Lisa K. Sharp|Jessica Tilton|Daniel R. Touchette|Yinglin Xia|Daniel Mihailescu|Michael L. Berbaum|Ben S. Gerber
Community Health Workers Supporting Clinical Pharmacists in Diabetes Management: A Randomized Controlled Trial
University of Illinois at Chicago|University of Illinois at Chicago|University of Illinois at Chicago|University of Illinois at Chicago|University of Illinois at Chicago|University of Illinois at Chicago|University of Illinois at Chicago
objectives evaluate effectiveness clinical pharmacists community health workers chw improving glycemic control within lowincome ethnic minority population methods twoarm 2year crossover trial 179 africanamerican 65 hispanic adult patients uncontrolled diabetes mellitus hemoglobin 1c hb a1c 8 higher randomized chw support either first second year study participants received clinical pharmacist support years study primary outcome change hba1c 1 2 years results similar hba1c declines noted receiving 1 year chw support 045 95 confidence interval ci 096 005 chw versus 042 95 ci 093 008 without chw support addition differences noted change secondary outcome measures including body mass index systolic blood pressure highdensity lipoprotein lowdensity lipoprotein cholesterol quality life perceived social support difference diastolic blood pressure change noted 080 mm hg 95 ci 192 353 chw versus 185 mm hg 95 ci 474 103 without chw support p00078 patients receiving chw support lipidlowering medication intensifications 039 95 ci 027052 compared without chw support 026 95 ci 014038 plt00001 however significant differences intensification antihyperglycemic antihypertensive medications observed patients receiving chw support without chw support patients low health literacy completed significantly encounters pharmacist chw high health literacy although outcomes comparable conclusions significant differences noted clinical pharmacist chw team clinical pharmacist alone improving glycemic control within lowincome ethnic minority population