Trial reportPloS one2026
Patient perceptions and preferences during a community-based telehealth care model for moderate-to-severe hypertension in rural communities in Kenya and Uganda.
Trial report in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04810650 (A Multisectoral Strategy to Address Persistent Drivers of the HIV Epidemic in East Africa), which is not on this map. Not yet cited in PubMed.
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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.
A Multisectoral Strategy to Address Persistent Drivers of the HIV Epidemic in East Africa
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0 citing papers in PubMed.
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Authors and funding
24 authors.
Funding
Abstract
introductionHypertension is a growing health concern in sub-Saharan Africa, yet access to care can be challenging, especially in rural areas. Overcoming barriers to hypertension care remains a priority. Pairing community health worker (CHW) and telehealth modalities offers one way to extend the reach of hypertension care without overburdening patients or healthcare systems in rural areas.
methodsThis qualitative study was nested within the SEARCH Sapphire pilot randomised controlled trial testing hypertension treatment through CHW-facilitated, clinician-driven telehealth (intervention) compared to clinic-based care (control) for adults aged ≥40 years with moderate-severe hypertension in rural western Kenya and southwestern Uganda. We conducted audio-recorded, in-depth, semi-structured interviews with purposively selected healthcare providers (clinicians and CHWs; N = 15) and participants (N = 40) between January-April 2023 to explore hypertension diagnosis and linkage to care; experiences with community hypertension care; family and work contexts; and the integration of telehealth into clinic and CHW workflows.
resultsOverall, participants felt satisfied with community-delivered telehealth care for hypertension. Participants noted community-based care saved on transport costs and reached those who were unwell or who lived far from clinic. Intervention arm participants felt CHWs were suitable for routine hypertension care, worked closely with clinicians, and could increase health literacy within the community. Participants desired a model with clear communication and involvement of the facility-based clinician, CHW, and participant. Providers found telehealth to be of similar quality to clinic-based care for routine hypertension treatment, though noted that clinic-based care is at times needed for more comprehensive clinical evaluation or to provide additional healthcare services.
conclusionsParticipants and providers indicated overall positive attitudes and receptivity to CHW-facilitated telehealth for hypertension care. CHW-delivered telehealth for community-based hypertension care offers one way to improve hypertension treatment outcomes in a manner that prioritizes patient-centeredness and maintains care quality.
trial registrationNCT04810650 Registered on 2021-03-18.
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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.