Skip to main content

Table 2 Overview of Interventions

From: Swāsthya, an integrated chronic condition management programme for families of patients with hypertension and diabetes mellitus: a study protocol for a randomised controlled trial

Participant Categories Objectives Interventions Tools Methods
Behavioural risk group To incorporate lifestyle modifications to manage diabetes and hypertension in patients Individual level
 1) Risk management strategies for alcohol consumption, smoking, sedentary lifestyle, and low-fat diet recipes, and specific monitoring strategies for salt, sugar, and oil intake.
 2) Graded reduction strategies for alcohol consumption and smoking; Linking to de-addiction centres if necessary.
Healthy lifestyle- specific brochures, videos on anatomical explanation on unhealthy habits and its foreseeable effects, chronic condition-specific leaflets, and monitoring charts Household visits by ASHA workers once in a month
Family level
 3) Obesity intervention programmes for potential patients by providing a customised diet plan.
Diet charts and recipe books Information booklet-based family consultations by ASHA workers
Community level
 4) Community awareness generation regarding the effect of unhealthy habits and sedentary lifestyle on chronic conditions
Brochures, health calendars, and health-related videos ASHA workers spend 10–15 minutes in community meetings to speak about healthy lifestyle
Social risk group To bring about changes in individuals and families by promoting more social networks and ties with others in the community Family level
 1) Forming beneficiary groups of participants
 2) Availing services such as free medicines, micro-pharmacy, doctor emergencies, and transportation facilities to hospitals
Brochures and handouts comprising details of already existing support systems Individual- and family-level consultations and connecting to existing NGOs and other functionaries
Community level
 3) Awareness generation regarding support services, government welfare and health schemes, nongovernment organisations, and other informal provisions and resources
Beneficiary groups, and handouts with the details of agencies along with their address and phone number Creation of beneficiary groups by ASHA workers, and distribution of brochures
Cognitive risk group To modify the negative cognition of patients through cognitive techniques for better mental health Individual level
 1) Cognitive and behavioural steps, and referral to family counselling centres (FCCs)
Case management technique videos and awareness classes FCC staff to provide therapy sessions, and ASHA workers to generate awareness on common mental health conditions
Family level
 2) Strategies to improve connections between family members
 3) Community linkage for socially vulnerable patients
Increasing the frequency of visits to these vulnerable families House visits by ASHA workers and encouraging frequent contacts