Methodology of Planning of Cardiovascular Disease Risk Factor Modification in A lower-middle Class Urban Community in Pakistan, Study Protocol

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TERI MANOLIO, KALIMUDDIN AZIZ, DR. C.E. DAVIS, GREGORY BURK, BARBARAH DENIS, ABDUS SAMAD, AZHAR M.A. FARUQUI

Abstract

A design of the Planning of Cardiovascular disease (CVD) risk factor modification study in a lower-middle
urban community in Pakistan is presented. The objective of the planned study is to determine whether
known strategies for CVD risk factor modification can be implemented in lower middle class communities in
Pakistan and whether increased knowledge and awareness of CVD can be affected by education. The
secondary goal is modification of behavior by affecting 33% reduction in cooking fats and 25% reduction in
salt consumption. The study design involves registration, clusterization and assignment of ccontrol and
intervention cluster groups by computer randomization process. Intervention would be instituted by
household visits of social workers of the National Institute of Cardiovascular Diseases. Composition of
Sample size, power of the study and methods of data collection and analysis are discussed. In conclusion
methodology of planning of a CVD risk factor modification study for a low middle class urban community is
presented.

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