288937
A randomized control-trial community health worker intervention to improve diabetes management in the New York City Bangladeshi community
Monday, November 4, 2013
: 9:10 a.m. - 9:30 a.m.
Lindsey Riley, MPH,
NYU School of Medicine, Center for the Study of Asian American Health, New York, NY
Gulnahar Alam,
Center for the Study of Asian American Health, NYU Institute of Community Health and Research, NYU School of Medicine, New York, NY
MD Taher, MPH,
Department of Population Health, NYU School of Medicine, New York, NY
Mamnunul Haq,
Department of Population Health, NYU School of Medicine, New York, NY
Laura Wyatt, MPH,
Center for the Study of Asian American Health, Institute of Community Health and Research, NYU School of Medicine, New York, NY
Darius Tandon, PhD,
Department of Pediatrics & Department of Population, Family, & Reproductive Health, Johns Hopkins University School of Medicine, Baltimore, MD
Michael Tanner, MD,
Center for the Study of Asian American Health, NYU Institute of Community Health and Research, DREAM Project Coalition, New York, NY
Purnima Naik, MD,
NYU School of Medicine, Center for the Study of Asian American Health, NYU Institute of Community Health and Research, DREAM Project Coalition, New York, NY
Shahnaz Yousuf,
NYU School of Medicine, Center for the Study of Asian American Health, NYU Institute of Community Health and Research, DREAM Project Coalition, New York, NY
Runi Mukherji-Ratnam, PhD,
NYU School of Medicine, Center for the Study of Asian American Health, NYU Institute of Community Health and Research, DREAM Project Coalition, New York, NY
Mariano Rey, MD,
Center for the Study of Asian American Health, NYU Institute of Community Health and Research, New York University School of Medicine, New York, NY
Chau Trinh-Shevrin, DrPH,
Center for the Study of Asian American Health, Institute of Community Health and Research, NYU School of Medicine, New York, NY
Nadia Islam, PhD,
Department of Population Health, NYU School of Medicine, New York, NY
High rates of diabetes among Bangladeshi immigrants in the U.S. and U.K. have been documented. However, few culturally- and linguistically-tailored health interventions have been implemented in this community. Findings are reported from a CDC- & NIH-funded community health worker (CHW) intervention designed to improve diabetic management among Bangladeshis in New York City. The purpose is to describe and present results from a diabetes management intervention adapted for the Bangladeshi community. Participants were recruited from clinic-based settings and randomized to either treatment or control group. Treatment participants received 5 group educational seminars and 2 one-on-one visits from a CHW over a 6-month period. Control participants received an introductory seminar only. Preliminary results include changes from baseline to 6-months for two cohorts. In the treatment group (n=47), recommended physical activity levels increased from 17% to 55% (p<.001), and portion control behaviors increased from 53% to 79% (p<.05). Additionally, significant reductions in mean weight and BMI were demonstrated (p<0.05). In the control group (n=37), no significant changes were demonstrated in the areas of physical activity, nutritional behaviors, or self-efficacy between baseline and follow-up. Retention rates were high; 77% of participants completed the full intervention (6% lost to follow-up). Final analysis will include four cohorts and 12-month follow-up data. Significant improvements were demonstrated in the treatment group in several areas relevant to diabetes control. Findings suggest that a CHW intervention in this community can be effective. Results from two additional cohorts and 12-month follow-up data are forthcoming.
Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Program planning
Public health or related research
Learning Objectives:
Evaluate findings from a CHW intervention adapted for use in the Bangladeshi community.
Describe how to implement a CHW intervention designed to improve diabetic control and management.
Keyword(s): Diabetes, Community Health Promoters
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I have been the Project Coordinator for the presented research for the last several years, and have a strong understanding of community-based participatory research methods, as well as program planning and evaluation strategies. My training and background is in Public Health, with a focus and special interest in community health programming.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
