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Article

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

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. https://doi.org/10.3390/geriatrics3030047

AMA Style

Mendez Campos B, Kieffer EC, Sinco B, Palmisano G, Spencer MS, Piatt GA. Effectiveness of a Community Health Worker-Led Diabetes Intervention among Older and Younger Latino Participants: Results from a Randomized Controlled Trial. Geriatrics. 2018; 3(3):47. https://doi.org/10.3390/geriatrics3030047

Chicago/Turabian Style

Mendez Campos, Barbara, Edith C. Kieffer, Brandy Sinco, Gloria Palmisano, Michael S. Spencer, and Gretchen A. Piatt 2018. "Effectiveness of a Community Health Worker-Led Diabetes Intervention among Older and Younger Latino Participants: Results from a Randomized Controlled Trial" Geriatrics 3, no. 3: 47. https://doi.org/10.3390/geriatrics3030047

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