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288937
A randomized control-trial community health worker intervention to improve diabetes management in the New York City bangladeshi community
Purpose: To describe and present results from a diabetes management intervention adapted for the Bangladeshi community.
Methods: Participants were recruited from clinic-based settings and randomized to either treatment or control group. Treatment participants received 5 group educational seminars and 2 one-on-one visits from a CHW over a 6-month period. Control participants received an introductory seminar only.
Results: Preliminary results include changes from baseline to 6-months for two cohorts. In the treatment group (n=47), recommended physical activity levels increased from 17% to 55% (p<.001), and portion control behaviors increased from 53% to 79% (p<.05). Additionally, significant reductions in mean weight and BMI were demonstrated (p<0.05). In the control group (n=37), no significant changes were demonstrated in the areas of physical activity, nutritional behaviors, or self-efficacy between baseline and follow-up. Retention rates were high; 77% of participants completed the full intervention (6% lost to follow-up). Final analysis will include four cohorts and 12-month follow-up data.
Conclusions: Significant improvements were demonstrated in the treatment group in several areas relevant to diabetes control. Findings suggest that a CHW intervention in this community can be effective. Results from two additional cohorts and 12-month follow-up data are forthcoming.
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Program planning
Public health or related research
Learning Objectives:
Evaluate findings from a CHW intervention adapted for use in the Bangladeshi community
Describe how to implement a CHW intervention designed to improve diabetic control and management
Keywords: Diabetes, Community Health Promoters
Qualified on the content I am responsible for because: I have been the Project Coordinator for the presented research for the last several years, and have a strong understanding of community-based participatory research methods, as well as program planning and evaluation strategies. My training and background is in Public Health, with a focus and special interest in community health programming.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.