Rafael Pérez?Escamilla|Grace Damio|Jyoti Chhabra|María Luz Fernández|Sofía Segura?Pérez|Sonia Vega?López|Grace Kollannor-Samuel|Mariana Calle|Fatma M. Shebl|Darrin D’Agostino
Impact of a Community Health Workers–Led Structured Program on Blood Glucose Control Among Latinos With Type 2 Diabetes: The DIALBEST Trial
Yale University|University of Connecticut|Hispanic Health Council|Hartford Hospital|University of Connecticut|Hispanic Health Council|Arizona State University|Yale University|Worcester State University|Yale University|University of North Texas
latinos type 2 diabetes t2d face major healthcare access disease management disparities examined impact diabetes among latinos best practices trial dialbest community health worker chwled structured intervention improving glycemic control among latinos t2da total 211 adult latinos poorly controlled t2d randomly assigned standard healthcare n 106 chw n 105 group chw intervention comprised 17 individual sessions delivered home chws 12month period sessions addressed t2d complications healthy lifestyles nutrition healthy food choices diet diabetes blood glucose selfmonitoring medication adherence demographic socioeconomic lifestyle anthropometric biomarker hba1c fasting blood glucose lipid profile data collected baseline 3 6 12 18 months 6 months postintervention groups equivalent baselineparticipants high hba1c baseline mean 958 812 mmolmol relative participants control group chws positive impact net hba1c improvements 3 months 042 462 mmolmol 6 months 047 510 mmolmol 12 months 057 618 mmolmol 18 months 055 601 mmolmol overall repeatedmeasures group effect statistically significant mean difference 051 557 mmolmol 95 ci 083 019 911 203 mmolmol p 0002 chws overall significant effect fasting glucose concentration pronounced 12 18month visits significant effect blood lipid levels hypertension weightdialbest effective intervention improving blood glucose control among latinos t2d