This is an implementation type II hybrid study with randomisation in cluster, whose objective is to compare two strategies of implementation of the Brazilian cardioprotective diet guidelines in primary health care in two Brazilian cities. All health professionals from the health units (clusters) randomized to the intervention group will receive training on the subject. The health professionals from the health units randomized to the control group will follow the usual activities, receiving only the printed guidelines, as usually done. After 6 months, the prescription rate of the Brazilian cardioprotective diet will be evaluated, as well as the quality of the diet of patients in both groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Enrollment
786
Training for prescribing the Brazilian cardioprotective diet
Prefeitura Municipal de Foz do Iguaçu
Foz do Iguaçu, Brazil
Brazilian cardioprotective diet prescription rate
Implementation Primary Outcome (rate of eligible individuals who received Brazilian cardioprotective diet prescription)
Time frame: 6 months
food intake of 400g of vegetables per day
Eficacy Primary Outcome - number of patients that achieve the goal of eating 400g of vegetable/day
Time frame: 6 months
Implementing the extra dietaty guidelines
rate of eligible individuals who received extra dietaty guidelines
Time frame: 6 months
Professionals' understanding of the Brazilian cardioprotective diet
standardized questionnaire. Continuous result (number of correct answers) and dichotomous (good knowledge / poor knowledge)
Time frame: right after intervention and 6 months after intervenions.
Patients' understanding of the Brazilian cardioprotective diet
standardized questionnaire. Continuous result (number of correct answers) and dichotomous (good knowledge / poor knowledge)
Time frame: right after intervention and 6 months after intervenions.
Patients' adherence to dietary guidelines
Vigitel dietary indicators
Time frame: right after intervention and 6 months after intervenions.
Participants' weight
wheight in kg
Time frame: right after intervention and 6 months after intervenions.
Barriers and facilitators identified in the implementation of the Brasilian Cardioprotective diet in health facilities (situational diagnosis).
Qualitative metodology: Focus groups with stakeholdrs and professionals involved in the implementation processo to identify barriers and facilitators perceived by them
Time frame: 6 months
Professionals' perception regarding the incorporation of MAC guidelines into practice (implementation component)
standardized questionnaire. Dichotomus result (Agree/Disagree with the incorporation)
Time frame: right after intervention and 6 months after intervenions.
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