Integrating HEARTS care for hypertension and diabetes in Guatemala
Official title: Integrating Care for Hypertension-Diabetes MULTImorbidity in Guatemala through HEARTS Implementation (MULTI-HEARTS)
Funded at University of Michigan at Ann Arbor · NIH-11270979 · Data updated 2026-11-12
A global health project tests a proven HEARTS delivery model to improve blood pressure and blood sugar control for adults with hypertension and diabetes in Guatemala.
Quick facts
| Grant type | NIH-funded research |
|---|---|
| Study type | NIH-funded research |
| Funding institution | University of Michigan at Ann Arbor NIH-funded |
| Lab location | 1 site (Ann Arbor, United States) |
| Project start | September 15, 2026 |
| Project end | July 31, 2027 |
| Funding year | 2026 |
| Award (this year) | $356,463 |
| NIH project number | 1R61HL183254-01 |
| Project ID | NIH-11270979 on NIH RePORTER |
Who could benefit from this research
✓Could help
Adults with both hypertension and diabetes treated in Guatemala’s Ministry of Health facilities.
✕Less likely to help
Patients not receiving the intervention or those with conditions that complicate hypertension/diabetes management beyond the scope of HEARTS may derive less benefit.
What this research studies
This project adapts the HEARTS primary care package for Guatemala’s health system to see if it can improve care for adults with both hypertension and diabetes. It includes team-based care, stepwise treatment protocols, better access to medications, and quality-improvement tools, with a focus on real-world implementation. Researchers will run a cluster-randomized trial across 36 health facilities, enrolling about 1,440 participants and comparing HEARTS to enhanced usual care over 12 months to see how it affects health outcomes and care delivery. The study also assesses how cost-effective the approach is and its potential budget impact within the national system.
Why it matters
Potential benefit: If successful, patients could experience lower blood pressure and better glucose control through improved care processes and access to medications.
How similar studies have gone: Previous HEARTS implementations have shown improvements in care processes and some clinical outcomes in varied settings, but results are context-dependent.
Where this research is happening
-
University of Michigan at Ann Arbor
Ann Arbor, United States Active
Researchers
- Principal investigator: Flood, David Clifford — University of Michigan at Ann Arbor
- Study coordinator: Flood, David Clifford
Related research
Other NIH-funded projects on the same topics.
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Integrated Heart Health: A HEARTS-based approach to hypertension and diabetes in Guatemala
A study tests a team-based, stepwise care model to improve blood pressure and blood sugar control for people with both hypertension and diabetes in Guatemala.
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HEARTS hypertension and diabetes care in Guatemala
This grant tests how well the HEARTS primary care model works in Guatemala to improve blood pressure and blood sugar control for patients.
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Researchers will use topic modeling to find common groups of symptoms in people living with HIV, with and without diabetes and hypertension, to see how these symptom groups relate to health outcomes.
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HEARTS primary care program for hypertension and diabetes in Guatemala
A study in Guatemala looks at how well the HEARTS approach can improve blood pressure and blood sugar care in primary clinics.
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.