Glob Heart. 2016 Dec 16. [Pubmed Abstract]
Khetan AK, Purushothaman R, Chami T, Hejjaji V, Madan Mohan SK, Josephson RA, Webel AR
Community health workers (CHW) may be effective in tackling the burden of cardiovascular diseases in low- and middle-income countries (LMIC). This review examines whether CHWs can improve the identification and control of cardiovascular risk factors in LMIC. We searched for studies that used CHW as a basis for cardiovascular risk factor management. Our search yielded 11 articles that targeted cardiovascular risk factor assessment, hypertension, diabetes, smoking, diet and physical activity. There were 4 randomized controlled trials, 3 quasi-experimental studies, 3 cross-sectional studies, and 1 retrospective analysis. Eight studies reported positive results with CHW being able to effectively screen for cardiovascular risk factors, decrease systolic blood pressure, decrease fasting blood glucose, increase quit rates of smoking, decrease…
Community-Based Peer Support Significantly Improves Metabolic Control of Type 2 Diabetes in Cameroon
Diabet Med. 2015 Feb 7. [Pubmed Abstract]
Community-based peer support significantly improves metabolic control in people with Type 2 diabetes in Yaoundé, Cameroon
Assah FK, Atanga EN, Enoru S, Sobngwi E, Mbanya JC
To examine the effectiveness of a community-based multilevel peer support intervention in addition to usual diabetes care on improving glycaemic levels, blood pressure and lipids in patients with Type 2 diabetes in Yaoundé, Cameroon.
A total of 96 subjects with poorly controlled Type 2 diabetes (intervention group) and 96 age- and sex-matched controls were recruited and followed up over 6 months. The intervention subjects underwent a peer support intervention through peer-led group meetings, personal encounters and telephone calls. Both intervention subjects and controls continued their usual clinical care. HbA1c , blood pressure, blood lipids and self-care behaviours were measured at 0 and 6 months.
There was significant…
A recent article by Thomas and Colleagues looked at the role pedometers and having a motivational buddy may have on fitness levels for Chinese adults aged 60 and over. As part of a 2 × 2 factorial design, 399 participants were assigned to have a pedometer, a buddy, a pedometer and a buddy or neither. While both a pedometer and a buddy increased physical activities levels, having a buddy also increased physical fitness including reduced body fat.
Medicine and Science in Sports and Exercise, June 2012 [Full abstract]