Evaluation of a Community Health Worker Pilot Intervention to Improve Diabetes Management in Bangladeshi Immigrants with Type 2 Diabetes in New York City
Published Date:2013 Jul-Aug
Source:Diabetes Educ. 39(4):478-493.
Aged, 80 And Over
Community Health Workers
Diabetes Mellitus, Type 2
Emigrants And Immigrants
European Continental Ancestry Group
Health Knowledge, Attitudes, Practice
New York City
Patient Acceptance Of Health Care
Patient Education As Topic
Pubmed Central ID:PMC3912744
Funding:U48 DP001904/DP/NCCDPHP CDC HHS/United States
1U48DP001904-01/DP/NCCDPHP CDC HHS/United States
R24001786/PHS HHS/United States
P60MD000538/MD/NIMHD NIH HHS/United States
P60 MD000538/MD/NIMHD NIH HHS/United States
UL1 TR000038/TR/NCATS NIH HHS/United States
R24 MD001786/MD/NIMHD NIH HHS/United States
The purpose of this study is to explore the impact and feasibility of a pilot Community Health Worker (CHW) intervention to improve diabetes management among Bangladeshi-American individuals with Type 2 diabetes living in New York City.
Participants were recruited at clinic- and community-based venues. The intervention consisted of six monthly, CHW facilitated group sessions on topics related to management of diabetes. Surveys were collected at baseline and follow-up time points. Study outcomes included clinical, behavioral, and satisfaction measures for participants, as well as qualitative measures from CHWs.
Improvements were seen in diabetes knowledge, exercise and diet to control diabetes, frequency of checking feet, medication compliance, and self-efficacy of health and physical activity from baseline to 12 months. Additionally, there were decreases in A1C, weight, and BMI. Program evaluation revealed a high acceptability of the intervention, and qualitative findings indicated that CHWs helped overcome barriers and facilitated program outcomes through communal concordance, trust and leadership.
The intervention demonstrated high acceptability and suggested efficacy in improving diabetes management outcomes among Bangladeshi immigrants in an urban setting. The U.S. Bangladeshi population will continue to increase, and given the high rates of diabetes, as well as linguistic and economic barriers faced by this community, effective and culturally-tailored health interventions are needed to overcome barriers and provide support for diabetes management.
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