Olveen Carrasquillo|Cynthia Lebron|Yisel Alonzo|Hua Li|Aileen Chang|Sonjia Kenya
Effect of a Community Health Worker Intervention Among Latinos With Poorly Controlled Type 2 Diabetes
University of Miami|University of Miami|University of Miami|University of Miami|University of Miami|George Washington University|University of Miami
community health worker chw intervention promising approach address type 2 diabetes among latinos however evidence randomized clinical studies limitedto compare chw intervention enhanced usual carethis 52week singleblind randomized clinical trial included 300 latino adults aged 18 65 years treated 2 public hospital outpatient clinics miamidade county florida july 1 2010 october 31 2013 eligible participants hemoglobin a1c hba1c level 80 greater followup completed january 31 2015 data analyzed march 10 2015 june 6 2016a 1year chw intervention consisted home visits telephone calls grouplevel activitiesprimary outcomes included systolic blood pressure sbp lowdensity lipoprotein cholesterol ldlc levels hba1c levels secondary outcomes included body mass index medication regimen intensification selfreported measures diet physical activity medication regimen adherenceof 300 participants randomized 135 men 45 165 women 55 mean sd age 552 70 years obtained followup data 215 717 participants chw group received median 4 home visits 20 telephone calls adjusting baseline values covariates participants chw group hba1c level 051 lower 95 ci 094 008 participants enhanced usual care group reduction sbp 462 mm hg 95 ci 901 024 mm hg meet preplanned target 8 mm hg statistically significant unadjusted models significant differences ldlc levels mean difference 82 mgdl 95 ci 188 23 mgdl preplanned secondary outcomes observed post hoc analyses suggest intervention may beneficial among worse control type 2 diabetes baselineamong latinos poorly controlled type 2 diabetes 12month chw intervention lowered hba1c levels 051 intervention lead improvements ldlc levels findings respect sbp variable half targeted future studies examine whether chw interventions affect measures access health care social determinants healthclinicaltrialsgov identifier nct01152957