2024
Time to blood pressure control and predictors among patients receiving integrated treatment for hypertension and HIV based on an adapted WHO HEARTS implementation strategy at a large urban HIV clinic in Uganda
Amutuhaire W, Semitala F, Kimera I, Namugenyi C, Mulindwa F, Ssenyonjo R, Katwesigye R, Mugabe F, Mutungi G, Ssinabulya I, Schwartz J, Katahoire A, Musoke L, Yendewa G, Longenecker C, Muddu M. Time to blood pressure control and predictors among patients receiving integrated treatment for hypertension and HIV based on an adapted WHO HEARTS implementation strategy at a large urban HIV clinic in Uganda. Journal Of Human Hypertension 2024, 38: 452-459. PMID: 38302611, PMCID: PMC11076202, DOI: 10.1038/s41371-024-00897-3.Peer-Reviewed Original ResearchBP controlDuo-therapyAmlodipine 5Blood pressureWorld Health OrganizationMono-therapyCox proportional hazards analysisUrban HIV clinicCox proportional hazards modelsProportional hazards analysisBlood pressure controlAnti-hypertensive treatmentStage I hypertensionHIV care settingsProportional hazards modelHypertensive PLHIVMonotherapy groupPill burdenHIV clinicCohort studySystolic BPHazards modelPressure controlPatientsMmHg
2023
Using the RE-AIM framework to evaluate the implementation and effectiveness of a WHO HEARTS-based intervention to integrate the management of hypertension into HIV care in Uganda: a process evaluation
Muddu M, Semitala F, Kimera I, Musimbaggo D, Mbuliro M, Ssennyonjo R, Kigozi S, Katwesigye R, Ayebare F, Namugenyi C, Mugabe F, Mutungi G, Longenecker C, Katahoire A, Schwartz J, Ssinabulya I. Using the RE-AIM framework to evaluate the implementation and effectiveness of a WHO HEARTS-based intervention to integrate the management of hypertension into HIV care in Uganda: a process evaluation. Implementation Science Communications 2023, 4: 102. PMID: 37626415, PMCID: PMC10463385, DOI: 10.1186/s43058-023-00488-2.Peer-Reviewed Original ResearchLarge HIV clinicManagement of hypertensionRE-AIM frameworkHIV careBlood pressureHeart interventionsHealthcare providersViral suppressionNational guidelinesTask shiftingHIV viral suppressionDiastolic blood pressureSystolic blood pressureOptimal viral suppressionTraining healthcare providersAdult PLHIVHIV clinicHypertension controlHypertension medicationsLifestyle counselingHIV outcomesHypertension managementClinic appointmentsMean ageMonth 21
2022
Factors associated with blood pressure control in patients with hypertension and HIV at a large urban HIV clinic in Uganda
Musimbaggo D, Kimera I, Namugenyi C, Schwartz J, Ssenyonjo R, Ambangira F, Kizza L, Mbuliro M, Katwesigye R, Ssinabulya I, Muddu M, Neupane D, Olsen M, Pareek M, Semitala F. Factors associated with blood pressure control in patients with hypertension and HIV at a large urban HIV clinic in Uganda. Journal Of Human Hypertension 2022, 38: 345-351. PMID: 36476778, PMCID: PMC11001571, DOI: 10.1038/s41371-022-00786-7.Peer-Reviewed Original ResearchBlood pressure controlComorbid diabetes mellitusDiabetes mellitusPressure controlBlood pressureHIV statusCardiovascular diseaseLarge urban HIV clinicPoor blood pressure controlImportant preventable risk factorBlood pressure targetsIndividual HIV statusUrban HIV clinicPreventable risk factorsHIV status disclosureMultivariable logistic regressionAntihypertensive treatmentAntiretroviral therapyHIV clinicHypertension careSubpopulation of personsPressure targetsBaseline factorsHypertensive personsIntegrated HIVIntegrated multi-month dispensing of antihypertensive and antiretroviral therapy to sustain hypertension and HIV control
Kimera ID, Namugenyi C, Schwartz JI, Musimbaggo DJ, Ssenyonjo R, Atukunda P, Mutungi G, Mugabe F, Ambangira F, Mbuliro M, Katwesigye R, Neupane D, Ssinabulya I, Semitala FC, Delles C, Muddu M. Integrated multi-month dispensing of antihypertensive and antiretroviral therapy to sustain hypertension and HIV control. Journal Of Human Hypertension 2022, 37: 213-219. PMID: 35246602, PMCID: PMC8896410, DOI: 10.1038/s41371-022-00655-3.Peer-Reviewed Original ResearchConceptsHIV viral suppressionHypertension controlViral suppressionBlood pressureElevated systolic blood pressureHIV treatment outcomesMean blood pressureProportion of patientsSystolic blood pressureRetention of patientsPatient-centered approachAntiretroviral therapyHIV clinicStable patientsHIV controlHIV treatmentMean ageTreatment outcomesHypertensionPatientsHealthcare providersClinical encountersMonthsBaselineLongitudinal study