Walter Palmas|Sally E. Findley|Miriam Mejia|Milagros Batista|Jeanne Teresi|Jian Kong|Stephanie Silver|Elaine Fleck|José A. Luchsinger|Olveen Carrasquillo
Results of the Northern Manhattan Diabetes Community Outreach Project: A Randomized Trial Studying a Community Health Worker Intervention to Improve Diabetes Care in Hispanic Adults
Columbia University Irving Medical Center|Columbia University|Hebrew Home|Hebrew Home|Hebrew Home|Columbia University|Columbia University|University of Miami
objective northern manhattan diabetes community outreach project evaluated whether community health worker chw intervention improved clinically relevant markers diabetes care adult hispanics research design methods participants adult hispanics ages 3570 years recent hemoglobin a1c a1c 8 64 mmolmol universityaffiliated network primary care practices northern manhattan new york city ny randomized 12month chw intervention n 181 enhanced usual care educational materials mailed 4month intervals preceded phone calls n 179 primary outcome a1c 12 months secondary outcomes systolic blood pressure sbp diastolic blood pressure ldlcholesterol levels results nonsignificant trend toward improvement a1c levels intervention group unadjusted mean a1c 877 840 compared usual care 858 853 p 0131 also nonsignificant trend toward increase sbp ldl cholesterol intervention arm intervention fidelity measured number contacts intervention arm visits phone contacts group support nutritional education showed borderline association greater a1c reduction p 0054 assessed separately phone contacts associated greater a1c reduction p 004 conclusions trend toward a1c reduction chw intervention failed achieve statistical significance greater intervention fidelity may achieve better glycemic control accessible treatment models phonebased interventions may efficacious socioeconomically disadvantaged populations