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Geriatrics 2018, 3(3), 47; https://doi.org/10.3390/geriatrics3030047

Effectiveness of a Community Health Worker-Led Diabetes Intervention among Older and Younger Latino Participants: Results from a Randomized Controlled Trial

1
University of Michigan School of Social Work, Ann Arbor, MI 48109, USA
2
Community Health and Social Services (CHASS), Detroit, MI 48209, USA
3
Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI 48109, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Ralf Lobmann
Received: 6 July 2018 / Revised: 27 July 2018 / Accepted: 1 August 2018 / Published: 2 August 2018
(This article belongs to the Special Issue Chronic Disease Self-Management in Older Adult Populations)
Full-Text   |   PDF [568 KB, uploaded 2 August 2018]

Abstract

Diabetes management for older Latino adults is complex, given a higher incidence of multiple coexisting medical conditions and psychosocial barriers to self-management. Community health workers (CHWs) may be effective in reducing these barriers. The REACH Detroit CHW randomized controlled intervention studies with Latino/as with diabetes found improvements in self-management behaviors and glucose control after participating in a CHW-led intervention. Using data from the REACH Detroit Partnership′s cohort 3, this study used descriptive statistics and multiple linear regression analyses to evaluate whether the six-month CHW intervention had a greater effect on older Latino/as (ages 55 and older) than younger participants between baseline and post-intervention follow-up at six months. There were significant intervention effects by age group that varied by outcome. Compared to a control group that received enhanced usual care, there were statistically significant intervention effects demonstrating greater self-efficacy scores 1.27 (0.23, 2.32); p < 0.05, and reductions in HbA1c 1.02 (−1.96, −0.07); p < 0.05, among older participants in the CHW intervention, and increases in diabetes support 0.74 (0.34, 1.13); p < 0.001; and understanding of diabetes management 0.39 (0.08, 0.70); p < 0.01 among younger participants. View Full-Text
Keywords: diabetes; community health worker intervention; Latino; older adults diabetes; community health worker intervention; Latino; older adults
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Mendez Campos, B.; Kieffer, E.C.; Sinco, B.; Palmisano, G.; Spencer, M.S.; Piatt, G.A. Effectiveness of a Community Health Worker-Led Diabetes Intervention among Older and Younger Latino Participants: Results from a Randomized Controlled Trial. Geriatrics 2018, 3, 47.

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