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Community-Based Diabetes Education for Latinos: the Diabetes Empowerment Education Program

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Title: Community-Based Diabetes Education for Latinos: the Diabetes Empowerment Education Program
Author(s): Castillo, Amparo; Giachello, Aida; Bates, Robin; Concha, Jeannie; Ramirez, Vanessa; Sanchez, Carlos; Pinsker, Eve; Arrom, Jose
Subject(s): self managament education health workers disparities
Abstract: Purpose: The purpose of this study was to conduct a diabetes education program delivered by community health workers in community settings; and evaluate its effectiveness in improving glycemic control and self-management skills in Hispanic/Latinos with type 2 diabetes. Methods: Trained community health workers recruited Hispanic/Latino community residents with self-reported type 2 diabetes, implemented intervention in non-clinical 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 post-intervention data. Results: Seventy participants enrolled, and 47 completed pre- 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 program. Conclusions: A diabetes self-management education program for Hispanic/Latinos led by CHWs can be implemented in community settings, and may effectively improve behavioral skills and glycemic control.
Issue Date: 2010-07
Publisher: SAGE Publications
Citation Info: Castillo, A., Giachello, A., Bates, R., Concha, J., Ramirez, V., Sanchez, C., Pinsker, E., & Arrom, J. 2010. Community-Based Diabetes Education for Latinos: the Diabetes Empowerment Education Program. Diabetes Educator, 36(4): 586-594. DOI: 10.1177/0145721710371524
Type: Article
Description: © 2010 by SAGE Publications, Diabetes Educator. Post print version of article may differ from published version. The definitive version is available through SAGE Publications at DOI: 10.1177/0145721710371524.
ISSN: 0145-7217
Sponsor: This project was funded by USDHHS/CDC, grant U50/CCU517388-01 from the Centers for Disease Control and Prevention to Dr. Giachello from 10/01/02 to 09/30/09. Bayer Pharmaceuticals provided glucose meters and strips through an educational grant to the Chicago Southeast Diabetes Community Action Coalition.
Date Available in INDIGO: 2012-03-09

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