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Care"],"published-print":{"date-parts":[[2022,12]]},"abstract":"Abstract<\/jats:title>\n Background<\/jats:title>\n Thailand has been rapidly approaching an aging society in conjunction with an increase in noncommunicable diseases (NCDs) especially hypertension and type 2 diabetes. Demographics and epidemiologic transitions create several challenges to the health system in Thailand in the case of long term care policies, in particular, modality to support home care. Therefore, the model development to facilitate primary care home services for elderly patients with NCDs using an innovative network of homecare providers (WinCare) was established. The study aimed to evaluate the effectiveness of WinCare to improve blood pressure (BP) control as well as health-related quality of life (HRQoL) among elderly patients with NCDs.<\/jats:p>\n <\/jats:sec>\n Methods<\/jats:title>\n A prospective cohort study was conducted between July 2019 and January 2020 in a suburban area, Chiang Mai Province, Thailand. The intervention included WinCare providers\u00a0and WinCare application. WinCare provided check-in visits to measure subjects blood pressure and body weight (once weekly), played the roles of other home caregivers for the patients and recorded measurements and activities in the WinCare app for 6\u2009months. The primary outcomes of the study were differences in systolic BP, diastolic BP, and controlled BP (systolic BP\u2009<\u2009140\u2009mmHg and diastolic BP\u2009<\u200990\u2009mmHg) at 6-month follow-up between the intervention and control groups, adjusting for age, sex, marital status, comorbidities, alcohol consumption and smoking status.<\/jats:p>\n <\/jats:sec>\n Results<\/jats:title>\n A total of 104 subjects were initially recruited. Of the remaining 98 individuals, 52 were allocated to the intervention group and 46 to the control group. After adjusting baseline characteristics, no association existed between decreasing average systolic BP and intervention groups. However, diastolic BP of patients in the intervention group was on average 5.19\u2009mmHg (95% CI -8.22, \u2212\u20092.17) lower compared than that of the control group at 6-month follow-up. Furthermore, compared with patients in the control group, those in the intervention group were more likely to control BP, (AOR 3.03; 95% CI 1.02\u20139.01) at 6-month follow-up.<\/jats:p>\n <\/jats:sec>\n Conclusion<\/jats:title>\n Establishing a network of homecare providers (WinCare) was feasible in a community setting. This innovative network was able to facilitate elderly patients with NCDs residing in a suburban community to improve BP control at least at 6-month follow-up.<\/jats:p>\n <\/jats:sec>\n Trial registration<\/jats:title>\n Trial identification number was TCTR20200312007<\/jats:ext-link>, First submitted date:12\/03\/2020.<\/jats:p>\n <\/jats:sec>","DOI":"10.1186\/s12875-022-01648-4","type":"journal-article","created":{"date-parts":[[2022,3,6]],"date-time":"2022-03-06T23:02:16Z","timestamp":1646607736000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Model development to improve primary care services using an innovative network of homecare providers (WinCare) to promote blood pressure control among elderly patients with noncommunicable diseases in Thailand: a prospective cohort study"],"prefix":"10.1186","volume":"23","author":[{"given":"Boonsub","family":"Sakboonyarat","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathirut","family":"Mungthin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panadda","family":"Hatthachote","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yupaporn","family":"Srichan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ram","family":"Rangsin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,3,6]]},"reference":[{"key":"1648_CR1","doi-asserted-by":"crossref","unstructured":"Vollset SE, Goren E, Yuan CW, Cao J, Smith AE, Hsiao T, et al. 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Written informed consent was obtained from the participants following the WMA Declaration of Helsinki Ethics principles for medical research involving human subjects (approval number: S073q\/61_Exp). The study was registered in the Thai Clinical Trials Registry (Trial identification number: TCTR20200312007).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent for publication is not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"40"}}