Integration of Hypertension Management into HIV Care in Nigeria: A Task Strengthening Strategy

尼日利亚将高血压管理纳入艾滋病毒护理：任务强化策略

• 批准号: 10365181
• 负责人: OLIVER CHUKWUJEKWU EZECHI
• 金额: $ 13.59万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-02-15 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10365181
• 关键词: Address; Administrative Supplement; Adoption; Area; Bioethics; Cardiovascular system; Caring; Case Study; Clinic; Clinical effectiveness; Committee Members; Diffusion; Dissemination and Implementation; Ensure; Ethical Issues; Ethics; Goals; HIV; HIV diagnosis; Health; Health Personnel; Hypertension; Institutes; Instruction; Intervention; Knowledge; Learning; Life; Modeling; Monitor; Morbidity - disease rate; Nigeria; Parents; Phase; Policies; Primary Health Care; Procedures; Public Health; Research; Research Ethics; Resources; Savings; Service delivery model; Surveys; Time; blood pressure reduction; care delivery; data modeling; effectiveness evaluation; effectiveness implementation trial; evidence base; experience; health care service; health care settings; health goals; hypertension control; implementation research; implementation strategy; member; mortality; post intervention; prevent; recruit; response; routine practice; scale up

Abstract The “Integration of Hypertension Management into HIV Care in Nigeria: A Task Strengthening Strategy” (TASSH NIMR) parent study is an ongoing clinical effectiveness implementation trial that evaluates the effectiveness of an implementation strategy to integrate a task-strengthening strategy for hypertension control (TASSH) in HIV clinics in Lagos State (R01HL147811). In response to NOT-OD-21-020, we propose this administrative supplement, “Establishing an Ethics Learning Collaborative for HIV-Hypertension Integration through a TAsk Strengthening Strategy for Hypertension Control in Lagos State, Nigeria” (E-LinC TASSH). E-LinC TASSH will leverage the TASSH NIMR Steering Committee to form an Ethics Learning Collaborative (ELC), which will identify, analyze, and characterize ethical considerations for implementing a practice facilitation–guided task- strengthening approach to couple hypertension and HIV treatment within primary health care centers throughout Lagos State. Additionally, E-LinC TASSH will develop an ethics-informed strategy for scaling up, spreading, and sustaining the TASSH NIMR intervention in HIV clinics throughout Lagos State. To better appreciate an implementation research informed learning collaboratives to advance bioethical considerations in HIV- hypertension integration, this supplement will also evaluate use of an ethics focused learning collaborative. Expansion into this area of bioethics research will allow us to comprehensively understand and contextualize ethical considerations of implementing this treatment and management model. This bioethics research will enable us to develop strategies for managing and solving ethical challenges arising in our implementation research and scale-up of the TASSH NIMR strategy. TASSH NIMR is currently in the pre-implementation or planning phase and will begin recruitment in time for the proposed research to enhance the intervention's impact and to inform the next steps for scaling up, spreading, and sustaining the intervention within the Lagos State primary healthcare network. In addition to engaging in the proposed bioethics research, E-LinC TASSH will build research ethics and bioethics capacity among ELC members through expert-facilitated discussions and activities involved in developing the survey, engaging stakeholders, interpreting findings, and integrating this new knowledge into practical strategies. Per instructions in NOT-OD-21-020, this supplement is specific to bioethics research and capacity building.

抽象的 “尼日利亚将高血压管理纳入艾滋病毒护理：一项任务强化战略”（TASSH NIMR）母研究是一项正在进行的临床有效性实施试验，旨在评估 整合艾滋病毒高血压控制任务强化策略（TASSH）的实施策略 拉各斯州的诊所 (R01HL147811) 作为对 NOT-OD-21-020 的回应，我们建议进行此项行政管理。 补充，“通过任务建立艾滋病毒-高血压整合道德学习合作组织 尼日利亚拉各斯州加强高血压控制战略”（E-LinC TASSH）。 利用 TASSH NIMR 指导委员会组建道德学习协作组织 (ELC)，该组织将 识别、分析和描述实施促进实践指导任务的道德考虑因素 加强初级卫生保健中心内夫妇高血压和艾滋病毒治疗的方法 此外，E-LinC TASSH 将制定一项基于道德的战略，以扩大、传播和推广。 在整个拉各斯州的艾滋病毒诊所中维持 TASSH NIMR 干预措施 实施研究为学习合作提供信息，以推进艾滋病毒领域的生物伦理考虑 高血压整合，该补充品还将评估以道德为重点的学习协作的使用。 扩展到生物伦理学研究的这一领域将使我们能够全面理解和背景化 实施这种治疗和管理模式的伦理考虑。 使我们能够制定管理和解决实施过程中出现的道德挑战的策略 TASSH NIMR 策略的研究和推广目前正处于实施前或阶段。 规划阶段，并将及时开始招募拟议研究的人员，以增强干预措施的影响 并告知下一步在拉各斯州范围内扩大、传播和维持干预措施的信息 除了参与拟议的生物伦理学研究外，E-LinC TASSH 还将建立初级医疗保健网络。 通过专家主持的讨论和活动，提高 ELC 成员的研究伦理和生物伦理能力 参与调查的制定、利益相关者的参与、解释调查结果以及整合这一新的 知识转化为实际策略。 根据 NOT-OD-21-020 中的说明，本补充品专门针对生物伦理​​学研究和能力建设。