Michael S. Spencer|Ann Marie Rosland|Edith C. Kieffer|Brandy R. Sinco|Melissa A. Valerio|Gloria Palmisano|Michael P. Anderson|J. Ricardo Guzmán|Michele Heisler
Effectiveness of a Community Health Worker Intervention Among African American and Latino Adults With Type 2 Diabetes: A Randomized Controlled Trial
VA Center for Clinical Management Research|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|University of Michigan–Ann Arbor|VA Center for Clinical Management Research|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|VA Center for Clinical Management Research
tested effectiveness culturally tailored behavioral theorybased community health worker intervention improving glycemic controlwe used randomized 6month delayed control group design among 164 african american latino adult participants recruited 2 health systems detroit michigan study guided principles communitybased participatory research hemoglobin a1c hba1c level primary outcome measure using empowermentbased approach community health workers provided participants diabetes selfmanagement education regular home visits accompanied clinic visit 6month intervention periodparticipants intervention group mean hba1c value 86 baseline improved value 78 6 months adjusted change 08 percentage points p 01 change mean hba1c among control group 85 intervention participants also significantly greater improvements selfreported diabetes understanding compared control groupthis study contributes growing evidence effectiveness community health workers role multidisciplinary teams engaged culturally appropriate health care delivery