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Evaluating implementation of the HEARTS model for management of hypertension and diabetes in Guatemala: protocol for a prospective observational hybrid type 3 study.

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Title: Evaluating implementation of the HEARTS model for management of hypertension and diabetes in Guatemala: protocol for a prospective observational hybrid type 3 study.
Authors: Flood D; Department of Medicine, University of Michigan, Ann Arbor, MI, 48109, USA. dcflood@umich.edu.; Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala. dcflood@umich.edu.; Center for Indigenous Health Research, Maya Health Alliance, Tecpán, Guatemala. dcflood@umich.edu., Wellmann Castellanos IAM; Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala., Ayala LF; Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala., Tschida S; Center for Indigenous Health Research, Maya Health Alliance, Tecpán, Guatemala., Chary AN; Center for Indigenous Health Research, Maya Health Alliance, Tecpán, Guatemala.; Baylor College of Medicine, Houston, TX, USA., Donis R; National Program for the Prevention of Non-Communicable Diseases and Cancer, Ministry of Health of Guatemala, Guatemala City, Guatemala., Alvarez Nufio AIA; National Program for the Prevention of Non-Communicable Diseases and Cancer, Ministry of Health of Guatemala, Guatemala City, Guatemala., Kilbourne AM; Department of Medicine, University of Michigan, Ann Arbor, MI, 48109, USA.; Office of Research and Development, Veterans Health Administration, U.S. Department of Veterans Affairs, Washington D.C., USA., Watkins D; Department of Global Health, University of Washington, Seattle, WA, USA., Huffman MD; Department of Medicine and Global Health Center, Washington University in St. Louis, St. Louis, MO, USA.; School of Public Health, Washington University in St. Louis, St. Louis, MO, USA.; The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia.; University of Abuja, Abuja, Nigeria., Rice JD; Department of Medicine, University of Michigan, Ann Arbor, MI, 48109, USA., Rohloff P; Center for Indigenous Health Research, Maya Health Alliance, Tecpán, Guatemala., Ramírez-Zea M; Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala.
Source: Implementation science communications [Implement Sci Commun] 2026 Jun 11. Date of Electronic Publication: 2026 Jun 11.
Publication Type: Journal Article
Journal Info: Publisher: BioMed Central Country of Publication: England NLM ID: 101764360 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2662-2211 (Electronic) Linking ISSN: 26622211 NLM ISO Abbreviation: Implement Sci Commun
Database: MEDLINE Ultimate
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  Data: <searchLink fieldCode="AU" term="%22Flood+D%22">Flood D</searchLink>; Department of Medicine, University of Michigan, Ann Arbor, MI, 48109, USA. dcflood@umich.edu.; Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala. dcflood@umich.edu.; Center for Indigenous Health Research, Maya Health Alliance, Tecpán, Guatemala. dcflood@umich.edu.<br /><searchLink fieldCode="AU" term="%22Wellmann+Castellanos+IAM%22">Wellmann Castellanos IAM</searchLink>; Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala.<br /><searchLink fieldCode="AU" term="%22Ayala+LF%22">Ayala LF</searchLink>; Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala.<br /><searchLink fieldCode="AU" term="%22Tschida+S%22">Tschida S</searchLink>; Center for Indigenous Health Research, Maya Health Alliance, Tecpán, Guatemala.<br /><searchLink fieldCode="AU" term="%22Chary+AN%22">Chary AN</searchLink>; Center for Indigenous Health Research, Maya Health Alliance, Tecpán, Guatemala.; Baylor College of Medicine, Houston, TX, USA.<br /><searchLink fieldCode="AU" term="%22Donis+R%22">Donis R</searchLink>; National Program for the Prevention of Non-Communicable Diseases and Cancer, Ministry of Health of Guatemala, Guatemala City, Guatemala.<br /><searchLink fieldCode="AU" term="%22Alvarez+Nufio+AIA%22">Alvarez Nufio AIA</searchLink>; National Program for the Prevention of Non-Communicable Diseases and Cancer, Ministry of Health of Guatemala, Guatemala City, Guatemala.<br /><searchLink fieldCode="AU" term="%22Kilbourne+AM%22">Kilbourne AM</searchLink>; Department of Medicine, University of Michigan, Ann Arbor, MI, 48109, USA.; Office of Research and Development, Veterans Health Administration, U.S. Department of Veterans Affairs, Washington D.C., USA.<br /><searchLink fieldCode="AU" term="%22Watkins+D%22">Watkins D</searchLink>; Department of Global Health, University of Washington, Seattle, WA, USA.<br /><searchLink fieldCode="AU" term="%22Huffman+MD%22">Huffman MD</searchLink>; Department of Medicine and Global Health Center, Washington University in St. Louis, St. Louis, MO, USA.; School of Public Health, Washington University in St. Louis, St. Louis, MO, USA.; The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia.; University of Abuja, Abuja, Nigeria.<br /><searchLink fieldCode="AU" term="%22Rice+JD%22">Rice JD</searchLink>; Department of Medicine, University of Michigan, Ann Arbor, MI, 48109, USA.<br /><searchLink fieldCode="AU" term="%22Rohloff+P%22">Rohloff P</searchLink>; Center for Indigenous Health Research, Maya Health Alliance, Tecpán, Guatemala.<br /><searchLink fieldCode="AU" term="%22Ramírez-Zea+M%22">Ramírez-Zea M</searchLink>; Research Center for the Prevention of Chronic Diseases, Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala.
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              Text: 2026 Jun 11
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