Online Program

Game Changers: Community health workers as diabetes educators for Latinos in Lake County, IL

Tuesday, November 3, 2015

Amparo Castillo, MD, PhD, School of Public Health - Community Health Sciences, Institute for Health Research and Policy, Chicago, IL
Diana Gutierrez, Mano a Mano Family Resource Center, Round Lake Park, IL
Yamel Azcoitia, Community Health Worker, Mano a Mano Family Resource Center, Round Lake Park, IL
Sheila Castillo, MUPP, Midwest Latino Health Research, Training and Policy Center, University of Illinois at Chicago, Chicago, IL
Nationally, Latinos demonstrate disproportionately high rates of type 2 diabetes (T2D) and low levels of adherence to self-care practices leading to poor glycemic control and negative health outcomes. This is mirrored in Lake County:  social determinants such as low income and lack of education  merge with limited access to health care and cultural and linguistic barriers to significantly affect diabetes self-care.  Community health workers (CHWs) are effective educators of Latinos with or at risk for T2D.  Mano a Mano Family Resource Center (MaM),a community organization serving Lake County’s Latino immigrants and families, and the Midwest Latino Health Research Training and Policy Center at the University of Illinois at Chicago  partnered to develop the CHW workforce and implemented their training on diabetes self-management education. The first year of the program (2013-2014) 9 CHWs recruited 80 participants and conducted 10-week workshops that resulted in a significant reduction in levels of A1C and depression, and improvement in diabetes self-care efficacy and quality of life. On the second year of the program (2014-2015) recruitment and education continue until reaching a total of 130 Latino immigrant participants. Assessments include biomedical and behavioral outcomes: A1C, blood pressure, BMI, diabetes knowledge, diabetes self-care activities, diabetes self-efficacy, social support, and quality of life.  MaM has provided important health benefits to its constituents and has raised the profile of its CHW workforce. Final outcomes, lessons learned, and the impact of this CHW program at the individual, organizational, and community levels will be discussed.

Learning Areas:

Administer health education strategies, interventions and programs
Chronic disease management and prevention
Conduct 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
Provision of health care to the public

Learning Objectives:
Identify three potential benefits of CHW capacity building Describe at least three positive outcomes for participants of the diabetes self-management education program Identify strategies to address obstacles in the implementation of a community education program Describe the impact of this CHW-led intervention at the individual, organizational, and community levels.

Keyword(s): Community Health Workers and Promoters, Community Health Programs

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am trainer, instructor of CHWs, supervised data collection and analysis.
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.