141st APHA Annual Meeting

In This section

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 AM - 9:30 AM

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 , NYU School of Medicine, Center for the Study of Asian American Health, NYU Institute of Community Health and Research, New York, NY
Mamnunul Haq , Center for the Study of Asian American Health, NYU Institute of Community Health and Research, 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 , Center for the Study of Asian American Health, NYU Institute of Community Health and Research, NYU School of Medicine, New York, NY
Background: 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.

Purpose: To describe and present results from a diabetes management intervention adapted for the Bangladeshi community.

Methods: 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.

Results: 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.

Conclusions: 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

Keywords: 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.