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Mexican American Trial of Community Health Workers

A Randomized Controlled Trial of a Community Health Worker Intervention for Mexican Americans With Type 2 Diabetes Mellitus

Bibliographic Data

ID11033175
AuthorsSteven K Rothschild (Steven K. Rothschild, Molly A. Martin, Imke Janssen, Elizabeth F. Avery, and Lynda H. Powell are with the Department of Preventive Medicine, Rush University Medical Center, and Susan M. Swider is with the Department of Community Systems and Mental Health Nursing, Rush College of Nursing, Chicago, IL. Carmen M. Tumialán Lynas, is a clinical psychologist in independent practice in Oak Brook, IL.), Molly A Martins (0000-0001-6024-761X, Steven K. Rothschild, Molly A. Martin, Imke Janssen, Elizabeth F. Avery, and Lynda H. Powell are with the Department of Preventive Medicine, Rush University Medical Center, and Susan M. Swider is with the Department of Community Systems and Mental Health Nursing, Rush College of Nursing, Chicago, IL. Carmen M. Tumialán Lynas, is a clinical psychologist in independent practice in Oak Brook, IL.), Molly A Martin (0000-0001-9295-7368, Rush University Medical Center), Susan M Swider (0000-0002-9236-3911, Steven K. Rothschild, Molly A. Martin, Imke Janssen, Elizabeth F. Avery, and Lynda H. Powell are with the Department of Preventive Medicine, Rush University Medical Center, and Susan M. Swider is with the Department of Community Systems and Mental Health Nursing, Rush College of Nursing, Chicago, IL. Carmen M. Tumialán Lynas, is a clinical psychologist in independent practice in Oak Brook, IL.), Carmen M Tumialán Lynas (Steven K. Rothschild, Molly A. Martin, Imke Janssen, Elizabeth F. Avery, and Lynda H. Powell are with the Department of Preventive Medicine, Rush University Medical Center, and Susan M. Swider is with the Department of Community Systems and Mental Health Nursing, Rush College of Nursing, Chicago, IL. Carmen M. Tumialán Lynas, is a clinical psychologist in independent practice in Oak Brook, IL.), Imke Janssen (0000-0003-1184-2812, Steven K. Rothschild, Molly A. Martin, Imke Janssen, Elizabeth F. Avery, and Lynda H. Powell are with the Department of Preventive Medicine, Rush University Medical Center, and Susan M. Swider is with the Department of Community Systems and Mental Health Nursing, Rush College of Nursing, Chicago, IL. Carmen M. Tumialán Lynas, is a clinical psychologist in independent practice in Oak Brook, IL.), Elizabeth Avery (Rush University Medical Center), Elizabeth F Avery (Steven K. Rothschild, Molly A. Martin, Imke Janssen, Elizabeth F. Avery, and Lynda H. Powell are with the Department of Preventive Medicine, Rush University Medical Center, and Susan M. Swider is with the Department of Community Systems and Mental Health Nursing, Rush College of Nursing, Chicago, IL. Carmen M. Tumialán Lynas, is a clinical psychologist in independent practice in Oak Brook, IL.), Lynda H Powell (0000-0002-3527-8227, Steven K. Rothschild, Molly A. Martin, Imke Janssen, Elizabeth F. Avery, and Lynda H. Powell are with the Department of Preventive Medicine, Rush University Medical Center, and Susan M. Swider is with the Department of Community Systems and Mental Health Nursing, Rush College of Nursing, Chicago, IL. Carmen M. Tumialán Lynas, is a clinical psychologist in independent practice in Oak Brook, IL.)
Year2014
Volume104
Issue8
Pages1540-1548
Publication date2014-08-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2013.301439
PMID23947316
PMCIDPMC4103223
OpenAlexW2123564416
LanguageEN
Citations received16
References cited44

Objectives. We assessed whether community health workers (CHWs) could improve glycemic control among Mexican Americans with diabetes. Methods. We recruited 144 Mexican Americans with type 2 diabetes between January 2006 and September 2008 into the single-blinded, randomized controlled Mexican American Trial of Community Health Workers (MATCH) and followed them for 2 years. Participants were assigned to either a CHW intervention, delivering self-management training through 36 home visits over 2 years, or a bilingual control newsletter delivering the same information on the same schedule. Results. Intervention participants showed significantly lower hemoglobin A1c levels than control participants at both year 1 Δ = −0.55; P = .021) and year 2 (Δ = −0.69; P = .005). We observed no effect on blood pressure control, glucose self-monitoring, or adherence to medications or diet. Intervention participants increased physical activity from a mean of 1.63 days per week at baseline to 2.64 days per week after 2 years. Conclusions. A self-management intervention delivered by CHWs resulted in sustained improvements in glycemic control over 2 years among Mexican Americans with diabetes. MATCH adds to the growing body of evidence supporting the use of CHWs to reduce diabetes-related health disparities

Community health · Community health workers · Diabetes mellitus · Environmental health · Glycemic · Health services · Intervention (counseling) · Physical therapy · Population · Public health · Randomized controlled trial · Type 2 diabetes · Diabetes Management and Education · Diabetes, Cardiovascular Risks, and Lipoproteins · Internal Medicine · Medicine · Mobile Health and mHealth Applications · Nursing · Gerontology

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Unique citing works16
Citations per year1,45
Citation span2015 - 2026 (12)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 14

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