Katharina Wolff, Ronja Friedhoff, Friderieke Schwarzer, Boas Pucker
Data literacy in genome research
Journal of integrative bioinformatics
systemic health barriers economic challenges lack followup care exacerbate selfmanagement chronic diseases like diabetes among hispanic agricultural workers primary objective pilot project determine benefit using community coaches decrease a1c levels increase diabetes knowledge among agricultural workers diagnosed diabetes texas panhandle longitudinal study design two phases used create deliver evaluate diabetes coaching program phase 1 development program community coaches training n 4 phase 2 coaches delivered program 12 weeks thirteen clients phase 1 coaches hispanic females 283 sd 38 years age half high school education level half vocational certification n 4 mean dkq24 score 542 sd 297 baseline 750 sd 314 training 4 46 p 005 observed large difference mean baseline exit dkq24 scores relative pooled standard deviation resulting effect size estimate 059 indicative medium large learning effect phase 2 clients hispanic spanishspeaking predominantly female 55 444 sd 68 years age high school level education 889 occupations varied dairy farm worker 333 meat processing worker 333 agriculture manufacturing position 333 mean skilld score 400 sd 287 baseline increasing 722 sd 254 12 weeks upon completion coaching program 9 2956 p 005 observed large difference mean baseline exit skilld scores relative pooled standard deviation resulting effect size estimate 113 indicative large learning effect mean a1c levels baseline screening 83 sd 30 76 sd 30 exit screening representing 07 decrease p 04730 statistically significant differences observed depression p 0786 anxiety p 1000 measures baseline compared exit training coaching programs hardtoreach agricultural meat processing workers must culturally linguistically literacy appropriate coaches clients program must feasible sustainable focus empowering community members capitalize technological advances persisting newnormals covid19 pandemic well dismantle common systemic barriers health understanding livedexperiences agricultural working populations rural regions