| Community-based Diabetes Education for Latinos: The Diabetes Empowerment Education Program. | |
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MedLine Citation:
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PMID: 20538970 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The purpose of this study was to conduct a diabetes education program delivered by community health workers (CHWs) in community settings and to evaluate its effectiveness in improving glycemic control and self-management skills in Hispanics/Latinos with type 2 diabetes. METHODS: Trained CHWs recruited Hispanic/Latino community residents with self-reported type 2 diabetes, implemented intervention in nonclinical locations, and collected data on diabetes knowledge, self-care behaviors, self-efficacy, depression, A1C, weight, and blood pressure. Classes applied participatory techniques and were delivered in 2-hour group sessions over 10 weeks. Two focus groups collected qualitative postintervention data. RESULTS: Seventy participants enrolled, and 47 completed pretest and posttest data. Improvements were significant for A1C (P = .001) and systolic blood pressure (P = .006). Other positive outcomes were diabetes knowledge, physical activity, spacing carbohydrates, following a healthy eating plan, and eating fruits and vegetables. Improved behaviors also included foot care, glucose self-monitoring, and medication adherence. Depressive symptoms showed a positive trend in intent-to-treat analysis (P = .07), but self-efficacy did not change significantly (P = .142). Qualitative information reported an increase in participants' perceived competence in self-care and a positive influence of CHWs in participants' compliance with the program. CONCLUSIONS: A diabetes self-management education program for Hispanics/Latinos led by CHWs can be implemented in community settings and may effectively improve behavioral skills and glycemic control. |
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Authors:
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Amparo Castillo; Aida Giachello; Robin Bates; Jeannie Concha; Vanessa Ramirez; Carlos Sanchez; Eve Pinsker; Jose Arrom |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. Date: 2010-06-10 |
Journal Detail:
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Title: The Diabetes educator Volume: 36 ISSN: 1554-6063 ISO Abbreviation: Diabetes Educ Publication Date: 2010 Jul-Aug |
Date Detail:
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Created Date: 2010-08-09 Completed Date: 2011-02-02 Revised Date: 2011-03-03 |
Medline Journal Info:
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Nlm Unique ID: 7701401 Medline TA: Diabetes Educ Country: United States |
Other Details:
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Languages: eng Pagination: 586-94 Citation Subset: N |
Affiliation:
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Jane Addams College of Social Work, Midwest Latino Health Research, Training and Policy Center, University of Illinois at Chicago, Chicago, Illinois 60608, USA. amparo@uic.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Community Health Aides Diabetes Mellitus / blood, psychology*, rehabilitation Diabetes Mellitus, Type 2 / blood, psychology, rehabilitation Female Hemoglobin A, Glycosylated / analysis Hispanic Americans* Humans Male Middle Aged Patient Education as Topic* Power (Psychology)* Self Care / methods*, psychology Teaching / methods |
| Grant Support | |
ID/Acronym/Agency:
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U50/CCU517388-01//PHS HHS |
| Chemical | |
Reg. No./Substance:
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0/Hemoglobin A, Glycosylated |
| Comments/Corrections | |
Comment In:
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Diabetes Educ. 2011 Jan-Feb;37(1):128
[PMID:
21292624
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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