Résumé :
|
[BDSP. Notice produite par INIST-CNRS Ho9tlR0x. Diffusion soumise à autorisation]. Objectives. We tested the effectiveness of a culturally tailored, behavioral theory-based community health worker intervention for improving glycemic control. Methods. We used a randomized, 6-month delayed control group design among 164 African American and Latino adult participants recruited from 2 health systems in Detroit, Michigan. Our study was guided by the principles of community-based participatory research. Hemoglobin A1c (HbA1c) level was the primary outcome measure. Using an empowerment-based approach, community health workers provided participants with diabetes self-management education and regular home visits, and accompanied them to a clinic visit during the 6-month intervention period. Results. Participants in the intervention group had a mean HbA1c value of 8.6% at baseline, which improved to a value of 7.8% at 6 months, for an adjusted change of - 0.8 percentage points (P<. there was no change in mean hba1c among the control group intervention participants also had significantly greater improvements self-reported diabetes understanding compared with group. conclusions. this study contributes to growing evidence for effectiveness of community health workers and their role multidisciplinary teams engaged culturally appropriate care delivery.>
|