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Effects of labeled cash transfers (LCT) on uptake of care for chronic conditions: a three-armed community-randomized trial among older adults in rural Burkina Faso

Not Applicable
Conditions
Z75.8
I10.9
R73.9
E14
E78.5
D64.9
Other problems related to medical facilities and other health care
Hyperglycaemia, unspecified
Unspecified diabetes mellitus
Hyperlipidaemia, unspecified
Registration Number
DRKS00014734
Lead Sponsor
Heidelberg Institute of Public Health
Brief Summary

Between May 25 and October 3, 2018, 1242 individuals were enrolled, with 398 randomized to the high LCT arm, 423 to the low LCT arm, and 421 to the control arm. Compared to those who received no LCT, subjects in the high LCT arm had significantly lower rates of linkage to care (prevalence ratio [PR]: 0.77, p=0.04) and treatment uptake (PR 0.77, p<0.001). Low LCT arm participants also received fewer examinations (PR 0.63, p<0.001) than control participants.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
1242
Inclusion Criteria

A primary resident of the household for at least the preceding six months; Willing and able to give informed consent to participate in the Centre de Recherche en Santé de Nouna (CRSN) Heidelberg Aging Study, including either completing a blood pressure measurement or provide a whole blood sample; Being found to have at least one of the following risk factors: Low density lipoprotein > 160mg/dL (4.1 mmol/L), Hemoglobin < 9g/dL, Hemoglobin A1c > 6.5%, Hyperglycemia >126mg/dL if participant reports to have fasted or >200mg/dL if participant reports that he has eaten or drunk in the last 6 hours before testing, Systolic blood pressure > 140 or diastolic blood pressure > 90

Exclusion Criteria

Withdrawal of consent; Persistent display of distress by the participant; Inability of participant to follow study procedures

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary endpoints: Within 3 months of the home visit<br><br>1.Linkage to care: any clinic visit (measured by the return of the referral card that was provided to participants at the time of the home visit that identified need for care and treatment of a chronic condition) <br><br>2.Treatment uptake: any counselling or medication or other intervention received at a clinic (measured by healthcare providers’ responses to multiple-choice questions on the referral card) <br>
Secondary Outcome Measures
NameTimeMethod
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