Trial reportBMC health services research2018
Evaluation of a training program of hypertension for accredited social health activists (ASHA) in rural India.
Trial report in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Evaluation of global health capacity building initiatives in low-and middle-income countries: A systematic review.Journal of global health · 2020Pooled it
- Characteristics and Outcomes of Community Health Worker Training to Improve the Prevention and Control of Cardiometabolic Diseases in Low and Middle-Income Countries: A Systematic Review.Inquiry : a journal of medical care organization, provision and financingPooled it
- Trial
- Evaluation of a synchronous training program on common primary care medications for community health workers in Karnataka, India.BMC health services research · 2026Article
- Implementation of community-based screening program for risk factors of non-communicable diseases (NCDs) among the urbanized tribal population of West Bengal.Health promotion perspectives · 2025Article
- What influences the people's trust on public healthcare system in Bihar, India? A mixed methods study.BMC health services research · 2025Article
- Competency-based education and training for Community Health Workers: a scoping review.BMC health services research · 2025Article
- Development and evaluation of a training program on non-communicable diseases to empower community health workers in rural India.PEC innovation · 2024Article
- Assessing the knowledge and skill of ASHA community health workers in blood pressure measurement and primary care of hypertension.Journal of family medicine and primary care · 2024Article
- 'First of all, I need training': a qualitative study evaluating the Fiji community health worker training program.BMC primary care · 2024Article
- The role of cadre in the community on diabetic retinopathy management and its challenges in low-middle income countries: a scoping review.BMC public health · 2024Article
- Impact of community health workers on improving identification and primary care of hypertension among the urban poor - findings from Chhattisgarh state of India.BMC primary care · 2023Article
- A mixed methods evaluation of an integrated training package for skin neglected tropical diseases in Kaduna and Ogun, Nigeria.International health · 2023Article
- Article
- A study to assess the knowledge and skills of Accredited Social Health Activists and its retention after training in community-based primary eye care.Indian journal of ophthalmology · 2022Article
- Factors Influencing the Implementation of Remote Delivery Strategies for Non-Communicable Disease Care in Low- and Middle-Income Countries: A Narrative Review.Public health reviews · 2022Review
- Article
- The effect of bearing and rearing a child on blood pressure: a nationally representative instrumental variable analysis of 444 611 mothers in India.International journal of epidemiology · 2021Article
- Community health workers: challenges and vulnerabilities of Accredited Social Health Activists working in conflict-affected settings in the state of Assam, India.BMC health services research · 2021Article
- Article
Corrections and comments
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Authors and funding
16 authors at 10 institutions in 3 countries.
Funding
Abstract
backgroundHypertension is a major risk factor for cardiovascular disease, a leading cause of premature death and disability in India. Since access to health services is poor in rural India and Accredited Social Health Activists (ASHAs) are available throughout India for maternal and child health, a potential solution for improving hypertension control is by utilising this available workforce. We aimed to develop and implement a training package for ASHAs to identify and control hypertension in the community, and evaluate the effectiveness of the training program using the Kirkpatrick Evaluation Model.
methodsThe training program was part of a cluster randomised feasibility trial of a 3-month intervention to improve hypertension outcomes in South India. Training materials incorporated details on managing hypertension, goal setting, facilitating group meetings, and how to measure blood pressure and weight. The 15 ASHAs attended a five-day training workshop that was delivered using interactive instructional strategies. ASHAs then led community-based education support groups for 3 months. Training was evaluated using Kirkpatrick's evaluation model for measuring reactions, learning, behaviour and results using tests on knowledge at baseline, post-training and post-intervention, observation of performance during meetings and post-intervention interviews.
resultsThe ASHAs' knowledge of hypertension improved from a mean score of 64% at baseline to 76% post-training and 84% after the 3-month intervention. Research officers, who observed the community meetings, reported that ASHAs delivered the self-management content effectively without additional assistance. The ASHAs reported that the training materials were easy to understand and useful in educating community members.
conclusionASHAs can be trained to lead community-based group educational discussions and support individuals for the management of high blood pressure.
trial registrationThe feasibility trial is registered with the Clinical Trials Registry - India (CTRI) CTRI/2016/02/006678 (25/02/2016).
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.