Towhid Babazadeh, Soheila Ranjbaran, Sara Pourrazavi, Arman Latifi, Khalil Maleki Chollou
Impact of health literacy and illness perception on medication adherence among older adults with hypertension in Iran: a cross-sectional study
Frontiers in public health
chronic kidney disease ckd major health problem thailand health behaviors central risk progression shortage healthcare personnel village health volunteers vhvs collaborating primary health care system however contribution vhvs ckd reduction evaluated yet study aimed evaluate efficacy vhvintegrated model preventing slowing ckd risk factors populationbased cohort study conducted rural community thailand 2017 2019 baseline clinical behavioral characteristics including ckd diabetes hypertension highrisk factors participants collected integrated care model initiated multidisciplinary care team facilitated empowered trained vhvs targeting risk factors ckd health literacy health promotion participants educated trained lifestyle modification monitored continuously 18 months vhvs changes ckd risk factors kidney functions application integrated care model compared total 831 subjects participated study average age 575 years 695 female among 222 participants 267 diagnosed ckd vast majority 95 early stages g1g3 a1a2 ckd risk factors high salt intake smoking alcohol consumption selfnsaid nonsteroidal antiinflammatory drugs use significantly decreased application care model also hemoglobin a1c significantly reduced diabetic patients blood pressure controlled better hypertensive patients importantly decline estimated glomerular filtration rate ckd group improved lower nonckd group integrated care model vhv significantly attenuated risk factors associated ckd general highrisk population effectively slowed progression ckd