diabetes management: interventions engaging community health workers

OR OR PROMOTORA OR PROMOTORAS OR EMBAJADOR OR EMBAJADORES OR CONSEJERA OR CONSEJERAS OR VOLUNTEER? Diabetes Care 1987;10(5):579-83. OR STROKE OR STROKES OR HEART()FAILURE OR CEREBROVASCULAR()DISEASE? Evidence and lessons from these interventions can be useful for Low- and Middle … OBJECTIVE —To identify and synthesize evidence about the effectiveness of patient, provider, and health system interventions to improve diabetes care among socially disadvantaged populations. In the 27 team studies, the other team members were most often physicians (19 studies), nurses (15 studies), or registered dietitians (12 studies). S2 HYPERTENSION OR BLOOD()PRESSURE OR CHOLESTEROL OR DIABETES OR OBESITY OR PHYSICAL()ACTIVITY OR TOBACCO OR NUTRITION OR DIET OR ALCOHOL OR ASPIRIN OR ADHERENCE OR COMPREHENSIVE()CVD()RISK()REDUCTION? hypertension or blood pressure or cholesterol* or hypercholesterol* or diabet* or obes* or exercise or physical activit* or tobacco or smoking or smoker* or nutrition* or diet* or alcohol* or aspirin or adhere* or cvd or cardiovascular or chronic, S4 "team-based care" OR "integrated care" OR "coordinated care" OR "collaborative care" OR "primary care team" OR "primary care teams" OR navigator* OR liaison* OR screening* OR education* OR outreach* OR "home visit" OR "home visits" OR "home visiting" OR enroll* OR "community organizer" OR "community development" OR "health advocacy" OR "counseling" OR "self-management" OR "health behavior change" OR "behavior changes" OR "changed behavior" OR "changing behavior" OR "changed behaviors" OR "changing behaviors" OR "lifestyle modification" OR "lifestyle modifications" OR "modified lifestyle" OR "modified lifestyles", S3 "hypertension" OR "blood pressure" OR cholesterol* OR "diabetes" OR diabetic* OR "obese" OR "obesity" OR "physical activity" OR "tobacco" OR "nutrition" OR "diet" OR "diets" OR "dieting" OR alcohol* OR "aspirin" OR adher* OR "cardiovascular disease" or "cardiovascular diseases" or "comprehensive CVD risk reduction" OR "comprehensive cardiovascular disease risk reduction" OR "chronic disease" OR "chronic diseases", S2 "Outcome Assessment Health Care" OR "Treatment Outcome" OR "Outcome and Process Assessment Health Care" OR "Fatal Outcome" OR "effectiveness" OR "effective" OR "evaluation" OR "evaluations", S1 "community health worker" OR "community health workers" OR "health advisor" OR "health advisors" OR "health worker" AND "health workers" OR "health advocate" OR "health advocates" OR "health paraprofessional" OR "health paraprofessionals" OR "community health representative" OR "community health representatives" OR "outreach worker" OR "outreach workers" OR "lay health worker" OR "lay health workers" OR "patient navigator" OR "patient navigators" OR promotora OR promotoras OR embajadores OR "embajadoras" OR "embajador" OR consejera OR consejeras, "community health workers" +cardiovascular. OR HEALTH()WORKER? Summary of Community Preventive Services Task Force Recommendation. OR COMMUNITY()VOLUNTEER? S1 COMMUNITY()HEALTH()WORKER? The 2013 ruling by the Centers for Medicaid and Medicaid Services (CMS) allows states to provide Medicaid reimbursement for preventive services recommended by the U.S. Preventive Services Task Force. Economic evaluation of Indigenous health worker management of poorly controlled type 2 diabetes in north Queensland. No content is available for this section. Available at URL: https://sph.uth.edu/dotAsset/55d79410-46d3-4988-a0c2-94876da1e08d.pdf [cited 8-15-17], U.S. Department of Health and Human Services, Health Resources Services Administration (HRSA), Bureau of Health Professions. ? Annals of Pharmacotherapy 2005;39(5):817-22. Interventions Engaging . Community Preventive Services Task Force Finding 21 Diabetes Management: Interventions Engaging Community Health Workers 22 A health department (i.e., central organization) may provide greater efficiency and coordination when working with smaller systems and clinics (Nelson et al., 2017). These interventions have been shown to improve patients’ glycemic and lipid control and reduce their healthcare use. Palmas W, Findley SE, Mejia M, Batista M, Teresi J, et al. OR ANGINA, “Community Health Workers” hypertension, “Community Health Workers” “cardiovascular disease”, Mason T, Rush C, Wilkinson G. Community health workers: orientation for state health departments: 2016 ASTHO state technical assistance presentation. Brown SA, Garcia AA, Kouzekanani K, Hanis CL. Cost-effectiveness of community health workers in controlling diabetes epidemic on the US–Mexico border. Mean fasting blood glucose: median decrease of 29.5 mg/dL (6 studies; median duration: 12 months). Gary TL, Batts-Turner M, Yeh HC, Hill-Briggs F, Bone LR, et al. ? States are addressing reimbursement challenges through referral systems that use bidirectional linkages, feedback loops that facilitate communication between referring providers and those delivering services, and educational programs that aim to raise awareness. Aligned to this is a growing use of community health workers (CHWs) to deliver T2DM self-management support with good clinical outcomes especially in High Income Countries (HIC). American Journal of Public Health 2005;95(9):1552-60. For example, community health workers might teach patients how to plan healthy meals to improve glucose levels, or how to use a medication diary to track adherence (38 studies). Economic evidence indicates that interventions engaging community health workers for diabetes management are cost-effective. Community health workers deliver individual or group education on diabetes self-management, provide adherence support for medications, and monitor patients’ blood pressure as recommended by the American Diabetes Association. O'Hare JP, Raymond NT, Mughal S, Dodd L, Hanif W, et al. Impact of a community health workers–led structured program on blood glucose control among Latinos with type 2 diabetes: the DIALBEST trial. ? Additional research and evaluation could help answer the following questions and fill remaining gaps in the evidence base. ? ? Sample Citation: According to the Community Health Workers in Diabetes Management and PreventionAADE Practice Synopsis, CHWs’ education activities should be conducted under the direction of a qualified diabetes healthcare professional, such as a diabetes educator, who has training and expertise in areas relative to direct care and ongoing support services. Services must be “recommended by a physician or other licensed practitioner,” and they must be delivered by health professionals, which may include community health workers. OR AIDE? Background Globally the number of people with Type 2 diabetes mellitus (T2DM) has risen significantly over the last few decades. DIABETES OR OBESITY OR PHYSICAL()ACTIVITY OR TOBACCO OR OR COMMUNITY()HEALTH()AIDE? Diabetes Management: Interventions Engaging Community Health Workers. Tang TS, Funnell M, Sinco B, et al. Healthy People 2020 includes the following objectives related to this CPSTF recommendation. Diabetes Care 2005;28(3):527-32. Diabetes Management: Interventions Engaging Community Health Workers External This web page provides information and supporting materials for the Community Preventive Services Task Force recommendation about interventions engaging CHWs to manage diabetes. HEALTH()ADVOCATE? diabetes) and improve health outcomes. ? Community-based diabetes education for Latinos The Diabetes Empowerment Education Program. Interventions engaging community health workers are cost effective for cardiovascular disease prevention and type 2 diabetes management, based on a conservative $50,000 benchmark for cost per quality-adjusted life year gained. 2019;56(3):e95-e106. ? OR AIDE? S1 COMMUNITY()HEALTH()WORKER? Economic evidence indicates these interventions are cost-effective. ? ? Brown SA, Blozis SA, Kouzekanani K, Garcia AA, Winchell M, Hanis CL. PEER()HEALTH()PROMOTER? Grace SM, Rich J, Chin W, Rodriguez HP. OR HEALTH()VOLUNTEER? Page accessed: December 8, 2020. Three studies evaluated the incremental effectiveness of adding community health workers to diabetes management interventions and reported improvements in glycemic control (1 study) and blood pressure (2 studies). Community health workers may be a member of a team or implement interventions alone. Engaging Community Health Workers to Prevent and Manage Disease, Including Community Health Workers in Health Care Settings: A Checklist for Public Health Practitioners, Diabetes, Objective 2 (D-2): (Developmental) Reduce the death rate among persons with diabetes, Diabetes, Objective 3 (D-3): Reduce the diabetes death rate, Diabetes, Objective 5 (D-5): Improve glycemic control among persons with diabetes, Diabetes, Objective 6 (D-6): Improve lipid control among persons with diagnosed diabetes, The Guide to Community Preventive Services. The analytic framework often includes intermediate outcomes, potential effect modifiers, potential harms, and potential additional benefits. ? COMMUNITY()HEALTH()REPRESENTATIVE? Results were mixed for cardiovascular disease risk factors and weight-related outcomes. Community-based exercise intervention: Zuni diabetes project. OR LAY()HEALTH()ADVISOR? Diabetes Educator 2007;33(Supplement 6):159S-65S. Community health workers may work alone or as part of an intervention team comprised of clinicians, counselors, or other health professionals (e.g., nutritionists, exercise physiologists). Recommended interventions include education, coaching, or social support to improve diabetes testing and monitoring, medication adherence, diet, physical activity, or weight management. Diabetes Research and Clinical Practice 2013;100(1):19-28. Interventions include education, coaching, or social support to improve diabetes testing and monitoring, medication adherence, diet, physical activity, or weight management. BMC Health Services Research 2012;12(1):22. As people who are trusted members of your communities or have a close understanding of the communities you serve, you are critical partners in helping us to support people with and at risk for diabetes. 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