Community health worker-led intervention beneficial in T2DM

Community health worker-led intervention beneficial in T2DM

(HealthDay)—A community health worker (CHW)-led diabetes self-management education (DSME) program is associated with sustained improvement in hemoglobin A1c (HbA1c), according to a study published online April 27 in Diabetes Care.

Michael S. Spencer, Ph.D., from the University of Michigan in Ann Arbor, and colleagues randomized 222 Latino adults with type 2 and to a CHW-led, six-month DSME program or enhanced usual care (EUC). Participants randomized to the CHW-led DSME were further randomized after the program to 12 months of CHW-delivered monthly telephone outreach or 12 months of weekly group sessions delivered by peer leaders (PLs; CHW+PL).

The researchers found that at the six-month follow-up, compared with EUC, participants in the CHW intervention had greater decreases in HbA1c (−0.45) and in diabetes distress (−0.3). Improvements in HbA1c were maintained at 12 and 18 months in CHW+PL participants; CHW-only participants maintained improvements in diabetes distress at 12 and 18 months. Compared with EUC, CHW+PL participants also had significantly fewer depressive symptoms at 18 months (−2.2). Relative to EUC, participants in CHW-led DSME had significant improvements in diabetes social support and in understanding of diabetes self-management at six months; these effects were not maintained at 18 months.

"This study demonstrates the effectiveness of a six-month CHW intervention on key diabetes outcomes and of a volunteer PL program in sustaining key achieved gains," the authors write.


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Journal information: Diabetes Care

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Citation: Community health worker-led intervention beneficial in T2DM (2018, May 7) retrieved 16 July 2019 from https://medicalxpress.com/news/2018-05-health-worker-led-intervention-beneficial-t2dm.html
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