Latino Health Access

Comparative Effectiveness of a Community-Initiated Promotor/a-Led Diabetes Self-management Education Program

Datos Bibliográficos

ID13855538
AutoresAllison Slater (University of California, Irvine, autor de correspondencia), Patricia J Cantero, Guillermo Álvarez, Guillermo Jiménez Álvarez (0000-0003-4404-9693), Brett S Cervantes, America Bracho (0009-0002-5242-0202), John Billimek (0000-0001-6532-3263)
Año2022
Volumen45
Número1
Páginas34-45
Fecha de publicación2022-01-27
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFamily & Community Health (JOURNAL)
Identificadores de la revistaISSN: 0160-6379 • E-ISSN: 1550-5057
EditorialLippincott Williams & Wilkins (PUBLISHER • US)
DOI10.1097/fch.0000000000000311
PMID34783689
OpenAlexW3213415998
IdiomaEN
Citas recibidas4
Referencias citadas49

Community-initiated health interventions fill important gaps in access to health services. This study examines the effectiveness of a community-initiated health intervention to improve diabetes management in an underserved community of color using a retrospective observational study, comparing a study intervention, the Latino Health Access Diabetes Self-Management Program (LHA-DSMP), with usual care. The LHA-DSMP is a 12-session community health worker (promotor/a) intervention developed and implemented by a community-based organization in a medically underserved area. Usual care was delivered at a federally qualified health center in the same geographic area. Participants were 688 predominantly Spanish-speaking Latinx adults with type 2 diabetes. The main outcome was change in glycemic control (glycosylated hemoglobin [HbA1c]) from baseline to follow-up. At 14-week follow-up, mean (95% CI) HbA1c decrease was -1.1 (-1.3 to -0.9; P < .001) in the LHA-DSMP cohort compared with -0.3 (-0.4 to -0.2; P < .001) in the comparison cohort. Controlling for baseline differences between cohorts, the adjusted difference-in-differences value in HbA1c was -0.6 (-0.8 to -0.3; P < .001) favoring the LHA-DSMP. A community-initiated promotor/a-led educational program for diabetes self-management is associated with clinically significant improvement in blood sugar control, superior to what was observed with usual medical care

Cohort · Cohort study · Community health · Community health center · Diabetes management · Diabetes mellitus · Family medicine · Glycemic · Health care · Intervention (counseling · Observational study · Physical therapy · Psychological intervention · Public health · Type 2 diabetes · Chronic Disease Management Strategies · Diabetes Management and Education · Medicine · Nursing · Primary Care and Health Outcomes · Gerontology · Internal Medicine