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CTRI Number  CTRI/2024/09/073775 [Registered on: 11/09/2024] Trial Registered Prospectively
Last Modified On: 02/09/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Mixed method study 
Study Design  Other 
Public Title of Study   A mixed-method study to find out the barriers and challenges related to patients not following up on their medical care and to learn about the patterns of healthcare usage and cost among hypertension patients 
Scientific Title of Study   Barriers and Challenges of Loss to follow up, the healthcare utilization pattern, and healthcare expenditure among patients seeking treatment for hypertension at a tertiary care hospital A Mixed Method Study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Raksha Kamath 
Designation  PhD Scholar 
Affiliation  Manipal College of Health Professions 
Address  Department of Health Information Management. Manipal College of Health Professions. MAHE Manipal

Udupi
KARNATAKA
576104
India 
Phone  7349744860  
Fax    
Email  raksha2.mchpmpl2023@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr B Reshmi 
Designation  Professor 
Affiliation  Manipal College of Health Professions 
Address  Department of Health Information Management. Manipal College of Health Professions. MAHE Manipal

Udupi
KARNATAKA
576104
India 
Phone  9880530701  
Fax    
Email  reshmi.b@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr B Reshmi 
Designation  Professor 
Affiliation  Manipal College of Health Professions 
Address  Department of Health Information Management. Manipal College of Health Professions. MAHE Manipal

Udupi
KARNATAKA
576104
India 
Phone  9880530701  
Fax    
Email  reshmi.b@manipal.edu  
 
Source of Monetary or Material Support  
Room No 512. Department of Health Information Management. Manipal College of Health Professions, MAHE Manipal, Udupi, Karnataka, India, 576104 
 
Primary Sponsor  
Name  Manipal College of Health Professions 
Address  Manipal College of Health Professions, MAHE Manipal, Udupi, Karnataka, India, 576104 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr B Reshmi  Manipal College of Health Professions  Room No 512. Department of Health Information Management. Manipal College of Health Professions, MAHE Manipal, Udupi, Karnataka, India, 576104
Udupi
KARNATAKA 
9880530701

reshmi.b@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
kasturba Medical college and Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I10||Essential (primary) hypertension,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1) Patients who are diagnosed with hypertension and are on medical management
2) Patients above 18 years of age
3) Patients who are lost to follow- up for the treatment
4) Physicians, Nurses, Medical Social workers, Allied health professionals 
 
ExclusionCriteria 
Details  1) Patients who are not consenting to participate in the study
2) Administrative staffs
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Knowledge about the barriers, challenges, and reasons for patients being non adherent to treatment.  3months 
 
Secondary Outcome  
Outcome  TimePoints 
Knowledge about the barriers, reasons, trends, demographic factors, and perceived impact on patient’s lost to follow-up from healthcare providers perspectives.  3months 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/02/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Keeping regular appointments is a key indicator of patient engagement in medical care. Patients miss their regular medical appointments; in order to prevent complications, it is essential to understand the patient factors associated with being lost to follow up for treatment regimen. Understanding the viewpoint of healthcare providers regarding the barriers and challenges that patient face when following up will also help to determine the overall burden of lost to follow up on medical care and treatment.

Understanding the associated between lost to follow up status, the healthcare utilization, and the healthcare expenditure, specifically focusing on the likelihood of seeking emergency care or hospitalization due to complications arising among patients with hypertension will help in knowing the burden of lost to follow up on medical care.

 
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