Community health worker interventions for Latinos with type 2 diabetes: a systematic review of randomized controlled trials
Clinical & Population Health Research
Department of Quantitative Health Sciences; Division of Preventive and Behavioral Medicine, Department of Medicine; UMass Worcester Prevention Research Center
Community Health and Preventive Medicine | Endocrine System Diseases | Medicine and Health | Preventive Medicine
This systematic review aimed to synthesize glucose (HbA1c) outcomes of community health worker (CHW)-delivered interventions for Latinos with type 2 diabetes that were tested in randomized controlled trials and to summarize characteristics of the targeted populations and interventions, including the background, training, and supervision of the CHWs. Searches of PubMed and Google Scholar databases and references from selected articles identified 12 studies that met the inclusion criteria. Of these, seven reported statistically significant improvements in HbA1c. Study participants were largely low-income, female, and Spanish-speaking and had uncontrolled diabetes. The CHWs led the interventions alone, in pairs, or as part of a team. Interventions varied considerably in session time, duration, and number. Most met standards for tailored, high-intensity interventions and half were theory-based. Overall, methodological quality was good but there were inconsistencies in the reporting of key information. Future research should report in greater detail CHW background, training, and supervision; examine factors associated with intervention effectiveness; and provide data on cost and cost-effectiveness.
Community health worker, Randomized control trial, Type 2 diabetes, Hispanic, Culture, Literacy
DOI of Published Version
Little TV, Wang ML, Castro EM, Jimenez J, Rosal MC. Community health worker interventions for Latinos with type 2 diabetes: A systematic review of randomized controlled trials. Curr Diab Rep 2014;14:558. doi: 10.1007/s11892-014-0558-1.
Current diabetes reports
Little TV, Wang ML, Castro EM, Jiménez J, Rosal MC. (2014). Community health worker interventions for Latinos with type 2 diabetes: a systematic review of randomized controlled trials. GSBS Student Publications. https://doi.org/10.1007/s11892-014-0558-1. Retrieved from https://escholarship.umassmed.edu/gsbs_sp/1867