TY - JOUR
T1 - Evaluation of a Community Health Worker Pilot Intervention to Improve Diabetes Management in Bangladeshi Immigrants With Type 2 Diabetes in New York City
AU - Islam, Nadia S.
AU - Wyatt, Laura C.
AU - Patel, Shilpa D.
AU - Shapiro, Ephraim
AU - Tandon, S. Darius
AU - Mukherji, B. Runi
AU - Tanner, Michael
AU - Rey, Mariano J.
AU - Trinh-Shevrin, Chau
N1 - Funding Information:
Quianyu Ling assisted with data cleaning and analysis for the project, and Dr Simona Kwon reviewed the manuscript and provided suggestions. We thank the members of the DREAM Coalition, including Krittika Ghosh, Mursheda Begum, Shahnaz Yousef, Purnima Naik, Bhairavi Desai, and numerous interns and volunteers for their support and guidance on this project. Finally, we thank Gulnahar Alam, Mamnunal Haq, and MD Taher for their outstanding contributions as DREAM CHWs. This work was supported by the following research grants: P60MD000538 and R24001786 from the National Institutes of Health, National Institute for Minority Health and Health Disparities, UL1 TR000038 from the National Center for Advancing Translational Sciences, National Institutes of Health, and 1U48DP001904-01 from the Centers for Disease Control and Prevention. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention and the National Institutes of Health.
PY - 2013/7
Y1 - 2013/7
N2 - Purpose The purpose of this study is to explore the impact and feasibility of a pilot Community Health Worker (CHW) intervention to improve diabetes management among Bangladeshi-American individuals with type 2 diabetes living in New York City. Participants were recruited at clinic- and community-based venues. The intervention consisted of 6 monthly, CHW-facilitated group sessions on topics related to management of diabetes. Surveys were collected at baseline and follow-up time points. Study outcomes included clinical, behavioral, and satisfaction measures for participants, as well as qualitative measures from CHWs. Improvements were seen in diabetes knowledge, exercise and diet to control diabetes, frequency of checking feet, medication compliance, and self-efficacy of health and physical activity from baseline to 12 months. Additionally, there were decreases in A1C, weight, and body mass index. Program evaluation revealed a high acceptability of the intervention, and qualitative findings indicated that CHWs helped overcome barriers and facilitated program outcomes through communal concordance, trust, and leadership. The intervention demonstrated high acceptability and suggested efficacy in improving diabetes management outcomes among Bangladeshi immigrants in an urban setting. The US Bangladeshi population will continue to increase, and given the high rates of diabetes, as well as linguistic and economic barriers faced by this community, effective and culturally tailored health interventions are needed to overcome barriers and provide support for diabetes management.
AB - Purpose The purpose of this study is to explore the impact and feasibility of a pilot Community Health Worker (CHW) intervention to improve diabetes management among Bangladeshi-American individuals with type 2 diabetes living in New York City. Participants were recruited at clinic- and community-based venues. The intervention consisted of 6 monthly, CHW-facilitated group sessions on topics related to management of diabetes. Surveys were collected at baseline and follow-up time points. Study outcomes included clinical, behavioral, and satisfaction measures for participants, as well as qualitative measures from CHWs. Improvements were seen in diabetes knowledge, exercise and diet to control diabetes, frequency of checking feet, medication compliance, and self-efficacy of health and physical activity from baseline to 12 months. Additionally, there were decreases in A1C, weight, and body mass index. Program evaluation revealed a high acceptability of the intervention, and qualitative findings indicated that CHWs helped overcome barriers and facilitated program outcomes through communal concordance, trust, and leadership. The intervention demonstrated high acceptability and suggested efficacy in improving diabetes management outcomes among Bangladeshi immigrants in an urban setting. The US Bangladeshi population will continue to increase, and given the high rates of diabetes, as well as linguistic and economic barriers faced by this community, effective and culturally tailored health interventions are needed to overcome barriers and provide support for diabetes management.
UR - http://www.scopus.com/inward/record.url?scp=84880637773&partnerID=8YFLogxK
U2 - 10.1177/0145721713491438
DO - 10.1177/0145721713491438
M3 - ???researchoutput.researchoutputtypes.contributiontojournal.article???
C2 - 23749774
AN - SCOPUS:84880637773
SN - 0145-7217
VL - 39
SP - 478
EP - 493
JO - Diabetes Educator
JF - Diabetes Educator
IS - 4
ER -