328201
Results from a randomized control trial to promote diabetes prevention among New York City Koreans using a community health worker model
Findings are presented from a community health worker (CHW) diabetes prevention intervention with New York City (NYC) Koreans.
Between May 2011 and August 2014, 5 rounds of a culturally-tailored diabetes prevention intervention were implemented in a NYC Korean community; 302 participants (58% female) were enrolled and randomized (n=153 intervention; n=149 control). The intervention group received 6 CHW-led diabetes-related education workshops and 10 follow-up phone calls. Baseline and follow-up surveys were administered to capture diabetes knowledge, behavioral change, and clinical outcomes. 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.
A total of 215 participants completed baseline and 6-month surveys (n=115 intervention; n=100 control). The intervention group saw significant decreases in weight (p=0.014), mean BMI (p=0.019), and diastolic blood pressure (p=0.044); there were no significant changes in the control group on these measures. The intervention group saw significant increases in amount of physical activity (PA) per week between baseline and 6-months (p<0.001) as well as in engaging in the recommended amount of PA (p=0.034); the control group saw a significant decrease in amount of PA per week during the same period (p=0.024). Self-efficacy related to performing PA increased in the intervention group (p=0.006) and decreased in the control group (p=0.436). Barriers related to engaging in PA decreased in both groups, but the change was significant in the intervention group (p=0.008). Diabetes knowledge improved in the intervention group (p<0.001), and decreased in the control group (p=0.02). Challenges, facilitators and lessons learned will be discussed.
Results suggest that a CHW program may be effective in promoting diabetes prevention among NYC Koreans.
Learning Areas:
Chronic disease management and preventionDiversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Learning Objectives:
Evaluate findings from a CHW intervention adapted for use in the Korean community
Describe how to implement a CHW intervention designed to promote diabetes prevention
Keyword(s): Asian Americans, Community Health Workers and Promoters
Qualified on the content I am responsible for because: I am Senior Research Coordinator at the NYU School of Medicine, and coordinated Project RICE, a five-year community health worker-led diabetes prevention intervention 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.