The 130th Annual Meeting of APHA

Abstract #44328

Kenneth S Babamoto, PharmD, MPH¹, Angela J Camilleri, MPH, MA¹, Jennifer S Pitts, PhD², Ann Pedreschi, MPH³, Edna L Bush, RN, CCM³, Donald Morisky, ScD⁴, Carol A Falde, MN, RN⁵, and Julia D. Portale, MPH/MBA¹. (1) Community Health, Pfizer Health Solutions, 2400 Broadway, Suite 500, Santa Monica, CA 90404, 310-586-2508, ken.babamoto@pfizer.com, (2) Outcomes & Analytics, Pfizer Health Solutions, 2400 Broadway, Suite 500, Santa Monica, CA 90404, (3) QueensCare Family Clinics, 1300 North Vermont Avenue, Los Angeles, CA 90027-0005, (4) Department of Community Health Sciences, School of Public Health, University of California, Los Angeles, 650 Charles E. Young Drive South, CHS 26-070, Los Angeles, CA 90095-1772, (5) QueensCare Health and Faith Partnership, 1300 North Vermont Avenue, Suite 307, Los Angeles, CA 90027-0005

The prevalence of diabetes is increasing in the United States and significantly affects Hispanic residents who are almost twice as likely to have diabetes than non-Hispanic whites. Many factors, including no health care insurance, limited access to diabetes prevention and control programs, behavioral factors such as poor nutrition, physical inactivity and obesity contribute to this disproportionate prevalence of diabetes. One of the largest Hispanic populations in this country resides in Los Angeles County with over 4.2 million people of Hispanic origin. An estimated 400,000 Hispanic diabetics live in Los Angeles with approximately 50% of patients undiagnosed and unaware of their condition. A major barrier to obtaining health care is limited English skills, with 29% of Los Angeles households reporting speaking Spanish only. To address this public health concern, QueensCare, a not-for-profit community-based health care organization in Los Angeles, and Pfizer Health Solutions implemented a lay community health worker (CHW) intervention study targeting underserved, new onset Hispanic diabetic patients. The multi-clinic, three-arm randomized, controlled study compares community health workers working under the supervision of clinic physicians, with a nurse case management service, and usual physician care. Program intervention includes low-literacy, culturally appropriate, stage of change-based CHW training curriculum to support workers in providing appropriate education and monitoring services. New-onset diabetes patients are identified from clinic visits, referrals from community-based parish nurses and local health screening events. The program addresses Healthy People 2010 goals, patient knowledge, behavioral change, health status, and self-management skills. Program methods, study design, and results will be presented.

Learning Objectives:

• State three major reasons for early diagnosis and treatment of diabetes.
• Identify two important theory-based approaches used in the design and implementation of a community diabetes control program.
• Identify two major outcomes used to assess the relative effectiveness of a collaborative community-based program.

Keywords: Community Health Promoters, Health Education Strategies

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Pfizer Health Solutions QueensCare Family Clinics UCLA School of Public Health
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Employment