InChagas: 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
References
- World Health Organization. Chagas disease (American trypanosomiasis). Geneva: World Health Organization. Available from:
https://www.who.int/health-topics/chagas-disease#tab=tab_1 . Accessed 6 June 2025. - Stanaway JD, Roth G. The burden of Chagas disease: Estimates and challenges. Glob Heart. 2015;10(3):139–144. DOI: 10.1016/j.gheart.2015.06.001
- Rassi, A
Jr. , Rassi A, Marin-Neto JA. Chagas disease. Lancet. 2010;375(9723):1388–1402. DOI: 10.1016/S0140-6736(10)60061-X - Echeverria LE, Marcus R, Novick G, Sosa-Estani S, Ralston K, Zaidel EJ, et al. WHF IASC roadmap on Chagas disease. Glob Heart. 2020;15(1):26. DOI: 10.5334/gh.484
- Lee BY, Bacon KM, Bottazzi ME, Hotez PJ. Global economic burden of Chagas disease: A computational simulation model. Lancet Infect Dis. 2013;13(4):342–348. DOI: 10.1016/S1473-3099(13)70002-1
- Sabino EC, Nunes MCP, Blum J, Molina I, Ribeiro ALP. Cardiac involvement in Chagas disease and African trypanosomiasis. Nat Rev Cardiol. 2024;21(12):865–879. DOI: 10.1038/s41569-024-01057-3
- Chuit R, Antonietti L, Agüero RN, Varela GB, Mordini OD, Alemandri E, et al. Diagnosis and management of chagasic cardiomyopathy patients in several institutions in Argentina. Front Parasitol. 2023;2:1195646. DOI: 10.3389/fpara.2023.1195646
- Winny A. Chagas: The most neglected of neglected tropical diseases. Baltimore: Johns Hopkins Bloomberg School of Public Health. Available from:
https://publichealth.jhu.edu/2022/chagas-the-most-neglected-of-neglected-tropical-diseases . Accessed 21 June 2022. - Nunes MCP, Beaton A, Acquatella H, Bern C, Bolger AF, Echeverria LE, et al. Chagas cardiomyopathy: An update of current clinical knowledge and management: A Scientific Statement From the American Heart Association. Circulation. 2018;138(12):e169–e209. DOI: 10.1161/CIR.0000000000000599
- Klein K, Burrone MS, Alonso JP, Rey Ares L, García Martí S, Lavenia A, et al. Estrategia para mejorar el acceso al tratamiento etiológico para la enfermedad de Chagas en el primer nivel de atención en Argentina. Rev Panam Salud Publica. 2017;41:
e20 . DOI: 10.26633/RPSP.2017.20 - Ministerio de Salud y Desarrollo Social de la Nación. Atención del paciente infectado con Trypanosoma cruzi: Guía para el equipo de salud. 3rd ed. Buenos Aires: Ministerio de Salud y Desarrollo Social de la Nación; 2018. Available from:
http://www.msal.gob.ar/images/stories/bes/graficos/0000001391cnt-Chagas%20Guia%20para%20equipos%20de%20salud%20-%203era%20edicion%202018.pdf - Manterola C, Otzen T. Estudios Experimentales. 2 Parte: Estudios Cuasi-Experimentales. Int J Morphol. 2015;33:382–387. DOI: 10.4067/S0717-95022015000100060
- Ministerio de Salud de la Nación. Argentina sin chagas, Argentina justa : guía de nociones generales para abordar la problemática de chagas con la comunidad. Buenos Aires: Ministerio de Salud de la Nación; 2010. Available from:
https://www.argentina.gob.ar/sites/default/files/inp_guia-chagas-y-comunidad.pdf - Portal oficial del Estado argentino. Provincia de San Juan. Buenos Aires: Gobierno de la República Argentina. Available from:
https://www.argentina.gob.ar/sanjuan . Accessed 6 June 2025. - Instituto Nacional de Estadística y Censos (INDEC). Censo Nacional de Población, Hogares y Viviendas 2010: Censo del Bicentenario. Buenos Aires: Instituto Nacional de Estadísticas y Censos; 2010. Available from:
https://www.indec.gob.ar/ftp/cuadros/poblacion/censo2010_tomo1.pdf . Accesed 6 June 2025. - Sistema Integrado de Información Sanitaria Argentino (SISA). Buenos Aires: Ministerio de Salud de la Nación. Available from
https://sisa.msal.gov.ar/sisa/#sisa - Provecho YM, Fernandez MDP, Salva L, Meli S, Cano F, Sartor P, et al. Urban infestation by Triatoma infestans (Hemiptera: Reduviidae), an overlooked phenomena for Chagas disease in Argentina. Mem Inst Oswaldo Cruz. 2021;116:
e210056 . DOI: 10.1590/0074-02760210056 - San Juan Servicio Informativo. Salud avanza en la telemedicina fortaleciendo la atención primaria. San Juan: Gobierno de San Juan. Available from:
https://sisanjuan.gob.ar/salud-publica/2022-04-21/40357-salud-avanza-en-la-telemedicina-fortaleciendo-la-atencion-primaria . Accessed 6 June 2025. - Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implement Sci. 2009;4:50. DOI: 10.1186/1748-5908-4-50
- O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: A synthesis of recommendations. Acad Med. 2014;89(9):1245–1251. DOI: 10.1097/ACM.0000000000000388
- Lee M, Kang BA, You M. Knowledge, attitudes, and practices (KAP) toward COVID-19: A cross-sectional study in South Korea. BMC Public Health. 2021;21(1):295. DOI: 10.1186/s12889-021-10285-y
- Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: The RE-AIM framework. Am J Public Health. 1999;89(9):1322–1327. DOI: 10.2105/AJPH.89.9.1322
- World Health Organization. First WHO report on neglected tropical diseases: Working to overcome the global impact of neglected tropical diseases. Geneva: World Health Organization; 2010. Available from:
https://iris.who.int/bitstream/handle/10665/44440/9789241564090_eng.pdf?sequence=1 - Damasceno RF, Sabino EC, Ferreira AM, Ribeiro ALP, Moreira HF, Prates TEC, et al. Challenges in the care of patients with Chagas disease in the Brazilian public health system: A qualitative study with primary health care doctors. PLoS Negl Trop Dis. 2020;14(11):
e0008782 . DOI: 10.1371/journal.pntd.0008782 - Donner CF, ZuWallack R, Nici L.
The role of telemedicine in extending and enhancing medical management of the patient with chronic obstructive pulmonary disease . Medicina (Kaunas). 2021.57(7):726. DOI: 10.3390/medicina57070726 - Haynes NA, Saint-Joy V, Swain J, Ezekwesili A, Vernet FV, Dawson C, et al. Implementation of a virtual international cardiology curriculum to address the deficit of cardiovascular education in Haiti: A pilot study. BMJ Open. 2021;11(6):
e048690 . DOI: 10.1136/bmjopen-2021-048690 - Stigler Granados P, Pacheco GJ, Núñez Patlán E, Betancourt J, Fulton L. Assessing the effectiveness of Chagas disease education for healthcare providers in the United States. BMC Infect Dis. 2020;20(1):743. DOI: 10.1186/s12879-020-05474-w
- Curran VR. Tele-education. J Telemed Telecare. 2006;12(2):57–63. DOI: 10.1258/135763306776738558
- Beratarrechea A, Abrahams-Gessel S, Irazola V, Gutierrez L, Moyano D, Gaziano TA. Using mHealth tools to improve access and coverage of people with public health insurance and high cardiovascular disease risk in Argentina: A pragmatic cluster randomized trial. J Am Heart Assoc. 2019;8(8):
e011799 . DOI: 10.1161/JAHA.118.011799 - Gulayin PE, Lozada A, Beratarrechea A, Gutierrez L, Poggio R, Chaparro RM, et al. An educational intervention to improve statin use: Cluster RCT at the primary care level in Argentina. Am J Prev Med. 2019;57(1):95–105. DOI: 10.1016/j.amepre.2019.02.018
- Borracci RA, Salazar AI, Arribalzaga EB. El futuro de la feminización de la medicina en Argentina. FEM. 2018;21(3):113–118. Available from:
https://scielo.isciii.es/scielo.php?pid=S2014-98322018000300002&script=sci_arttext - Programa de las Naciones Unidas para el Desarrollo (PNUD). Género en el sector salud: feminización y brechas laborales. Buenos Aires, Argentina: PNUD; 2018. Available from:
https://www.argentina.gob.ar/sites/default/files/20180409-genero-sector-salud-feminizacion-brechas-laborales.pdf - Hassan Alshehri HM, Alshehri AMH, Alshehri AMH, Alshehri SMH, Al Zahib YH, Alahmari AAA, et al.
Primary health care professionals’ opinions regarding continuing medical education: A cross sectional study . Medicine (Baltimore). 2024;103(50):e40865 . DOI: 10.1097/MD.0000000000040865 - Harris, JM
Jr. , Novalis-Marine C, Harris RB. Women physicians are early adopters of on-line continuing medical education. J Contin Educ Health Prof. 2003;23(4):221–228. DOI: 10.1002/chp.1340230408 - Wilson AB, Brooks WS, Edwards DN, Deaver J, Surd JA, Pirlo OJ, et al. Survey response rates in health sciences education research: A 10-year meta-analysis. Anat Sci Educ. 2024;17(1):11–23. DOI: 10.1002/ase.2258
- Ericson A, Bonuck K, Green LA, Conry C, Martin JC, Carney PA. Optimizing survey response rates in graduate medical education research studies. Fam Med. 2023;55(5):304–310. DOI: 10.22454/FamMed.2023.750371
- Spillmann C, Burrone S, Coto H. Análisis de la situación epidemiológica de la enfermedad de Chagas en Argentina: avances en el control. Revista Argentina De Salud Pública. 2012;4(15):40–44.
DOI: https://doi.org/10.5334/gh.1546 | Journal eISSN: 2211-8179
Language: English
Submitted on: Jul 3, 2025
Accepted on: Mar 18, 2026
Published on: Apr 6, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year
© 2026 Pablo Elías Gulayin, Christian Gimenez, Daniel Chirino, Bruno Nascimento, Liliana Salvá, Ana Soledad Cavallo, Laura Gutierrez, Laura Blanco, Lorena Paola Cardozo Flores, Eduardo Espina, Saate S. Shakil, Dominique Vervoort, Lindsay Davis, Priscila Raupp, Antonio Luiz Ribeiro, Vilma Irazola, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.