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

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

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

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  • Spencer, M.S. & Rosland, A.-M. & Kieffer, E.C. & Sinco, B.R. & Valerio, M. & Palmisano, G. & Anderson, M. & Ricardo Guzman, J. & Heisler, M., 2011. "Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: A randomized controlled trial," American Journal of Public Health, American Public Health Association, vol. 101(12), pages 2253-2260.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2010.300106_1
    DOI: 10.2105/AJPH.2010.300106
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    1. Carlos Vasconcelos & António Almeida & Maria Cabral & Elisabete Ramos & Romeu Mendes, 2019. "The Impact of a Community-Based Food Education Program on Nutrition-Related Knowledge in Middle-Aged and Older Patients with Type 2 Diabetes: Results of a Pilot Randomized Controlled Trial," IJERPH, MDPI, vol. 16(13), pages 1-16, July.
    2. Teresa, Riccardi Maria & Valentina, Pettinicchio & Marcello, Di Pumpo & Gerardo, Altamura & Cesare, Nurchis Mario & Roberta, Markovic & Čedomir, Šagrić & Miodrag, Stojanović & Luca, Rosi & Gianfranco,, 2023. "Community-based participatory research to engage disadvantaged communities: Levels of engagement reached and how to increase it. A systematic review," Health Policy, Elsevier, vol. 137(C).
    3. Juri Kim & Myung-Haeng Hur, 2021. "The Effects of Dietary Education Interventions on Individuals with Type 2 Diabetes: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(16), pages 1-19, August.
    4. Suther, Sandra & Battle, Arrie M. & Battle-Jones, Felecia & Seaborn, Cynthia, 2016. "Utilizing health ambassadors to improve type 2 diabetes and cardiovascular disease outcomes in Gadsden County, Florida," Evaluation and Program Planning, Elsevier, vol. 55(C), pages 17-26.
    5. Sweeney, Allison M. & Wilson, Dawn K. & Brown, Asia, 2019. "A qualitative study to examine how differences in motivation can inform the development of targeted physical activity interventions for African American women," Evaluation and Program Planning, Elsevier, vol. 77(C).
    6. Jaclynn Hawkins & Edith C. Kieffer & Brandy Sinco & Gretchen Piatt & Lenette Jones & Jamie Mitchell & Nicolaus Espitia & Alana LeBron & Katherine A. Kloss & Katie Kurnick & Gloria Palmsiano & Michael , 2022. "Using Path Analysis and Linear Regression to Test for Gender and Participation: Effects in a Culturally Tailored Diabetes Intervention for Latino Adults," IJERPH, MDPI, vol. 19(19), pages 1-12, September.
    7. Ashraf, Nava & Bandiera, Oriana & Lee, Scott S., 2014. "Awards unbundled: Evidence from a natural field experiment," Journal of Economic Behavior & Organization, Elsevier, vol. 100(C), pages 44-63.
    8. Estelle D. Watson & Shabir Moosa & Dina C. Janse Van Rensburg & Martin Schwellnus & Estelle V. Lambert & Mark Stoutenberg, 2023. "Task-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation?," IJERPH, MDPI, vol. 20(17), pages 1-13, August.
    9. John F. Emerson & Madelyn Welch & Whitney E. Rossman & Stephen Carek & Thomas Ludden & Megan Templin & Charity G. Moore & Hazel Tapp & Michael Dulin & Andrew McWilliams, 2015. "A Multidisciplinary Intervention Utilizing Virtual Communication Tools to Reduce Health Disparities: A Pilot Randomized Controlled Trial," IJERPH, MDPI, vol. 13(1), pages 1-14, December.
    10. repec:cep:stieop:46 is not listed on IDEAS

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