Featured Publications
Patient preferences for facility-based management of hypertension and diabetes in rural Uganda: a discrete choice experiment
Moor SE, Tusubira AK, Wood D, Akiteng AR, Galusha D, Tessier-Sherman B, Donroe EH, Ngaruiya C, Rabin TL, Hawley NL, Armstrong-Hough M, Nakirya BD, Nugent R, Kalyesubula R, Nalwadda C, Ssinabulya I, Schwartz JI. Patient preferences for facility-based management of hypertension and diabetes in rural Uganda: a discrete choice experiment. BMJ Open 2022, 12: e059949. PMID: 35863829, PMCID: PMC9310153, DOI: 10.1136/bmjopen-2021-059949.Peer-Reviewed Original ResearchConceptsPeer support groupsAvailability of medicinesHealthcare providersPatient preferencesHealth facilitiesHealth educationRural UgandaFacility-based managementCost of treatmentLow-resource settingsDiabetes mellitusNakaseke districtDiscrete choice experimentHealthcare service deliveryAverage respondentIntervention designHTNMedicineUgandan shillingsDCE attributesProvidersGroupService delivery
2023
Planning for Hospital Discharge for Older Adults in Uganda: A Qualitative Study Among Healthcare Providers Using the COM-B Framework
Owokuhaisa J, Schwartz J, Wiens M, Musinguzi P, Rukundo G. Planning for Hospital Discharge for Older Adults in Uganda: A Qualitative Study Among Healthcare Providers Using the COM-B Framework. Journal Of Multidisciplinary Healthcare 2023, 16: 3235-3248. PMID: 37936911, PMCID: PMC10627173, DOI: 10.2147/jmdh.s430489.Peer-Reviewed Original ResearchDischarge planningHealthcare providersOlder adultsHealth facilitiesPatient careHealthcare service deliveryRoutine clinical care settingsProper discharge planningHealthcare provider perspectiveClinical care settingsNon-communicable diseasesHome-based careCOM-B frameworkUgandan health systemQuality patient careHospital dischargeContinuous medical educationInpatient wardsCare settingsAudio-recorded interviewsHealth systemProvider perspectivesInfluence behaviour changeQualitative exploratory studyService deliveryUsing 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
2021
Causes of medication non-adherence and the acceptability of support strategies for people with hypertension in Uganda: A qualitative study
Wilkinson R, Garden E, Nanyonga RC, Squires A, Nakaggwa F, Schwartz JI, Heller DJ. Causes of medication non-adherence and the acceptability of support strategies for people with hypertension in Uganda: A qualitative study. International Journal Of Nursing Studies 2021, 126: 104143. PMID: 34953374, DOI: 10.1016/j.ijnurstu.2021.104143.Peer-Reviewed Original ResearchConceptsCauses of medicationPoor medication adherenceNon-communicable diseasesHypertension controlMedication adherenceCommon non-communicable diseasesMedication side effectsLack of symptomsUrban private hospitalsMonthly group meetingsHealth Belief ModelTraditional herbal medicineHypertensive medicationsUntreated hypertensionAdherence clubsAdherence interventionsConventional content analysis approachText remindersSide effectsHypertensionPatientsMedicationsPatient effortHealthcare providersContext-specific barriers