Accelerating Best Practices in Peer Support Around the World

MATCH: An RCT of a CHW Intervention for Mexican Americans with Diabetes

Am J Public Health. 2014 Aug;104(8):1540-8. [Pubmed Abstract]

Mexican American trial of community health workers: a randomized controlled trial of a community health worker intervention for Mexican Americans with type 2 diabetes mellitus
Rothschild SK, Martin MA, Swider SM, Tumialán Lynas CM, Janssen I, Avery EF, Powell LH

We assessed whether community health workers (CHWs) could improve glycemic control among Mexican Americans with diabetes.

We recruited 144 Mexican Americans with type 2 diabetes between January 2006 and September 2008 into the single-blinded, randomized controlled Mexican American Trial of Community Health Workers (MATCH) and followed them for 2 years. Participants were assigned to either a CHW intervention, delivering self-management training through 36 home visits over 2 years, or a bilingual control newsletter delivering the same information on the same schedule.

Intervention participants showed significantly lower hemoglobin A1c levels than control participants at both year 1 Δ = -0.55; P = .021) and year 2 (Δ = -0.69; P = .005). We observed no effect on blood pressure control, glucose self-monitoring, or adherence to medications or diet. Intervention participants increased physical activity from a mean of 1.63 days per week at baseline to 2.64 days per week after 2 years.

A self-management intervention delivered by CHWs resulted in sustained improvements in glycemic control over 2 years among Mexican Americans with diabetes. MATCH adds to the growing body of evidence supporting the use of CHWs to reduce diabetes-related health disparities.

/ Leave a Comment /

Your email address will not be published. Required fields are marked *


e-Newsletter Signup
Thank you!

You have successfully subscribed to the Peers for Progress Newsletter.

To unsubscribe, click the unsubscribe link at the bottom of any e-Newsletter email.

Sorry, there was a problem.

We're sorry but there was a problem processesing your submission. Please try submitting again. If the problem persists, please contact us.

Please use this form to be added to the Peers for Progress e-Newsletter mailing list. Be the first to receive the latest news and resources on program development, state-of-the-art research, and networking opportunities.

Previous newsletters may be found at News & Events > Peers for Progress Newsletters.