Hypertension management for community-dwelling older people with diabetes in Nanchang, China: study protocol for a cluster randomized controlled trial

摘要: Although China has a large number of older people living with diabetes and hypertension, the primary care system is underdeveloped so management these conditions in community settings suboptimal. Studies have shown that collaborative model across address both pharmacology nonpharmacology interventions can achieve hypertension control for diabetes. Barriers to implementing evaluating this are widely recognized low middle-income countries including China. This study will therefore test hypothesis program built on collaboration between hospitals health service centers improve blood pressure aged 60 years as compared usual care. A cluster randomized controlled trial randomly allocate 10 wards from four Nanchang either an intervention group (N = 5) or (N = 5). At least 27 participants be recruited each ward estimated sample size 135 patients group. The includes individualized self-care education prior discharge 6-month follow-up centers. Health professionals resourced collaborate implementation postdischarge reinforce self-care. outcome systolic at adjusted baseline value. Secondary outcomes knowledge, treatment adherence, HbA1c lipid levels, quality life, incidence adverse events unplanned hospital readmission multilevel mixed-effect linear regression used compare changes groups. determine whether among sites. program, if effective, immediate application healthcare Australia New Zealand Clinical Trials Registry, ACTRN12617001352392 . Retrospectively registered 26 September 2017.