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A qualitative evaluation of a simplified cardiovascular management program in Tibet, China

Overview of attention for article published in Globalization and Health, March 2018
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Title
A qualitative evaluation of a simplified cardiovascular management program in Tibet, China
Published in
Globalization and Health, March 2018
DOI 10.1186/s12992-018-0342-0
Pubmed ID
Authors

Maoyi Tian, Xuejun Yin, Danzeng Dunzhu, Zhong Liu, Cong Li, Hao Sun, Ci Song, Laba Sangzhu, Anushka Patel, Julie Redfern, Lijing L. Yan

Abstract

The simplified cardiovascular management (SimCard Study) program was a cluster randomized controlled trial conducted in Tibet, China to evaluate a multifaceted intervention consisting of appropriate medication prescriptions and lifestyle recommendations delivered by village doctors. The intervention was effective in improving the management of cardiovascular diseases in resource-limited settings. The aim of this qualitative study was to examine stakeholder feedback and to inform future research and scaling up. A total of 28 face-to-face individual interviews were conducted. The interviews were conducted in 6 out of 14 intervention villages by 2 interviewers who speak the local language. Participants included 18 community members at high risk of CVD, 6 village doctors, 2 local project coordinators, and 2 county officials. Interview guides were used to facilitate the interview covering the focus of perceived usefulness and content of the intervention, fidelity to the intervention, and potential scalability of the intervention. Qualitative interviews were coded using thematic analysis. The average age of the participants was 41 years and 70% were female. Our findings showed that the intervention was delivered according to the protocol and was described as a useful program for CVD management by both high-risk individuals and village doctors. However, lack of knowledge among high-risk individuals, insufficient availability of healthcare providers, inadequate financial incentive, and incomplete infrastructure such as difficulty in transportation and cell phone signal were identified as the main barriers to successful implementation and scale-up. The intervention was implemented in line with the protocol and provided substantial benefits for relevant community members and health professionals. However, multiple health system barriers need to be addressed for successful scale-up in rural China. Unique identifier: NCT01503814 . Registered 11 December 2011.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 87 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 87 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 11 13%
Student > Bachelor 10 11%
Student > Ph. D. Student 9 10%
Student > Master 9 10%
Other 5 6%
Other 12 14%
Unknown 31 36%
Readers by discipline Count As %
Nursing and Health Professions 14 16%
Medicine and Dentistry 10 11%
Social Sciences 6 7%
Economics, Econometrics and Finance 4 5%
Psychology 4 5%
Other 13 15%
Unknown 36 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 March 2018.
All research outputs
#18,589,103
of 23,025,074 outputs
Outputs from Globalization and Health
#1,033
of 1,110 outputs
Outputs of similar age
#257,541
of 331,156 outputs
Outputs of similar age from Globalization and Health
#33
of 33 outputs
Altmetric has tracked 23,025,074 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
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We're also able to compare this research output to 33 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.