Three participant groups will be involved: 1) Random sample of community participants aged 40 or older, 100 per community (1300 control, 1300 intervention participants total); 2) Community members aged 40 years or older who attended at least one CHAP-P session; 3) Community health workers and staff facilitating sessions. After completing the community survey in their homes, these participants will be invited to a community location where they will have their glycated hemoglobin (HbA1c) tested using the A1CNow + point-of-care device, which is certified by the National Glycohemoglobin Standardization Program [28]. HbA1c testing will be conducted at baseline and 6 months, following the community survey at each time point. The intervention will occur as follows (see Fig. 3). SPIRIT 2013 statement: defining standard protocol items for clinical trials. International diabetes federation. The number of people with diabetes is expected to increase significantly by 2035, with the projected increase higher in low (108%) and low-middle income (60%) countries compared to upper-middle (51%) and high income (28%) countries [1]. The Official Publication The journal is a forum for community health professionals to share their experience … Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. The diabetes risk score: a practical tool to predict type 2 diabetes risk. © 2020 BioMed Central Ltd unless otherwise stated. The stepped wedge cluster randomised trial: rationale, design, analysis, and reporting. Hardin JW, Hilbe JM. The provinces and cities are broken down into municipalities, and the municipalities are broken into the smallest administrative districts in the Philippines, known as barangays, which are small villages or neighbourhoods. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. This study will provide a robust evaluation of a community diabetes program in the Philippines. Definition of Community Health Nursing or Public Health Nursing: Community health nursing involves several basic concepts, including the promotion of healthy living, prevention of disease and health problems, medical treatment, rehabilitation, evaluation of community health nursing care delivery and prevention systems, and research to further community health nursing and wellness. The Community Health Assessment Program for the Philippines (CHAP-P) was based on a formal partnership between universities in the Philippines (Ateneo de Zamboanga University School of Medicine) and Canada (McMaster University Department of Family Medicine) with guidance from a Project Advisory Committee composed of collaborators and researchers from Canada, the Philippines, Peru, Thailand, Tunisia, and the UK. List of issues Volume 37 2020 Volume 36 2019 Volume 35 2018 Volume 34 2017 Volume 33 2016 Volume 32 2015 Volume 31 2014 Volume 30 2013 Volume 29 2012 Volume 28 … Telefax: 525-1596 Philippine Health Care Laws. Communities are separated by sea and mountains, with several ethnic and linguistic groups spread throughout the region and connected by inconsistent transportation and communication systems. A community process evaluation will also be undertaken during the project in order to monitor the implementation of the CHAP-P intervention to assess for any problems or process issues during or after the implementation of the project. Montreal; 2017. For the qualitative data, once transcripts are produced from the interviews and focus groups, identifiers of participants will be removed. Little RR, Rohlfing CL, Wiedmeyer HM, Myers GL, Sacks DB, Goldstein DE. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. Finally, during the pilot studies there were some security concerns in the region that limited travel of the research team, so something similar may occur during the RCT implementation. 2003;35:1381–95. Those BHWs and other LLO staff that consent to be part of the evaluation will be invited to participate in focus groups or key informant interviews, depending on their role and availability. 2015;350:h391. The mixed methods design included throughout the research program is another strength, with qualitative data included in this RCT to help explain and interpret quantitative results. Diabetes self-management programs and other community-based interventions are being implemented across the Philippines, yet large-scale experimental studies are still a gap in the literature [9, 35,36,37]. National Statistical Coordination Board: 2012 Full Year Official Poverty Statistics of the Philippines 2013. “Nursing the World to Health through Research”, Evidence-Based Practices in Mentoring Student Nurses in Clinical Placement: A Meta-Analysis, Patients’ Experiences and Level of Satisfaction on the Care Rendered by Student Nurses, The Academic and Licensure Examination Performances of Bachelor of Science in Nursing Graduates in a State College, A Scoping Review on Factors Affecting the NCLEX-RN Performance of Internationally Educated Nurses, Validity and Reliability Testing of Indonesian version of ORTO-15: An Instrument for Orthorexia Nervosa Assessment, Factors Associated with Condom Use to Prevent HIV Infection: an Online Survey of Filipino Men who have Sex with Men, Factors Associated with Length of Stay in the Emergency Department: A Narrative Review, Fertility Desire and Associated Factors among HIV/AIDS Women with Antiretroviral Therapy in Yogyakarta, Indonesia, Accelerating Research Evidence Translation Through Dyadic Engagement: A Developing Model For Evidence-based Practice Implementation, Reflectivity or Reflexivity: Revealing their RealityÂ, Reflexivity on Qualitative Research Methodology as a Mode Of Inquiry. Public Health Nursing is proud to announce that it is now the official journal of Council of Public Health Nursing Organizations (CPHNO) (formerly known as the Quad Council Coalition of Public Health Nursing Organizations), www.cphno.org Later, this journal was changed to The Philippine Journal of Nursing. PHILIPPINE NURSES ASSOCIATION, INC. This may affect the ability of the research team to visit communities for monthly fidelity checks, yet the intervention will be able to continue as BHWs can continue facilitating CHAP-P sessions in their local communities. “Community health impacts everything—educational achievement, safety and crime, people’s ability to work and be financially healthy, life expectancy, happiness and more,” Bognanno says. Feasibility and Accuracy of Screening Tools for Diabetes and Hypertension in Municipalities the Zamboanga Peninsula, Philippines. The Cardiovascular Health Awareness Program (CHAP) intervention model may be particularly suited to LMICs due to its low cost, implementability, and focus on population-based health promotion and disease prevention. LT is contributing to the methodology for statistical analysis. Kaczorowski J, Dolovich L, Agarwal G, Guenter D, Angeles R, Arciaga R, Agbulos R, Cristobal FL. There will be three participant groups in the study. Public health nursing in the Philippines by , 2007, National League of Philippine Government Nurses edition, in English - [10th ed.] J Contin Educ Heal Prof. 2006;26:13–24. Amendment of certain sections of the Act 2008 was conducted in … PubMed  Hu Z, Qin LL, Xu HL. 2017;14. https://doi.org/10.3390/ijerph14040417. First, recruitment for CHAP-P sessions can be difficult, particularly within urban areas, and as a community intervention it is important to reach a substantial portion of the community. During World War II, the Philippines repeatedly exchanged hands between … Therefore, adopting and testing an effective low-cost intervention that enhances early diagnosis and management of diabetes shows promise for LMICs. Our project is also guided by the Integrated Innovation approach, which posits that one can create a synergistic effect when addressing an issue or challenge by combining social, business, and scientific innovations [15]. This study will help fill that gap. The Philippine Journal of Nursing, an international peer reviewed journal, is the official publication of the Philippines Nurses Association published biannually. Social innovations can bring scientific solutions to a local setting, while business innovations can deliver them at an affordable price point. Any amendments regarding protocol changes will be submitted to both ethical review boards. Diabetes Care. The overall project is a three-phase mixed methods evaluation. Greenhalgh and colleagues’ model of diffusion of innovation [14] was used to guide the adaptation of CHAP to the Philippines context during Phase 1. Google ScholarÂ. Chan AW, Tetzlaff JM, Altman DG, Laupacis A, Gotzsche PC, Krle AJK, Hrobjartsson A, Mann H, Dickersin K, Berlin JA, et al. In the home setting, clients have more control over their behaviors in relation to the plan of care; they choose whether or not to follow special diets, exercise regimens, or medication schedules. HYL and DO are contributing to the development of the methods for economic analysis. Agarwal G, Angeles R, Pirrie M, Marzanek F, McLeod B, Parascandalo J, Dolovich L. Effectiveness of a community paramedic-led health assessment and education initiative in a seniors’ residence building: the community health assessment program through emergency medical services (CHAP-EMS). Diabetes Care. Within selected households, individuals 40 years of age or older will be eligible to participate in the survey. 2014;103:150–60. Journal of Community Health Nursing. Beran D, Higuchi M. Delivering diabetes Care in the Philippines and Vietnam: policy and practice issues. The monthly observational fidelity checklists from research assistants will be undertaken to improve adherence to intervention protocols. Department of Family Medicine, McMaster University, 1280 Main St W, Hamilton, Ontario, L8S 4L8, Canada, Gina Agarwal, Ricardo N. Angeles, Lisa Dolovich, Jessica Gaber & Dale Guenter, Leslie Dan Faculty of Pharmacy, University of Toronto, 144 College Street, Toronto, Ontario, M5S 3M2, Canada, Department of Family and Emergency Medicine, University of Montreal and CRCHUM, 850 Saint-Denis St, Montreal, Quebec, H2X 0A9, Canada, School of Medicine, Ateneo de Zamboanga University, La Purisima St, 7000, Zamboanga City, Philippines, Ricardo N. Angeles, Floro Dave Arnuco, Rosemarie S. Arciaga, Jerome Barrera, Elgie Gregorio & Fortunato Cristobal, Institute of Health Policy and Development Studies, University of the Philippines Manila, One Adriatico Place Tower One, Adriatico Street Corner Pedro Gill Street, 1000, Manila, Philippines, Department of Health Research Methods, Evidence, and Impact, McMaster University, 1280 Main St W, Hamilton, Ontario, L8S 4L8, Canada, Zamboanga City Health Office, Pettit Barracks, 7000, Zamboanga City, Philippines, Zamboanga Medical Research Foundation, Zamboanga City, Philippines, Graduate School, Ateneo de Zamboanga University, La Purisima St, 7000, Zamboanga City, Philippines, Department of Health, Zamboanga Peninsula, 7000, Zamboanga City, Philippines, You can also search for this author in The integration of perspectives from multiple key stakeholders throughout the process solidifies communities’ buy-in to the project. Health Policy. Beagley J, Guariguata L, Weil C, Motala AA. Erin E. Montgomery DNP, RN & Yvonne Harris Smith DNP, RN-BC, CNE, NCSN. Global estimates of diabetes prevalence for 2013 and projections for 2035. Pimentel GD, Portero-Mclellan KC, Oliveira EP, Spada APM, Oshiiwa M, Zemdegs JCS, Barbalho SM. Cookies policy. The authors declare that they have no competing interests. Cost per QALY will be calculated as the cost-utility measure; QALYs will be computed based on local EQ-5D-5 L values. Benitez Street, Malate, Manila 1004 The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. GA and FC are leading the project for Canada and the Philippines, respectively. Kaczorowski J, Chambers LW, Dolovich L, Paterson JM, Karwalajtys T, Gierman T, Farrell B, McDonough B, Thabane L, Tu K, et al. Phase 2 was a three-stage pilot study to finalize assessment tools and evaluation methods, and identify potential problems with implementation in preparation for the RCT. Potential communities will be stratified by province, population size, income class, and type (urban versus rural). Criteria for community selection include: security, connection with a local champion, feasibility for travel, and facility with refrigerated space for the HbA1c kits. 2011;342:d442. We will use multiple imputation to handle missing data. Milbank Q. Instead, public health experts agree that the health of a community can have far-reaching—and sometimes surprising—impacts on individual health and beyond. The trial is also registered with ClinicalTrials.gov (identifier NCT03481335, first posted March 29, 2018; last updated August 17, 2018). Graduates of BS in Nursing may pursue a career path in various hospital settings and community clinics. J Biomed Inform. The survey participants are not necessarily the same individuals who will attend the CHAP-P sessions in intervention communities, though entire communities will be invited to the CHAP-P sessions. http://www.who.int/cardiovascular_diseases/publications/pen2010/en/, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, https://doi.org/10.1186/s12889-019-6974-z. Global diabetes scorecard: tracking Progress for action. Updated Community Health Nursing 1. RSA, RMA, JB, EG, SH, FDA, and NJ contributed to the contextualization of the research design and methods to the local setting. No man, not even a doctor, ever gives any other definition of what a nurse should be than this — "devoted and obedient." 1663 F.T. Journal of Community Health Nursing, Volume 37, Issue 4 (2020) Research Article . 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