03455nas a2200373   4500000000100000008004100001260001200042653002600054653001900080653002400099653002500123100001400148700001400162700001400176700001700190700001300207700001400220700001600234700001300250700001300263700001300276700001300289700001500302700001200317700001200329700001400341700001400355245018300369856007500552300001100627490000700638520242200645022001403067       2026                            d  c04/202610aChagas Cardiomyopathy10aChagas disease10aPrimary Health Care10atele-education tools1 aGulayin P1 aGimenez C1 aChirino D1 aNascimento B1 aSalvá L1 aCavallo A1 aGutierrez L1 aBlanco L1 aFlores L1 aEspina E1 aShakil S1 aVervoort D1 aDavis L1 aRaupp P1 aRibeiro A1 aIrazola V00aInChagas: Feasibility Study of a Tele-Education Strategy to Promote Early Identification and Care of People Living with Chagas Cardiomyopathy in an Endemic Community in Argentina  uhttps://pmc.ncbi.nlm.nih.gov/articles/PMC13068087/pdf/gh-21-1-1546.pdf  a1 - 180 v213 a<p><strong>BACKGROUND: </strong></p>

<p>Chagas disease (ChD) affects over six million people in Latin America, with Chagas cardiomyopathy (CCM) being a severe chronic complication in approximately 30% of those with ChD.</p>

<p><strong>OBJECTIVES: </strong></p>

<p>To develop, adapt, and evaluate the feasibility, acceptability, and potential impact of a multicomponent tele-education intervention to promote early identification and comprehensive management of CCM among public primary care physicians in an endemic community.</p>

<p><strong>METHODS: </strong></p>

<p>This mixed-methods study was conducted in San Juan Province, Argentina. The qualitative phase consisted of a needs assessment through local focus groups with health authorities, leaders of local health programs, and healthcare providers from the primary, secondary, and tertiary levels. The quantitative phase, designed as an uncontrolled before-and-after study, involved 23 primary care physicians who participated in a tele-education intervention designed to improve early identification, risk stratification, and appropriate follow-up of CCM, including guidance on the use of the local Tele-Chagas platform. Knowledge, attitudes, and practices (KAP) were assessed through before-and-after intervention surveys. Feasibility and acceptability were evaluated using a 5-point Likert scale.</p>

<p><strong>RESULTS: </strong></p>

<p>Focus groups identified limited CCM-specific training as a major barrier to timely referral and treatment. Following the intervention, the median knowledge scores increased from 1 to 2.5 (median difference = 1.5; 95% CI: 0.5-2.5; p = 0.013), and the proportion achieving ≥75% correct answers changed from 0% at baseline to 50% post-intervention. The majority of participants assigned the highest scores (four or five on the Likert scale) to the main characteristics of the educational materials, including weekly delivery, use of WhatsApp as the communication tool, content usefulness, and audiovisual features.</p>

<p><strong>CONCLUSIONS: </strong></p>

<p>A tele-education intervention demonstrated positive implementation outcomes and significantly improved ChD-related knowledge among participating primary care physicians in San Juan Province, Argentina. Tailored tele-education tools may have the potential to improve CCM management in primary care settings within endemic areas.</p>
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