This research was designed to evaluate the effect of a culturally sensitive diabetes self-management education program that uses a low-cost, peer-educator format (Project Dulce) on glucose control and metabolic parameters in low-income Mexican Americans with type 2 diabetes. This randomized trial, using the Project Dulce model of culturally sensitive, peer-led education, … [Read more...] about Peer-led diabetes education programs in high-risk Mexican Americans improve glycemic control compared with standard approaches: a Project Dulce promotora randomized trial.
Chronic conditions
New direction for enhancing quality in diabetes care: utilizing telecommunications and paraprofessional outreach workers backed by an expert medical team.
This article assesses the value of using telecommunications with Promotoras (paraprofessional outreach workers) and an expert medical team of registered nurses (RNs) and endocrinologists in an at-risk type 2 diabetic Hispanic population recruited for a telemedicine feasibility project from a free clinic. A Promotoras is the primary educator and the point of communication to … [Read more...] about New direction for enhancing quality in diabetes care: utilizing telecommunications and paraprofessional outreach workers backed by an expert medical team.
Reducing home triggers for asthma: the Latino community health worker approach.
This study assessed the ability of a community health worker asthma intervention to change home asthma triggers. A total of 56 children and 47 adults with asthma were enrolled. Every home visit was associated with a 0.32 reduction in home trigger score (p < 0.01) for children and a 0.41 reduction (p < 0.01) for adults. This intervention shows promise as a way to reduce … [Read more...] about Reducing home triggers for asthma: the Latino community health worker approach.
Linking community-based blood pressure measurement to clinical care: a randomized controlled trial of outreach and tracking by community health workers.
This study assessed the effectiveness of enhanced tracking and follow-up services provided by community health workers in promoting medical follow-up of persons whose elevated blood pressures were detected during blood pressure measurement at urban community sites. The primary outcome measure was completion of a medical follow-up visit within 90 days of referral. Results showed … [Read more...] about Linking community-based blood pressure measurement to clinical care: a randomized controlled trial of outreach and tracking by community health workers.
The impact of lay health advisors on cardiovascular health promotion: using a community-based participatory approach.
Overweight and obesity, lack of exercise, and exposure to tobacco smoke are clearly identified behavioral risk factors for cardiovascular disease. These problems disproportionately affect some communities. To address these problems within one community of underserved Latinos, participatory research methods were used to design an outreach program. Latina lay health advisors … [Read more...] about The impact of lay health advisors on cardiovascular health promotion: using a community-based participatory approach.
