Diet and lifestyle InterventionS through Anganwadi Workers and Accredited Social Health Activists (DISHA)

Phase 3

Completed

• Conditions: NCD risk-factor assessment of community participants is conducted, followed by a health-promotion intervention in intervention clusters. Change in population level blood pressure will be assessed.

• Registration Number: CTRI/2013/10/004049
• Lead Sponsor: Indian Council of Medical Research

Brief Summary

The primary goal of the present study  is to assess the effectiveness of intenseversus usual Information Education Communication (IEC) interventions on diet andlifestyle modifications delivered by existing community-level health-workers (Anganwadiworkers or ASHAs or equivalent) on population level blood pressure;  the aim being assessment of   operationalfeasibility of integrating NCD risk reduction in community health programsthrough existing community level healthcare volunteers such as Anganwadi Workersor ASHAs (community health workers – CHWs).

This feasibility study specifically aimsto assess the usefulness of trained CHWs to facilitate changes in dietary fat,fibre and salt, tobacco and alcohol consumption and increasing physicalactivity at the community level in the Indian rural and urban health systems setting.The efficacy of these interventions to evaluate clinical indicators namely changesin lipid levels and glycemia will also be assessed.

This study is a collaborative effort between Centre for ChronicDisease Control (CCDC, New Delhi) and 5 participating sites, namely PondicherryInstitute of Medical Science (Pondicherry), Dr. Rajendra Prasad GovernmentMedical College (Tanda); Indira Gandhi Medical College (Shimla) and Aga KhanHealth Services (Mumbai with study site in Junagadh).   .

Detailed Description

Not available

Study Timeline

• Study Start: 2012-10-11
• Study Completion: 2017-12-31
• Last Update Posted: 2019-11-22

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 18000

Inclusion Criteria

Any individual, irrespective of gender, who is more than 18 years of age, and permanently resides in the household will be approached to participate in this study for cardiovascular risk-factor assessment.

Exclusion Criteria

• This study proposes to study adults in the community to assess cardiovascular risk-factor prevalence in the community, and excludes adults below the age of 18 years.
• Additional exclusions are: •Pregnant women •Bed-ridden individuals • Persons who are unable to comprehend the interview questionnaire (Reasons for exclusion will be documented).

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary outcome will be difference	18 months
between the changes in population level blood pressure between intervention and control clusters.	18 months

Secondary Outcome Measures

Name	Time	Method
-Operational feasibility of integrating NCD risk reduction in community health programs through existing community level healthcare volunteers such as ASHA or equivalent.	-Usefulness of trained healthcare workers to affect changes in dietary fat, fibre and salt, tobacco and alcohol consumption and increasing physical activity.

Trial Locations

Locations (5)

Indore; 🇮🇳 Dhar, MADHYA PRADESH, India

Junagadh; 🇮🇳 Junagadh, GUJARAT, India

Puducherry; 🇮🇳 Pondicherry, PONDICHERRY, India

Shimla; 🇮🇳 Shimla, HIMACHAL PRADESH, India

Tanda; 🇮🇳 Kangra, HIMACHAL PRADESH, India

Indore

🇮🇳Dhar, MADHYA PRADESH, India

Dr Jyoti Sanghvi

Principal investigator

09826010403

jyotisanghvi@yahoo.com