Community Health Workers Versus Nurses as Counselors or Case Managers in a Self-Help Diabetes Management Program.

• Autores: Kim B. Kim, Miyong Kim, Hochang B. Lee, Tam Nguyen, Lee Bone, David M. Levine
• Localización: American journal of public health, ISSN 0090-0036, Vol. 106, Nº. 6, 2016, págs. 1052-1058
• Idioma: inglés
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• Resumen

  • Objectives. To confirm the effectiveness of community health workers’ involvement as counselors or case managers in a self-help diabetes management program in 2009 to 2014. Methods. Our open-label, randomized controlled trial determined the effectiveness of a self-help intervention among Korean Americans aged 35 to 80 years in the Baltimore-Washington metropolitan area with uncontrolled type 2 diabetes. We measured and analyzed physiological and psychobehavioral health outcomes of the community health worker–counseled (n = 54) and registered nurse (RN)–counseled (n = 51) intervention groups in comparison with the control group (n = 104). Results. The community health workers’ performance was comparable to that of the RNs for both psychobehavioral outcomes (e.g., self-efficacy, quality of life) and physiological outcomes. The community health worker–counseled group showed hemoglobin A1C reductions from baseline (–1.2%, –1.5%, –1.3%, and –1.6%, at months 3, 6, 9, and 12, respectively), all of which were greater than reductions in the RN-counseled (–0.7%, –0.9%, –0.9%, and –1.0%) or the control (–0.5%, –0.5%, –0.6%, and –0.7%) groups. Conclusions. Community health workers performed as well as or better than nurses as counselors or case managers in a self-help diabetes management program in a Korean American community. [ABSTRACT FROM AUTHOR]