A Culturally Tailored Community Health Worker Intervention Leads to Improvement in Patient-Centered Outcomes for Immigrant Patients With Type 2 Diabetes

Nadia S Islam, Laura C Wyatt, M D Taher, Lindsey Riley, S Darius Tandon, Michael Tanner, B Runi Mukherji, Chau Trinh-Shevrin, Nadia S Islam, Laura C Wyatt, M D Taher, Lindsey Riley, S Darius Tandon, Michael Tanner, B Runi Mukherji, Chau Trinh-Shevrin

Abstract

IN BRIEF This article reports results from a patient-centered intervention to improve management of type 2 diabetes in the New York City Bangladeshi community. The DREAM (Diabetes Research, Education, and Action for Minorities) intervention is a randomized trial among Bangladeshi immigrants with type 2 diabetes comparing those enrolled in a community health worker (CHW) intervention to those in usual care. Participants in the intervention group received five group-based educational sessions and two one-on-one visits delivered by a trained CHW, whereas those in the control group received only the first group educational session. Main outcomes include changes in A1C, systolic and diastolic blood pressure, cholesterol, triglycerides, weight, BMI, and patient-centered outcomes such as knowledge and behavior related to type 2 diabetes management.

Figures

FIGURE 1.
FIGURE 1.
DREAM Program consort diagram.
FIGURE 2.
FIGURE 2.
Proportion of study participants in intervention and control groups who decreased A1C at study follow-up.
FIGURE 3.
FIGURE 3.
Proportion of study participants in intervention and control groups who achieved A1C control at study follow-up.

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Source: PubMed

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