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
Integrated 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
2020
Self-care practices and needs in patients with hypertension, diabetes, or both in rural Uganda: a mixed-methods study
Tusubira A, Nalwadda C, Akiteng A, Armstrong-Hough M, Hsieh E, Ngaruiya C, Rabin T, Hawley N, Lipska K, Kalyesubula R, Ssinabulya I, Schwartz J. Self-care practices and needs in patients with hypertension, diabetes, or both in rural Uganda: a mixed-methods study. The Lancet Global Health 2020, 8: s19. DOI: 10.1016/s2214-109x(20)30160-1.Peer-Reviewed Original ResearchNon-communicable diseasesSelf-care practicesPhysical activityManagement of NCDsDaily vigorous physical activityEssential NCD medicinesRural UgandaMost respondentsModerate physical activityMixed-methods studyVigorous physical activitySelf-care programFocus group discussionsNCD clinicsAdult patientsMost patientsSwollen footPatient adherenceSaharan AfricaMean ageNCD medicinesNCD patientsWeight managementAlcohol abstinenceHealth facilities