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Background. Diabetes programs are difficult to implement in low-income settings. Mentoring clinics is promising to implement initiatives. We mentored local Community Health Workers (CHWs) to implement a diabetes program for low-income Latino(a)s (N=59) with type 2 diabetes in a twophased approach, each 6-months. Methods. -Phase 1 (training, feasibility assessment): participants randomized to the diabetes program or usual care. CHW-instructors (CHW-Is) led the program, CHWs observed. -Phase 2 (mentoring): CHWs led the program, CHW-Is mentored. -The program included monthly group visits and weekly CHWs/CHWIs-participant telehealth contact. -Outcomes included baseline to 6-month clinical changes i.e., HbA1c, adherence to medications and six American Diabetes Association (ADA) guidelines, CHW pre/posttest scores, and hypoglycemia. Results. Significant outcomes included improved HbA1c levels, medication and ADA adherence, hypoglycemic events, and CHWs test scores.
By MedicalMissions.com4.6
1313 ratings
Background. Diabetes programs are difficult to implement in low-income settings. Mentoring clinics is promising to implement initiatives. We mentored local Community Health Workers (CHWs) to implement a diabetes program for low-income Latino(a)s (N=59) with type 2 diabetes in a twophased approach, each 6-months. Methods. -Phase 1 (training, feasibility assessment): participants randomized to the diabetes program or usual care. CHW-instructors (CHW-Is) led the program, CHWs observed. -Phase 2 (mentoring): CHWs led the program, CHW-Is mentored. -The program included monthly group visits and weekly CHWs/CHWIs-participant telehealth contact. -Outcomes included baseline to 6-month clinical changes i.e., HbA1c, adherence to medications and six American Diabetes Association (ADA) guidelines, CHW pre/posttest scores, and hypoglycemia. Results. Significant outcomes included improved HbA1c levels, medication and ADA adherence, hypoglycemic events, and CHWs test scores.

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