TY - JOUR
T1 - Protocol for the DREAM Project (Diabetes Research, Education, and Action for Minorities)
T2 - A randomized trial of a community health worker intervention to improve diabetic management and control among Bangladeshi adults in NYC
AU - Islam, Nadia
AU - Riley, Lindsey
AU - Wyatt, Laura
AU - Tandon, S. Darius
AU - Tanner, Michael
AU - Mukherji-Ratnam, Runi
AU - Rey, Mariano
AU - Trinh-Shevrin, Chau
N1 - Funding Information:
The investigators would like to thank the members of the DREAM Coalition for their support and guidance on this project. Additionally, this study would not be possible without the support, time, and expertise of the three Community Health Workers involved in the design and implementation of this study: Gulnahar Alam, Mamnunul Haq, and MD Taher. The investigators are also especially grateful to all of the community members who participated in the study. This publication is supported by the National Institutes of Health National Institute on Minority Health and Health Disparities (NIHNIMHD) grants P60MD000538 and R24001786; National Institutes of Health National Center for the Advancement of Translational Science (NCATS) Grant UL1 TR000038; and Centers for Disease Control and Prevention (CDC) Grant U48DP001904. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the NIH NIMHD and CDC.
PY - 2014/2/18
Y1 - 2014/2/18
N2 - Background: New York City (NYC) is currently home to the largest Bangladeshi population in the United States (US) at approximately 62,000 individuals. The high prevalence of Type 2 diabetes mellitus (T2DM) among Bangladeshis has been well documented in Bangladesh, as well as in Canada and the United Kingdom (UK). However, little is known about the diabetes prevalence and management practices of US Bangladeshis. This paper describes the protocol for a Community Health Worker (CHW) intervention to improve diabetic management and control among Bangladeshis with diabetes in NYC. Methods/Design. For a two-arm, randomized controlled trial (RCT), investigators will recruit a sample of 256 participants, all of whom are 1) of Bangladeshi descent, 2) residing in NYC, 3) diagnosed with T2DM and a recent Hemoglobin A1c (HbA1c) of ≥ 6.5, and 4) between the ages of 21-85. The treatment group receives a six-month CHW-led intervention consisting of five monthly group educational sessions, two one-on-one visits, and follow-up phone calls as needed from a CHW. The control group receives an introductory educational session only. Primary and secondary outcomes include clinical and behavioral measures, such as HbA1c and weight change, access to and utilization of care (i.e. appointment keeping and use of specialty care), and knowledge and practice of physical activity and healthful eating. Additionally, information regarding CHW characteristics, the processes and mechanisms for influencing healthful behavior change, and fidelity of the intervention are collected. Outcomes are measured at Baseline, 3-Months, 6-Months for both groups, and at 12-Months for the treatment group. Discussion. To our knowledge, this study represents the first attempt to document the efficacy of T2DM management strategies in the NYC Bangladeshi population. Thus, future qualitative and quantitative findings of the submitted protocol will fill an important gap in the health disparities literature. Trial registration. NCT02041598.
AB - Background: New York City (NYC) is currently home to the largest Bangladeshi population in the United States (US) at approximately 62,000 individuals. The high prevalence of Type 2 diabetes mellitus (T2DM) among Bangladeshis has been well documented in Bangladesh, as well as in Canada and the United Kingdom (UK). However, little is known about the diabetes prevalence and management practices of US Bangladeshis. This paper describes the protocol for a Community Health Worker (CHW) intervention to improve diabetic management and control among Bangladeshis with diabetes in NYC. Methods/Design. For a two-arm, randomized controlled trial (RCT), investigators will recruit a sample of 256 participants, all of whom are 1) of Bangladeshi descent, 2) residing in NYC, 3) diagnosed with T2DM and a recent Hemoglobin A1c (HbA1c) of ≥ 6.5, and 4) between the ages of 21-85. The treatment group receives a six-month CHW-led intervention consisting of five monthly group educational sessions, two one-on-one visits, and follow-up phone calls as needed from a CHW. The control group receives an introductory educational session only. Primary and secondary outcomes include clinical and behavioral measures, such as HbA1c and weight change, access to and utilization of care (i.e. appointment keeping and use of specialty care), and knowledge and practice of physical activity and healthful eating. Additionally, information regarding CHW characteristics, the processes and mechanisms for influencing healthful behavior change, and fidelity of the intervention are collected. Outcomes are measured at Baseline, 3-Months, 6-Months for both groups, and at 12-Months for the treatment group. Discussion. To our knowledge, this study represents the first attempt to document the efficacy of T2DM management strategies in the NYC Bangladeshi population. Thus, future qualitative and quantitative findings of the submitted protocol will fill an important gap in the health disparities literature. Trial registration. NCT02041598.
KW - CBPR
KW - CHW
KW - Diabetes
KW - Health disparities
KW - South Asian Health
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U2 - 10.1186/1471-2458-14-177
DO - 10.1186/1471-2458-14-177
M3 - Article
C2 - 24548534
AN - SCOPUS:84894648647
SN - 1471-2458
VL - 14
JO - BMC public health
JF - BMC public health
IS - 1
M1 - 177
ER -