302052
Mixed-Methods Evaluation of a Randomized Control-Trial Community Health Worker Intervention to Improve Diabetes Management in the New York City Bangladeshi Community
Purpose: To describe and present mixed-methods 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 three cohorts. In the treatment group (n=73), recommended physical activity levels increased from 32% to 92% (p<.001), and self-reported knowledge of A1c increased from 11% to 67% (p<.001). Additionally, significant reductions in mean weight, BMI, and systolic blood pressure were demonstrated (p<0.05). In the control group (n=54), no significant changes were demonstrated in the areas of physical activity, nutritional behaviors, or clinical measures between baseline and follow-up. Retention rates were high; 70% of participants completed the full intervention (8% lost to follow-up). Final analysis will include quantitative data on five cohorts, as well as qualitative data obtained through CHW case notes. Qualitative findings will be used to help illuminate specific mechanisms through which CHWs operate to impact behavior change.
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 an additional study cohort, as well as qualitative analysis of CHW case notes are forthcoming.
Learning Areas:
Administer health education strategies, interventions and programsPlanning of health education strategies, interventions, and programs
Public health or related research
Learning Objectives:
Evaluate mixed-method 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
Keyword(s): Community Health Workers and Promoters, Asian Americans
Qualified on the content I am responsible for because: I have been responsible for the day-to-day oversight of this study for the past three years, and as such, am intimately familiar with the study design, implementation, reporting, and analysis. Additionally, I have coordinated numerous state- and federally-funded grants, as well as industry-sponsored clinical trials in the past seven years.
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.