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Community Health Assessment Program in the Philippines (CHAP-P)

Diabetes is increasing dramatically in low and middle income countries (LMICs), much more than it is in high income countries. It is on track to become a global epidemic. Effective interventions need to be developed to address this issue.

The Community Health Assessment Program in the Philippines (CHAP-P) is adapting the Cardiovascular Health Awareness Program (CHAP), a Canadian program, to an LMIC setting, with the inclusion of a community diabetes prevention and early detection component. This intervention is being trialed in the Philippines but the adaptability to similar LMIC settings is being explored.

The CHAP-P intervention is a drop-in diabetes and cardiovascular risk assessment, health promotion, and disease prevention program. Like the original CHAP, it is community-based, primary care-centred, volunteer-led and free of charge for participants. In CHAP-P, volunteers assess residents attending the program in community-based locations. The assessment uses a digital questionnaire, validated tools and an automated blood pressure device. Residents at risk of developing diabetes or with elevated blood pressure are given health education in the session, access to community resources or referrals to local health offices to help decrease their risk factors and detect the presence of diabetes early.

The current multi-phase study started with adapting the intervention to the Philippines setting through a qualitative research approach. This work was followed by a series of pilot studies and culminates in a 26-community clustered randomized controlled trial to test the effectiveness of the intervention and its cost-effectiveness. Knowledge translation activities to help spread and share the learnings from CHAP-P will follow.

CHAP-P is based on a formal partnership between the McMaster University Department of Family Medicine and the Ateneo de Zamboanga University School of Medicine (Philippines), with guidance from a Project Advisory Group of international collaborators and researchers.

Investigators

Nominated Principal Investigators

  • Gina Agarwal, MBBS, PhD, Department of Family Medicine, McMaster University, Canada
  • Fortunato Cristobal, MD, MPH, MHPEd, School of Medicine, Ateneo de Zamboanga University, Philippines

Principal Investigators

  • Ricardo Angeles, MD, MPH, MHPEd, PhD, Department of Family Medicine, McMaster University, Canada
  • Lisa Dolovich, PharmD, MSc, Department of Family Medicine, McMaster University, Canada
  • Janusz Kaczorowski, PhD, Department of Family and Emergency Medicine, University of Montreal, Canada

Co-Investigators

  • Rodelin M. Agbulos, MD, MPH, Zamboanga City Health Office
  • Rosemarie Arciaga, MD, MSc , Zamboanga Medical Research Foundation
  • Jerome Barrera, MD, School of Medicine, Ateneo de Zamboanga University
  • Elgie Gregorio, MD, MPH, School of Medicine, Ateneo de Zamboanga University
  • Dale Guenter, MD, MSc, Department of Family Medicine, McMaster University
  • Servando Halili Jr., PhD, Graduate School, Ateneo de Zamboanga University
  • Norvie Jalani, MD, MPH, Department of Health, Zamboanga Peninsula
  • Daria O’Reilly (Health Economics), PhD, Department of Health Research Methods, Evidence, and Impact , McMaster University
  • John F. Smith, PhD, Khon Kaen University, Thailand
  • Karl Stobbe,MD, Department of Family Medicine, McMaster University
  • Lehana Thabane (Statistics), PhD, Department of Health Research Methods, Evidence, and Impact,, McMaster University
  • Sheldon Tobe, MD, MScCH, Department of Family Medicine, McMaster University

Project Advisory Group

  • Celina Gorre, MPH, MPA, Global Alliance for Chronic Disease (GACD) International Secretariat, London United Kingdom
  • Faiçal Jarraya, MD, Faculté de Médecine de Sfax, Sfax, Tunisia
  • Nusaraporn Kessomboon, Khon Kaen University, Thailand 
  • Pattapong Kessomboon, MD, Khon Kaen University, Thailand
  • Germán Málaga, MD, MSc, Universidad Peruana Cayetano Heredia, Lima, Perú
  • Lynda Redwood-Campbell, MD, MPH, Department of Family Medicine, McMaster University, Canada

Project Partners

  • Ateneo de Zamboanga University – School of Medicine; Graduate School
  • Global Alliance for Chronic Disease
  • Khon Kaen University
  • McMaster University – Department of Family Medicine; Department of Health Research Methods, Evidence, and Impact
  • Republic of the Philippines Department of Health
  • Zamboanga City Health Office
  • Zamboanga Medical Research Foundation
    • McMaster University Department of Family Medicine
    • David Braley Health Sciences Centre
    • 100 Main Street West, 6th Floor
    • Hamilton, ON L8P 1H6
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