Evidence for CHW/lay worker-related interventions for diabetes care The intervention consisted of four 60-min sessions of education that focused on understanding diabetes, living a healthy lifestyle, understanding the medication and avoiding complications. Although the training manual antic- ipated the sessions would last up to 120 min, in reality the sessions lasted up to 60 min. Health promoters recruited from the district health services were trained over a total of 6 days to deliver each session within the facility, using a guiding style of communication on motivational interviewing principles and skills A Systematic Review() of the role of CHWs in diabetes care and management is summarized below. Unique Source Population Study Outcomes Contributions and Setting Design and to Key Literature Elements of Intervention Spencer M; 164 6-month Decrease in based Rosland RCT to test HBA1C from participatory AM; et al. and Latino effectiveness 8.6% at baseline research adults with of a CBPR to 7.8% at (CBPR) type 2 intervention follow up and diabetes in for and improved description of southwest improving self-reported behavioral and east glycemic diabetes theories of Detroit, MI control. understanding intervention CBPR methods Ruggiero L; 3 Latino 12-month Improved to deliver Castillo A; populations physical activity Diabetes et al. in southwest and dietary Prevention Chicago at prospective scores and Program(DPP) risk of type study of a improved BMI lifestyle 2 diabetes DPP, (< .91 kg/m2) intervention and based circumference intervention (<1.56 in.) at 6 months Katula JA: Sample in RCT Improved fasting study Vitolins Forsyth testing a glucoses (−4.3 vs solely utilizing MZ; et al. County, NC CHW-led mg/dL) and −0.4 CHWs with with fasting weight loss weight loss (−7.1 dietitian glucose intervention vs 1.4kg) oversight from 95–125 based on the compared to mg/dL, and Diabetes control a BMI Prevention ≥25 and Program ≤39.9 kg/m2 Examination of Brown HS; 46 18-month Cost-effective long-term Wilson KJ; ($33,319/QALY et al. Hispanic gained) on
Evidence for CHW/lay worker-related interventions for diabetes care The intervention consisted of four 60-min sessions of education that focused on understanding diabetes, living a healthy lifestyle, understanding the medication and avoiding complications. Although the training manual antic- ipated the sessions would last up to 120 min, in reality the sessions lasted up to 60 min. Health promoters recruited from the district health services were trained over a total of 6 days to deliver each session within the facility, using a guiding style of communication on motivational interviewing principles and skills A Systematic Review() of the role of CHWs in diabetes care and management is summarized below. Unique Contributions to Literature Source Population and Setting Study Design and Key Elements of Intervention Outcomes participatory research (CBPR) and description of behavioral theories of intervention Spencer M; Rosland AM; et al. 164 and Latino adults with type 2 diabetes in southwest and east Detroit, MI 6-month RCT to test effectiveness of a CBPR intervention for improving glycemic control. Decrease in HBA1C from 8.6% at baseline to 7.8% at follow up and improved self-reported diabetes understanding CBPR methods to deliver Diabetes Prevention Program(DPP) lifestyle intervention Ruggiero L; Castillo A; et al. 3 Latino populations in southwest Chicago at risk of type 2 diabetes 12-month prospective study of a DPP, intervention Improved physical activity and dietary scores and improved BMI (< .91 kg/m2) and circumference (<1.56 in.) at 6 months study solely utilizing CHWs with dietitian oversight Katula JA: Vitolins MZ; et al. Sample in Forsyth County, NC with fasting glucose from 95–125 mg/dL, and a BMI ≥25 and ≤39.9 kg/m2 RCT testing a CHW-led weight loss intervention based on the Diabetes Prevention Program Improved fasting glucoses (−4.3 vs −0.4 mg/dL) and weight loss (−7.1 vs 1.4kg) compared to control Examination of long-term Brown HS; Wilson KJ; et al. 46 Hispanic 18-month Cost-effective ($33,319/QALY gained) on based based
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