TY - JOUR
T1 - Community health workers versus nurses as counselors or case managers in a self-help diabetes management program
AU - Kim, Kim B.
AU - Kim, Miyong T.
AU - Lee, Hochang B.
AU - Nguyen, Tam
AU - Bone, Lee R.
AU - Levine, David
N1 - Funding Information:
This study was supported by the National Institute of Diabetes and Digestive and Kidney Diseases (grant R18DK083936), with material support from LifeScan (Milpitas, CA), including devices(OneTouch glucometer, OneTouch UltraSoft test strips, and OneTouch UltraSoft lancets) for study participants.
PY - 2016/6
Y1 - 2016/6
N2 - Objectives.To confirm the effectiveness of community health workers' involvement as counselors or case managers in a self-help diabetes management program in 2009 to 2014. Methods. Our open-label, randomized controlled trial determined the effectiveness of a self-help intervention among Korean Americans aged 35 to 80 years in the Baltimore-Washington metropolitan area with uncontrolled type 2 diabetes. We measured and analyzed physiological and psychobehavioral health outcomes of the community health worker-counseled (n = 54) and registered nurse (RN)-counseled (n = 51) intervention groups in comparison with the control group (n = 104). Results. The community health workers' performance was comparable to that of the RNs for both psychobehavioral outcomes (e.g., self-efficacy, quality of life) and physiological outcomes.The community health worker-counseled group showed hemoglobin A1C reductions from baseline (-1.2%, -1.5%, -1.3%, and -1.6%, at months 3, 6, 9, and 12, respectively), all of which were greater than reductions in the RN-counseled (-0.7%, -0.9%, -0.9%, and -1.0%) or the control (-0.5%, -0.5%, -0.6%, and -0.7%) groups. Conclusions. Community health workers performed as well as or better than nurses as counselors or case managers in a self-help diabetes management program in a Korean American community.
AB - Objectives.To confirm the effectiveness of community health workers' involvement as counselors or case managers in a self-help diabetes management program in 2009 to 2014. Methods. Our open-label, randomized controlled trial determined the effectiveness of a self-help intervention among Korean Americans aged 35 to 80 years in the Baltimore-Washington metropolitan area with uncontrolled type 2 diabetes. We measured and analyzed physiological and psychobehavioral health outcomes of the community health worker-counseled (n = 54) and registered nurse (RN)-counseled (n = 51) intervention groups in comparison with the control group (n = 104). Results. The community health workers' performance was comparable to that of the RNs for both psychobehavioral outcomes (e.g., self-efficacy, quality of life) and physiological outcomes.The community health worker-counseled group showed hemoglobin A1C reductions from baseline (-1.2%, -1.5%, -1.3%, and -1.6%, at months 3, 6, 9, and 12, respectively), all of which were greater than reductions in the RN-counseled (-0.7%, -0.9%, -0.9%, and -1.0%) or the control (-0.5%, -0.5%, -0.6%, and -0.7%) groups. Conclusions. Community health workers performed as well as or better than nurses as counselors or case managers in a self-help diabetes management program in a Korean American community.
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U2 - 10.2105/AJPH.2016.303054
DO - 10.2105/AJPH.2016.303054
M3 - Article
C2 - 26985607
AN - SCOPUS:84968928641
SN - 0090-0036
VL - 106
SP - 1052
EP - 1058
JO - American journal of public health
JF - American journal of public health
IS - 6
ER -