A Community Health Worker Intervention for Diabetes Self-Management Among the Tz'utujil Maya of Guatemala.

Despite the high prevalence of diabetes in rural Guatemala, there is little education in diabetes self-management, particularly among the indigenous population. To address this need, a culturally relevant education intervention for diabetic patients was developed and implemented in two rural communities in Guatemala. An evaluative research project was designed to investigate if the structured, community-led diabetes self-management intervention improved selected health outcomes for participants.

The effect of giving global coronary risk information to adults: a systematic review.

Background: Global coronary heart disease (CHD) risk estimation (ie, a quantitative estimate of a patient's chances of CHD calculated by combining risk factors in an empirical equation) is recommended as a starting point for primary prevention efforts in all US adults. Whether it improves outcomes is currently unknown.

Methods: To assess the effect of providing global CHD risk information to adults, we performed a systematic evidence review.