Evaluation of a multi-faceted diabetes care program including community-based peer educators in Takeo province, Cambodia, 2007-2013
PLoS One. 2017 Sep 25;12(9):e0181582. [Pubmed Abstract]
Taniguchi D, LoGerfo J, van Pelt M, Mielcarek B, Huster K, Haider M, Thomas B
Early detection and treatment for diabetes are essential for reducing disability and death from the disease. Finding effective screening and treatment for individuals living with diabetes in resource-limited countries is a challenge. MoPoTsyo, a Cambodian non-governmental organization, addressed this gap by utilizing a multi-pronged approach with community-based peer educators, access to laboratory procedures, local outpatient medical consultation, and a revolving drug fund. This study evaluated outcomes of MoPoTsyo’s diabetes program in Takeo Province by assessing glycemic and blood pressure outcomes for individuals diagnosed with diabetes over a 24-month follow-up period between 2007-2013.
This is a retrospective cohort analysis of records without a comparison group. We calculated the mean fasting blood glucose (FBG)…
RCT of a CHW Self-Management Support Intervention Among Low-Income Adults With Diabetes, Seattle, Washington, 2010-2014
Prev Chronic Dis. 2017 Feb 9;14:E15. [Pubmed Abstract]
Nelson K, Taylor L, Silverman J, Kiefer M, Hebert P, Lessler D, Krieger J
Community health workers (CHWs) can improve diabetes outcomes; however, questions remain about translating research findings into practical low-intensity models for safety-net providers. We tested the effectiveness of a home-based low-intensity CHW intervention for improving health outcomes among low-income adults with diabetes.
Low-income patients with glycated hemoglobin A1c (HbA1c) of 8.0% or higher in the 12 months before enrollment from 3 safety-net providers were randomized to a 12-month CHW-delivered diabetes self-management intervention or usual care. CHWs were based at a local health department. The primary outcome was change in HbA1c from baseline enrollment to 12 months; secondary outcomes included blood pressure and lipid levels, quality of life, and health care use.
The change in HbA1c in the…
Effectiveness of Peer Support for Improving Glycaemic Control in Patients with Type 2 diabetes: Meta-Analysis of RCTs
BMC Public Health. 2015 May 6;15(1):471. [Pubmed Abstract]
Effectiveness of Peer Support for Improving Glycaemic Control in Patients with Type 2 Diabetes: A Meta-analysis of Randomized Controlled Trials
Qi L, Liu Q, Qi X, Wu N, Tang W, Xiong H
To assess the effects of peer support at improving glycemic control in patients with type 2 diabetes.
Relevant electronic databases were sought for this investigation up to Dec 2014. Randomized controlled trials involving patients with type 2 diabetes that evaluated the effect of peer support on glycated hemoglobin (HbA1c) concentrations were included. The pooled mean differences (MD) between intervention and control groups with 95% confidence interval (CI) were calculated using random-effects model. The Cochrane Collaboration’s tool was used to assess the risk of bias.
Thirteen randomized controlled trials met the inclusion criteria. Peer support resulted in a significant reduction in HbA1c (MD -0.57…