala and Esse in Central Cameroon | Recruiting |
| Divisions of Mefou and Lékié, Central Province, Cameroon, 4056 | |
| Contact: Niklaus D Labhardt, MD 613216760 ext 0041 niklaus.labhardt@gmail.com | |
| Contact: Engelbert Manga, MD, MPH 99922032 ext 00237 e.manga@gmx.net | |
| Principal Investigator: Engelbert Manga, MD, MPH | |
| Sub-Investigator: Jean-Richard Balo, MD | |
| Sub-Investigator: Mama Ndam, MD, MPH | |
| Study Director: | Engelbert Manga, MD, MPH | Medical district officer of Mfou, Ministry of public health of Cameroon |
| Principal Investigator: | Niklaus D Labhardt, MD | Representant of the foundation Coopération Afrique, Switzerland |
| Study Chair: | Beat Stoll, MD, MPH | Institute of social and preventive medicine, University of Geneva, Switzerland |
More Information
| Responsible Party: | Cooperation Afrique ( Niklaus Labhardt ) |
| Study ID Numbers: | TAHADIRA-1 |
| Study First Received: | August 29, 2008 |
| Last Updated: | August 29, 2008 |
| ClinicalTrials.gov Identifier: | NCT00744458 |
| Health Authority: | Cameroon: Ministry of Public Health |
|
Primary Health care in rural Africa Chronic non-communicable diseases Patient Compliance Treatment adherence |
|
Metabolic Diseases Vascular Diseases Diabetes Mellitus Endocrine System Diseases |
Endocrinopathy Metabolic disorder Glucose Metabolism Disorders Hypertension |
|
Cardiovascular Diseases |
