AI Article Synopsis
- The study assessed a culturally tailored intervention involving nurses and community health workers (CHWs) aimed at improving diabetes self-management among Samoan individuals with type 2 diabetes.
- Out of 268 participants, those in the nurse-CHW intervention experienced a significant reduction in HbA1c levels after 12 months, demonstrating better diabetes control compared to those receiving usual care.
- Despite improvements in diabetes management, the intervention showed no significant differences in other health measures like blood pressure, weight, or waist circumference after a year.
Article Abstract
Objective: To evaluate the effectiveness of a culturally adapted, primary care-based nurse-community health worker (CHW) team intervention to support diabetes self-management on diabetes control and other biologic measures.
Research Design And Methods: Two hundred sixty-eight Samoan participants with type 2 diabetes were recruited from a community health center in American Samoa and were randomly assigned by village clusters to the nurse-CHW team intervention or to a wait-list control group that received usual care.
Results: Participants had a mean age of 55 years, 62% were female, mean years of education were 12.5 years, 41% were employed, and mean HbA1c was 9.8% at baseline. At 12 months, mean HbA1c was significantly lower among CHW participants, compared with usual care, after adjusting for confounders (b = -0.53; SE = 0.21; P = 0.03). The odds of making a clinically significant improvement in HbA1c of at least 0.5% in the CHW group was twice the odds in the usual care group after controlling for confounders (P = 0.05). There were no significant differences in blood pressure, weight, or waist circumference at 12 months between groups.
Conclusions: A culturally adapted nurse-CHW team intervention was able to significantly improve diabetes control in the U.S. Territory of American Samoa. This represents an important translation of an evidence-based model to a high-risk population and a resource-poor setting.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3687286 | PMC |
| http://dx.doi.org/10.2337/dc12-1969 | DOI Listing |
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