Effectiveness of a Community Health Worker Intervention Among African American and Latino Adults With Type 2 Diabetes

A Randomized Controlled Trial

Dados Bibliográficos

ID11028322
AutoresMichael S Spencer (0000-0002-6182-5706, Michael S. Spencer, Edith C. Kieffer, and Brandy R. Sinco are with the School of Social Work; Ann-Marie Rosland is with the Department of Internal Medicine; and Melissa Valerio is with the School of Public Health, University of Michigan, Ann Arbor. Gloria Palmisano, Michael Anderson, and J. Ricardo Guzman are with Community Health and Social Services (CHASS) and the REACH Detroit Partnership, Detroit, MI. Michele Heisler is with the VA Center for Clinical Management Research, Ann Arbor.), Ann‐Marie Rosland (0000-0002-5809-5861, University of Michigan), Ann-Marie Rosland (Michael S. Spencer, Edith C. Kieffer, and Brandy R. Sinco are with the School of Social Work; Ann-Marie Rosland is with the Department of Internal Medicine; and Melissa Valerio is with the School of Public Health, University of Michigan, Ann Arbor. Gloria Palmisano, Michael Anderson, and J. Ricardo Guzman are with Community Health and Social Services (CHASS) and the REACH Detroit Partnership, Detroit, MI. Michele Heisler is with the VA Center for Clinical Management Research, Ann Arbor.), Edith C Kieffer (0000-0002-1162-6178, Michael S. Spencer, Edith C. Kieffer, and Brandy R. Sinco are with the School of Social Work; Ann-Marie Rosland is with the Department of Internal Medicine; and Melissa Valerio is with the School of Public Health, University of Michigan, Ann Arbor. Gloria Palmisano, Michael Anderson, and J. Ricardo Guzman are with Community Health and Social Services (CHASS) and the REACH Detroit Partnership, Detroit, MI. Michele Heisler is with the VA Center for Clinical Management Research, Ann Arbor.), Brandy Sinco (University of Michigan), Brandy R Sinco (Michael S. Spencer, Edith C. Kieffer, and Brandy R. Sinco are with the School of Social Work; Ann-Marie Rosland is with the Department of Internal Medicine; and Melissa Valerio is with the School of Public Health, University of Michigan, Ann Arbor. Gloria Palmisano, Michael Anderson, and J. Ricardo Guzman are with Community Health and Social Services (CHASS) and the REACH Detroit Partnership, Detroit, MI. Michele Heisler is with the VA Center for Clinical Management Research, Ann Arbor.), Melissa A Valerio (University of Michigan), Melissa Valerio (Michael S. Spencer, Edith C. Kieffer, and Brandy R. Sinco are with the School of Social Work; Ann-Marie Rosland is with the Department of Internal Medicine; and Melissa Valerio is with the School of Public Health, University of Michigan, Ann Arbor. Gloria Palmisano, Michael Anderson, and J. Ricardo Guzman are with Community Health and Social Services (CHASS) and the REACH Detroit Partnership, Detroit, MI. Michele Heisler is with the VA Center for Clinical Management Research, Ann Arbor.), Gloria Palmisano (0000-0003-4697-7936, Michael S. Spencer, Edith C. Kieffer, and Brandy R. Sinco are with the School of Social Work; Ann-Marie Rosland is with the Department of Internal Medicine; and Melissa Valerio is with the School of Public Health, University of Michigan, Ann Arbor. Gloria Palmisano, Michael Anderson, and J. Ricardo Guzman are with Community Health and Social Services (CHASS) and the REACH Detroit Partnership, Detroit, MI. Michele Heisler is with the VA Center for Clinical Management Research, Ann Arbor.), Michael Anderson (0000-0002-4079-1965, Michael S. Spencer, Edith C. Kieffer, and Brandy R. Sinco are with the School of Social Work; Ann-Marie Rosland is with the Department of Internal Medicine; and Melissa Valerio is with the School of Public Health, University of Michigan, Ann Arbor. Gloria Palmisano, Michael Anderson, and J. Ricardo Guzman are with Community Health and Social Services (CHASS) and the REACH Detroit Partnership, Detroit, MI. Michele Heisler is with the VA Center for Clinical Management Research, Ann Arbor.), Michael P Anderson (0000-0002-2319-2282, University of Michigan), Jaime Guzmán (0000-0001-8977-2581, University of Michigan), J Ricardo Guzman (Michael S. Spencer, Edith C. Kieffer, and Brandy R. Sinco are with the School of Social Work; Ann-Marie Rosland is with the Department of Internal Medicine; and Melissa Valerio is with the School of Public Health, University of Michigan, Ann Arbor. Gloria Palmisano, Michael Anderson, and J. Ricardo Guzman are with Community Health and Social Services (CHASS) and the REACH Detroit Partnership, Detroit, MI. Michele Heisler is with the VA Center for Clinical Management Research, Ann Arbor.), Michele Heisler (0000-0002-6889-2063, Michael S. Spencer, Edith C. Kieffer, and Brandy R. Sinco are with the School of Social Work; Ann-Marie Rosland is with the Department of Internal Medicine; and Melissa Valerio is with the School of Public Health, University of Michigan, Ann Arbor. Gloria Palmisano, Michael Anderson, and J. Ricardo Guzman are with Community Health and Social Services (CHASS) and the REACH Detroit Partnership, Detroit, MI. Michele Heisler is with the VA Center for Clinical Management Research, Ann Arbor.)
Ano2011
Volume101
Fascículo12
Páginas2253-2260
Data de publicação2011-12-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2010.300106
PMID21680932
PMCIDPMC3222418
OpenAlexW1968977028
IdiomaEN
Citações recebidas47
Referências citadas51

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 Conclusions. This study contributes to the growing evidence for the effectiveness of community health workers and their role in multidisciplinary teams engaged in culturally appropriate health care delivery

Community health · Diabetes mellitus · Environmental health · Glycemic · Intervention (counseling) · Public health · Randomized controlled trial · Type 2 diabetes · Community Health and Development · Diabetes Management and Education · Health Policy Implementation Science · Medicine · Nursing · Gerontology