Latino Health Access
Comparative Effectiveness of a Community-Initiated Promotor/a-Led Diabetes Self-management Education Program
Dados Bibliográficos
| ID | 13855538 |
|---|---|
| Autores | Allison Slater (University of California, Irvine, autor correspondente), 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) |
| Ano | 2022 |
| Volume | 45 |
| Fascículo | 1 |
| Páginas | 34-45 |
| Data de publicação | 2022-01-27 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Family & Community Health (JOURNAL) |
| Identificadores do periódico | ISSN: 0160-6379 • E-ISSN: 1550-5057 |
| Editora | Lippincott Williams & Wilkins (PUBLISHER • US) |
| DOI | 10.1097/fch.0000000000000311 |
| PMID | 34783689 |
| OpenAlex | W3213415998 |
| Idioma | EN |
| Citações recebidas | 4 |
| Referências citadas | 49 |
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
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| Obras citantes distintas | 4 |
|---|---|
| Citações por ano | 2 |
| Intervalo de citações | 2024 - 2026 (3) |
| Velocidade de citação | current |
| Altamente citado | Não |
| Tipos de citação | Neutras: 4 |