CHW Central

A global resource for and about Community Health Workers

Diabetes

Generalizing from qualitative data a case example using critical realist thematic analysis and mechanism mapping to evaluate a community health worker-led screening program in India

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This study highlights how qualitative data and mechanism maps can improve the understanding of why health programs succeed or fail. Using a community health worker (CHW)-led gestational diabetes (GDM) screening program in Pune, India, as an example, researchers identified factors that increased screening uptake, such as CHWs' support and education efforts. However, treatment … [Read more...] about Generalizing from qualitative data a case example using critical realist thematic analysis and mechanism mapping to evaluate a community health worker-led screening program in India

Health economic evaluation alongside randomised clinical trial of a health behaviour intervention to manage type 2 diabetes in Nepal

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Managing type 2 diabetes through community-based health behavior interventions in Nepal is cost-effective. This study compared a program led by community health workers with usual care for 6 months. The intervention, including training, phone support, and peer guidance, showed better health outcomes at a low cost. It provided good value for money and had an 89.6% chance of … [Read more...] about Health economic evaluation alongside randomised clinical trial of a health behaviour intervention to manage type 2 diabetes in Nepal

Effectiveness of A Culturally Adapted Family Model of Diabetes Self-Management Education and Support among Marshallese Pacific Islanders Delivered in a Group Format in Churches

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This study tested a diabetes education program tailored for Marshallese Pacific Islanders, delivered by community health workers in churches. Over 12 weeks, participants with type 2 diabetes saw significant improvements in blood sugar levels (HbA1c) and slight weight loss (BMI). The results highlight the program's effectiveness and support using family-focused approaches to … [Read more...] about Effectiveness of A Culturally Adapted Family Model of Diabetes Self-Management Education and Support among Marshallese Pacific Islanders Delivered in a Group Format in Churches

Promotore-Led Versus Registered Nurse-Led Diabetes Self-Management Education in Mexican Americans: A Randomized Clinical Trial

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This study compared the effectiveness of a diabetes self-management program led by either registered nurses (RNs) or community health workers (promotores) for Spanish-speaking Mexican Americans with type 2 diabetes (T2DM). Both groups showed similar improvements in diabetes self-care behaviors over time, with no significant differences between them. The findings suggest that … [Read more...] about Promotore-Led Versus Registered Nurse-Led Diabetes Self-Management Education in Mexican Americans: A Randomized Clinical Trial

Footcare Intervention Delivered by Community Health Workers: A Modified Delphi Study

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Studies show that community health workers (CHWs) can deliver footcare interventions (FCIs) as part of diabetes care in high-resource countries, but more evidence is needed for low-resource settings. This study aimed to refine the key components of footcare interventions for CHWs (FIne-CHWs) to support type 2 diabetes patients in Indonesia. Through a Delphi process with 22 … [Read more...] about Footcare Intervention Delivered by Community Health Workers: A Modified Delphi Study