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Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control During the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in Guatemala Cover

Monitoring Study Participants and Implementation with Phone Calls to Support Hypertension Control During the COVID-19 Pandemic: The Case of a Multicomponent Intervention Trial in Guatemala

Open Access
|Nov 2021

Figures & Tables

Table 1

General characteristics of study participants who answered the phone call, June 2020.

TotalInterventionControlp-value
Total population1282677605
Participants who answered the phone call
Age, median (IR)63 (54,71)63 (54,71)63 (54,70)0.415
Women919 (71.68%)488 (72.08%)431 (71.24%)0.738
Health area0.917
    Baja Verapaz165 (12.87%)84 (12.41%)81 (13.39%)
    Chiquimula379 (29.56%)197 (29.10%)182 (30.08%)
    Huehuetenango253 (19.73%)139 (20.53%)114 (18.84%)
    Sololá399 (31.12%)213 (31.46)186 (30.74%)
    Zacapa86 (6.71%)44 (6.50%)42 (6.94%)
Ethnic group0.013
    Maya542 (42.31%)271 (40.09%)271 (44.79%)
    No Maya339 (26.46%)202 (29.88%)137 (22.64%)
    Do not know400 (31.23%)203 (30.03%)197 (32.56%)
Literate553 (43.13%)292 (43.32%)261 (43.21%)0.968
Previous diagnosis of hypertension881 (68.88%)478 (70.71%)403 (66.61%)0.114
Medical history
    Dyslipidemia273 (21.29%)160 (23.63%)113 (18.68%)0.091
    Overweight/obesity271 (21.14%)165 (24.37%)106 (17.52%)0.008
    Heart attack58 (4.52%)35 (5.17%)23 (3.80%)0.408
    Cerebrovascular event98 (7.6%)61 (9.02%)37 (6.12%)0.148
    Diabetes242 (18.88%)139 (20.53%)103 (17.05%)0.210
    Depression237 (18.49%)138 (20.41%)99 (16.36%)0.174
    Cancer11 (0.86%)9 (1.33%)2 (0.33%)0.106
    COPD59 (4.60%)28 (4.14%)31 (5.13%)0.429

[i] IR = Interquartile range, COPD = Chronic obstructive pulmonary disease.

Table 2

Delivery and adherence to antihypertensive medications, June 2020.

TotalInterventionControlP-value
Participants who were given antihypertensive medications by the MoH in the last month<0.001
    Yes801 (62.48%)492(72.67%)309(51.07%)
    No380 (29.64%)165(24.37%)215(35.54%)
    Never taken medicine101 (7.88%)20 (2.95%)81 (13.39%)
Place of delivery of antihypertensive medications0.022
    Health Post721 (90.01%)444(90.24%)277(89.64%)
    Health Center40 (4.99%)18 (3.66%)22 (7.12%)
    Participant’s house40 (4.99%)30 (6.10%)10 (3.24%)
Actions carried out by participants who did not receive medication0.002
    Did not take medication162 (42.63%)62 (37.58%)100(46.51%)
    Bought the medication148 (38.95%)58 (35.15%)90 (41.86%)
    Had enough medicine for a month or more48 (12.63%)31 (18.79%)17 (7.91%)
    Other22 (5.79%)14 (8.48%)8 (3.72%)
Frequency of taking antihypertensive medications<0.001
    Always866 (73.33%)527(80.09%)339(64.82%)
    Sometimes208 (17.61%)88 (13.37%)120(22.94%)
    Never107 (9.06%)43 (6.53%)64 (12.24%)
Table 3

Study activities carried out by participants in the intervention group, June 2020.

TotalBaja VerapazChiquimulaHuehuetenangoSololáZacapa
Health coaching sessions
Participants who received at least one session in the last three months423(62.48%)47(55.95%)162(82.23%)62(44.60%)129(60.56%)23(52.27%)
Place where the participants received the sessions*
    Health Post390(92.20%)38(80.85%)150(92.59%)53(85.48%)127(98.45%)22(95.65%)
    Participant’s house40(9.46%)19(40.43%)13(8.02%)4(6.45%)3(2.33%)1(4.35%)
    Health Center1(0.24%)0(0%)0(0%)1(1.61%)0(0%)0(0%)
Reasons for not having received the session*
    Lack of transportation due to COVID-19 restrictions101(39.76%)14(37.84%)15(42.86%)27(35.06%)33(39.29%)12(57.14%)
    Auxiliary nurses did not want to give the health coaching session95(37.40%)2(5.41%)1(2.86%)44(57.14%)47(55.95%)1(4.76%)
    Lack of time52(20.47%)7(18.92%)13(37.14%)12(15.58%)15(17.86%)5(23.81%)
    Do not want to leave home due to the risk of COVID-19 infection.31(12.20%)2(5.41%)12(34.29%)12(15.58%)5(5.95%)0(0%)
    Forgot the appointments23(9.06%)4(10.81%)1(2.86%)5(6.49%)12(14.29%)1(4.76%)
    Do not like the sessions7(2.76%)6(17.14%)0(0%)0(0%)1(1.19%)0(0%)
    Lack of money to pay for transportation3(1.18%)0(0%)0(0%)0(0%)3(3.57%)0(0%)
    Other39(15.35%)13(35.14%)8(22.86%)7(9.09%)3(3.57%)8(38.10%)
Blood pressure measurement at home
Measurement at home two days a week, once in the morning and again at night every day546(80.65%)72(85.71%)157(79.70%)105(75.54%)171(80.28%)41(93.18%)
Reasons not to measure blood pressure as directed*
    The participant forgets to do it57(43.51%)4(33.33%)22(55.00%)0(0%)29(69.05%)2(66.67%)
    Do not know how to do it50(38.17%)5(41.67%)7(17.50%)21(61.76%)16(38.10%)1(33.33%)
    Lack of time30(22.90%)3(25.00%)9(22.50%)9(26.47%)9(21.43%)0(0%)
    Do not like to do it17(12.98%)0(0%)5(12.50%)4(11.76%)8(19.05%)0(0%)
    The monitor has no batteries4(3.05%)0(0%)0(0%)2(5.88%)2(4.76%)0(0%)
    Other20(15.27%)5(41.67%)11(27.50%)4(11.76%)0(0%)0(0%)

[i] *Participants could answer more than one option.

DOI: https://doi.org/10.5334/gh.954 | Journal eISSN: 2211-8179
Language: English
Submitted on: Nov 14, 2020
Accepted on: Oct 30, 2021
Published on: Nov 24, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Diego Hernández-Galdamez, Kristyne Mansilla, Ana Lucía Peralta, Javier Rodríguez-Szaszdi, Juan Manuel Ramírez, Dina Roche, Pablo Gulayin, Manuel Ramirez-Zea, Jiang He, Vilma Irazola, Meredith P. Fort, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.