Evaluation of a Community Health Worker Pilot Intervention to Improve Diabetes Management in Bangladeshi Immigrants with Type 2 Diabetes in New York City

Details

• Alternative Title:
  Diabetes Educ
• Personal Author:
  Islam, Nadia S. ; Wyatt, Laura C. ; Patel, Shilpa D. ; Shapiro, Ephraim ; Tandon, S.Darius ; Mukherji, B. Runi ; Tanner, Michael ; Rey, Mariano J. ; Trinh-Shevrin, Chau
• Description:
  Purpose
  
  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.
  
  Methods
  
  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.
  
  Results
  
  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.
  
  Conclusions
  
  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.
  
  
• Subjects:
  Adult Aged Aged, 80 And Over Bangladesh Community Health Workers Diabetes Mellitus, Type 2 Emigrants And Immigrants Ethnicity Exercise Feasibility Studies Female Health Behavior Health Knowledge, Attitudes, Practice Humans Male Medication Adherence Middle Aged New York City Patient Acceptance Of Health Care Patient Education As Topic Pilot Projects Risk Factors Self Care Treatment Outcome White People

  More +
• Source:
  Diabetes Educ. 39(4):478-493
• Pubmed ID:
  23749774
• Pubmed Central ID:
  PMC3912744
• Document Type:
  Journal Article
• Funding:
  U48 DP001904/DP/NCCDPHP CDC HHSUnited States/ ; 1U48DP001904-01/DP/NCCDPHP CDC HHSUnited States/ ; U54 MD000538/MD/NIMHD NIH HHSUnited States/ ; R24001786/PHS HHSInternational/ ; P60MD000538/MD/NIMHD NIH HHSUnited States/ ; P60 MD000538/MD/NIMHD NIH HHSUnited States/ ; UL1 TR000038/TR/NCATS NIH HHSUnited States/ ; R24 MD001786/MD/NIMHD NIH HHSUnited States/
• Volume:
  39
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:b74218635cfedb85d0f064a71d12d54fc356c715b635bebf56e942db3463b497
• Download URL:
  https://stacks.cdc.gov/view/cdc/29842/cdc_29842_DS1.pdf
• File Type:
  [PDF - 339.66 KB ]