Miyong T. Kim|Kim B. Kim|Boyun Huh|Tam H. Nguyen|Hae Ra Han|Lee Bone|David M. Levine
The Effect of a Community-Based Self-Help Intervention
The University of Texas at Austin|Korean Resource Center|University of California, San Francisco|Boston College|Johns Hopkins University|Johns Hopkins University|Johns Hopkins Medicine|Johns Hopkins University
korean americans one underserved ethniclinguistic minority groups owing cultural institutional barriers urgent need culturally competent diabetes management programs korean american community type 2 diabetes purpose study test effectiveness communitybased culturally tailored multimodal behavioral intervention program ethniclinguistic minority group type 2 diabetesan rct waitlist comparison based predisposing reinforcing enabling constructs educationenvironmental diagnosis evaluation precedepolicy regulatory organizational constructs educational environmental development proceed selfhelp models data collected september 2010 june 2013 analyzed augustdecember 2014 statistical significance set p005in naturally occurring community setting total 250 korean americans type 2 diabetes randomized intervention group n120 control group n130the intervention consisted key selfmanagement skillbuilding activities 12 hours group education sessions followed integrated counseling behavioral coaching team rns community health workersprimary clinical outcomes hemoglobin a1c glucose total cholesterol lowdensity lipoprotein baseline 3 6 9 12 months secondary psychosocial behavioral outcomes included diabetesrelated quality life selfefficacy adherence diabetes management regimen health literacyduring 12month project intervention group demonstrated 1013 109142 mmolmol reductions hemoglobin a1c whereas control group achieved reductions 0507 5577 mmolmol differences two groups statistically significant intervention group showed statistically significant improvement diabetesrelated selfefficacy quality life compared control grouprncommunity health worker teams equipped culturally tailored training effective helping ethniclinguistic minority group manage diabetes community