311241
Results from a community-based participatory research intervention to promote diabetes prevention among New York City Sikh Asian Indians using a community health worker model
Between March 2012 and August 2014, approximately 208 Sikh Asian Indians will have completed a 6-month pilot diabetes prevention intervention in New York City using a quasi-experimental two-arm design. The treatment group receives 6 educational workshops led by trained community health workers and 10 follow-up phone calls. Baseline and follow-up surveys are administered to capture diabetes knowledge, behavioral changes, and clinical outcomes, and analyses include chi-square tests for categorical variables and paired sample t-tests for continuous variables. Independent t-tests examine between-group differences for continuous variables. Focus groups assess participant satisfaction and program evaluation.
Preliminary analyses with a sample of 108 individuals completing the intervention through 2013 found significant changes (p<0.01) for the treatment group in clinical variables (weight, BMI, blood pressure, and glucose), physical activity, physical activity social interaction, portion control, eating brown rice, and diabetes knowledge. Significant between-group differences were seen for glucose, diabetes knowledge, food portion control, and physical activity social interaction (p<0.01). Retention rates were high; 78% of treatment group participants and 98% of control group participants had 6-month follow-up data. Final analyses will include the current intervention round of approximately 100 individuals, as well as focus group findings. Challenges, facilitators and lessons learned will be discussed.
Preliminary results suggest that a culturally-tailored diabetes prevention program in the Sikh Asian Indian community is acceptable, feasible, and efficacious.
Learning Areas:
Chronic disease management and preventionConduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Learning Objectives:
Describe the steps taken in the development and implementation of a community-specific and culturally-tailored diabetes prevention intervention.
Identify clinical and behavioral changes between baseline and endpoint.
Identify challenges, facilitators and lessons learned across the intervention.
Keyword(s): Asian Americans, Community-Based Research (CBPR)
Qualified on the content I am responsible for because: I am the Senior Research Coordinator for community-based participatory research study led by community health workers to promote diabetes prevention and health promotion in the South Asian and Korean communities in NYC.
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.