Evaluation of a Randomized Control-Trial Community Health Worker Intervention to Improve Diabetes Management in the New York City Bangladeshi Community
Methods: Participants were recruited from clinic-based settings and randomized to 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 four cohorts. In the treatment group (n=85), recommended physical activity levels increased from 19% to 57% (p<.001), and self-reported knowledge of A1c increased from 13% to 68% (p<.001). Additionally, significant reductions in mean weight, BMI, and systolic blood pressure were demonstrated (p<0.05). In the control group (n=74), 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; qualitative findings will be presented to 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 findings are forthcoming.
Learning Areas:Administer health education strategies, interventions and programs
Diversity and culture
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
Keyword(s): Community Health Workers and Promoters, Diabetes
Qualified on the content I am responsible for because: I have been a Senior Research Coordinator involved with the implementation of this program for the last 4+ years. Additionally, I have an extensive background in public health research program planning and evaluation, as well as clinical trial design.
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.