Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: A randomized controlled trial

M.S. Spencer, A.-M. Rosland, E.C. Kieffer, B.R. Sinco, M. Valerio, G. Palmisano, M. Anderson, J. Ricardo Guzman and M. Heisler

American Journal of Public Health, 2011, vol. 101, issue 12, 2253-2260

Abstract: Objectives: We tested the effectiveness of a culturally tailored, behavioral theory-based community health worker intervention for improving glycemic control. Methods: We used a randomized, 6-month delayed control group design among 164 African American and Latino adult participants recruited from 2 health systems in Detroit, Michigan. Our study was guided by the principles of community-based participatory research. Hemoglobin A1c (HbA1c) level was the primary outcome measure. Using an empowerment-based approach, community health workers provided participants with diabetes self-management education and regular home visits, and accompanied them to a clinic visit during the 6-month intervention period. Results: Participants in the intervention group had a mean HbA1c value of 8.6% at baseline, which improved to a value of 7.8% at 6 months, for an adjusted change of-0.8 percentage points (P

Date: 2011
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2010.300106_1

DOI: 10.2105/AJPH.2010.300106

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