The impact of a cardiovascular health awareness program (CHAP) on decreasing blood pressure is one that emphasize on cohort study. The one evidence-based solution I might use to address public health problem of diabetes in Manila is the use and impact of cardiovascular health awareness program (CHAP) on reducing blood pressure — a cohort study approach. According to CHAP, hypertension is a significant and variable cardiovascular risk factor that remains under-achievable, under-noticed and under-cured, especially in the older populations (Chenglin et al. 2013). The hypothetical study of developing the deterrence and assessment plan of type 2 diabetes in Manila is very much related to the population issue of hypertension.
Hypertension and diabetics are similar in nature if not the same. The basic similarities between diabetes and hypertension justified the reason for using evidence-based solution, from the article by Chenglin et al. (2013). It is projected that if diabetic patients live extensively enough, roughly 75% will cultivate hypertension (Clark, 2005). A community health promotion for the reduction of type 2 diabetes can be achieved by looking closely at how high blood pressure causes hypertension. We can simply say high blood pressure (or hypertension) can bring about many complications if not the worse of diabetes, including diabetic eye disease (webMD, n.d.).
It is very viable to use the proposed evidence-based solution from the article of Chenglin et al. (2013). When it derives from the prevention of diabetic problems, normal blood pressure is as significant as controlling one’s blood sugar levels (webMD, n.d.). Based on the information provided above, we can simply say the increased high blood pressure level is the main contributing factor of diabetes. Secondly, blood glucose levels can be greater than usual for people with diabetes. Therefore, part of our health assessment protocol will include measuring the fluctuation level of high blood pressure, by taking into account participants’ blood sugar level.
The public-controlled intervention of primary health care and community resources are the evidence-based approaches to the improvement and management of hypertension and other cardiovascular risk-factors, like diabetes (Chenglin, 2013). According to the article by Chenglin et al. (2013), hypertension is a vital and changeable cardiovascular risk-factor that needs to be study and maintained. The cohort-based approach evaluated the effect of a community-based CHAP on volunteers’ blood pressure. Our health assessment approach in Manila can do the same thing. However, we can expand by initially asking related questions of diabetes, and then measuring their high blood pressure. We can likewise add measuring tactics to include assessing participant’s weigh, blood pressure, waist measurement and height.
Additionally, we can carry out survey questionnaire in order to qualify volunteers based on controlled data. Part of our major qualifying requirement is the question of individual’s age range. Those of 40 years and above could qualify for the ongoing health assessment. Only randomized and interested members of the community will be evaluated, including those referred by their primary health physicians.
The method used in this evidence-based article is essential to our study of diabetes. For example, the study followed a cohort of community members that participated in CHAP across 22 medium Ontario communities, over a period of 18-months. Participants’ blood pressure was taken and recorded. The researchers also maintained a recorded estimate of the changes in participants’ systolic and diastolic blood pressure over time, and for the volunteers who participated in more than two CHAP sessions.
The resulted measures from 13, 596 participants, 2498 attended multiple CHAP sessions. For the repeated participants, their average reduction of systolic blood pressure was from 142 to 123 mmHg, over a period of 18 months. Additionally, the average reduction of their diastolic blood pressure was from 78 to 69 mmHg. The study found out older adults who lived alone, were diagnosed with hypertension and with slightly healthier eating habit. In conclusion, CHAP was linked to reduction in systolic and diastolic blood pressure— for volunteers who attended multiple sessions (Chenglin et al. 2013). Such evidenced-based result could help to configure our own clinical and interventional study of diabetes in Manila.
Reference
Chenglin, Y., Foster, G., Kaczorowski, J., Chambers, L. W., Angeles, R., Marzanek-Lefebvre, F., & … Dolovich, L. (2013). The impact of a cardiovascular health awareness program (CHAP) on reducing blood pressure: a prospective cohort study. BMC Public Health, 13(1), 1-25. doi:10.1186/1471-2458-13-1230
Clark, M. E. (2005). Hypertension and Diabetics. MedScape. Retrieved from http://www.medscape.org/viewarticle/513876
WebMD. (n.d.). Hypertension/High Blood Pressure Health Centre. Retrieved from http://www.webmd.com/hypertension-high-blood-pressure/guide/high-blood-pressure
