کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
2796142 | 1568795 | 2016 | 9 صفحه PDF | دانلود رایگان |
• No RCTs have tested psychosocial interventions delivered by community health workers for people with diabetes.
• We randomized Latinos with diabetes to diabetes education alone or diabetes education plus stress management.
• CHWs delivered both interventions.
• Stress management improved depression, anxiety, and self-reported health.
• Higher attendance at stress management was associated with greater decreases in A1c and diabetes distress.
• This study expands the role of CHWs in treating patients with diabetes.
AimsTo test the efficacy of a community health worker (CHW) delivered stress management (SM) intervention on psychosocial, glycemic, and cortisol outcomes among U.S. Latinos with type 2 diabetes.MethodsA randomized, controlled trial compared CHW-delivered diabetes education (DE; one group session) to DE plus CHW-delivered SM (DE + SM; 8 group sessions). Psychosocial variables and urinary cortisol were measured at baseline and posttreatment. HbA1c was measured at baseline, posttreatment, and 3-month follow-up.ResultsIn intent to treat analysis, compared to DE (n = 46), DE + SM (n = 61) showed significantly improved symptoms of depression, anxiety, and self-reported health status. There were no significant group effects for HbA1c, diabetes distress, or urinary cortisol. However, there was a dose response effect for HbA1c and diabetes distress; increasing attendance at SM sessions was associated with greater improvements in HbA1c and diabetes distress.ConclusionsThis is the first randomized, controlled trial demonstrating that CHWs can improve psychological symptoms and self-reported health among Latinos with type 2 diabetes. Efforts to increase intervention attendance may improve HbA1c and diabetes distress.
Journal: Diabetes Research and Clinical Practice - Volume 120, October 2016, Pages 162–170