Bonnie Leadbeater, Paweena Sukhawathanakul, Jonathan Rush, Gabriel Merrin, Nathan Lewis
Examining the Effectiveness of the WITS Programs in the Context of Variability in Trajectories of Child Development
Prevention science : the official journal of the Society for Prevention Research
synergistic negative effects type 2 diabetes t2dm hypertension increases allcause mortality medical complexity management disproportionately impact hispanics face barriers healthcare access salud vida intervention delivered hispanic adults living along texasmexico border comorbid poorly controlled t2dm hypertension salud vida multicomponent intervention incorporated community health workers chws expanded chronic care management model deliver homebased followup visits provided communitybased diabetes selfmanagement education conducted multivariable longitudinal analysis examine longitudinal intervention effect reducing systolic diastolic blood pressure among 3806 participants enrolled 2013 2019 participants compared according program participation either higher 10 combined educational classes chw visits lower engagement 10 encounters data collected 2013 2020 baseline mean systolic diastolic blood pressure 138 81 mmhg respectively overall improvements systolic 649 95 ci 713 585 p 0001 diastolic blood pressure 397 95 ci 437 356 p 0001 higher engagement group greater systolic blood pressure reduction 3 months adjusted mean difference 18 mmhg 95 ci 32 03 p 0016 15 month followup adjusted mean difference 23 mmhg 95 ci 42 039 p 00225 compared lower engagement group intervention tested delivered realworld setting provides example chw integration expanded chronic care model improve blood pressure outcomes individuals comorbidities