Department of International Health.
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health.
J Hypertens. 2024 Dec 1;42(12):2041-2054. doi: 10.1097/HJH.0000000000003834. Epub 2024 Sep 18.
Many studies have implemented and evaluated task-sharing interventions with community health workers (CHWs) to manage hypertension. To identify gaps in research, we conducted a scoping review. We searched original articles published in PubMed and EMBASE between 2010 and 2022 and found 122 articles meeting our inclusion criteria. Only seven articles were from low-income countries (LICs), most of which were qualitative studies or mixed methods studies. In the identified 122 articles, CHWs often performed health education (61.3%) and measured blood pressure (60.4%). Whereas CHWs carried out pharmacological treatment in only three studies. Participant homes (75.0%) were the most common setting for receiving interventions. Our study identified specific needs for future research, specifically, studies in LICs that are experimental in design and that collect relevant qualitative information, and studies in which CHWs do advanced task. In addition, publications of CHW studies should provide a more comprehensive list of intervention features.
许多研究已经实施并评估了社区卫生工作者(CHW)分担任务的干预措施,以管理高血压。为了确定研究中的差距,我们进行了范围综述。我们在 PubMed 和 EMBASE 上搜索了 2010 年至 2022 年期间发表的原始文章,并找到了符合我们纳入标准的 122 篇文章。只有七篇文章来自低收入国家(LICs),其中大多数是定性研究或混合方法研究。在确定的 122 篇文章中,CHW 经常进行健康教育(61.3%)和测量血压(60.4%)。而 CHW 仅在三项研究中进行了药物治疗。参与者的家(75.0%)是接受干预措施的最常见场所。我们的研究确定了未来研究的具体需求,特别是在 LICs 中进行设计实验并收集相关定性信息的研究,以及 CHW 进行高级任务的研究。此外,CHW 研究的出版物应提供更全面的干预措施特征清单。