There was a 26 percentage point decrease in the number of visits (p<0.05; 1 study), The rate of visits was reduced by 44% (95% CI: -67% to -4%; 1 study), There were 0.18 fewer visits (p=0.02; 1 study). These interventions have been shown to improve patients’ glycemic and lipid control and reduce their healthcare use. The databases searched were: CINAHL, Cochrane, the Centre for Reviews and Dissemination (CRD-York), EconLit, Google Scholar, NTIS, PubMed, Sociological Abstracts, SSRN, and WorldCat. In the 27 team studies, the other team members were most often physicians (19 studies), nurses (15 studies), or registered dietitians (12 studies). In 17 of the included studies, community health workers were used in team-based care. Welcome community health workers (CHWs), promotores de salud, community health representatives, peer health educators and other frontline public health workers! NUTRITION OR DIET OR ALCOHOL OR ASPIRIN OR ADHERENCE OR ? Castillo A, Giachello A, Bates R, Concha J, Ramirez V, et al. The rate of visits was reduced by 5% (95% CI: -45% to 66%; 1 study), There were 0.45 more visits (p=0.02; 1 study). Hispanics ar… IN BRIEF This article reports results from a patient-centered intervention to improve management of type 2 diabetes in the New York City Bangladeshi community. Diabetes Management : Interventions Engaging Community Health Workers Community Preventive Services Task Force Finding and Rationale Statement Ratified April 2017 ... Randomized Controlled Trial of a Community Health Worker Self-Management Support Intervention Among Low-Income Adults With Diabetes, Seattle, Washington, 2010–2014. OR HEALTH()PARAPROFESSIONAL? 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. OR PROMOTORA OR PROMOTORAS OR The Community Guide [Internet]. Community health workers are typically matched to the populations they serve (i.e., location, race or ethnicity, language or disease status). Community health workers could improve patients’ access to insurance or prepare them for healthcare visits (9 studies). Improvements were seen for self-reported lifestyle changes (i.e. Tang TS, Funnell M, Sinco B, et al. OR HEART()DISEASE? Cost-effectiveness of diabetes case management for low-income populations. ? Diabetes Management: Interventions Engaging Community Health Workers. CHRONIC()DISEASE? 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 Communication and Health Information Technology, American Indian and Alaska Native Resources, PHAB (Public Health Accreditation Board) Crosswalk, Community Preventive Services Task Force (CPSTF), Community Health Workers Help Patients Manage Diabetes, Interventions Engaging Community Health Workers to Manage Diabetes, Interventions Engaging Community Health Workers, Physical Activity: Built Environment Approaches Combining Transportation System Interventions with Land Use and Environmental Design, Mental Health: Collaborative Care for the Management of Depressive Disorders. Interventions engaging community health workers for diabetes management aim to improve diabetes care and self-management behaviors among patients through education, coaching, or social support to improve diabetes testing and monitoring, medication adherence, diet, physical activity, or weight management. Segal L, Nguyen H, Schmidt B, et al. OR PEER()VOLUNTEER? Available at URL: http://www.astho.org/Community-Health-Workers/CHW-Orientation-Presentation-Slides/ [cited 8-15-17], C3 Project. Spanish diabetes self-management with and without automated telephone reinforcement. OR HEALTH()WORKER? Diabetes Educator 2007;33(Supplement 6):159S-65S. CoDE: community diabetes education for uninsured Mexican Americans. Community health workers partner with patients and licensed providers, such as physicians and nurses, to improve coordinated care and support for patients. Brown SA, Blozis SA, Kouzekanani K, Garcia AA, Winchell M, Hanis CL. Thompson JR, Horton C, Flores C. Advancing diabetes self-management in the Mexican American population a community health worker model in a primary care setting. Results from a systematic review of economic evaluations of CHW interventions aimed at improving child health outcomes, indicate prevention of severe anemia and malaria in infants to be cost-effective compared to standard case management. Beckham S, Bradley S, Washburn A, Taumua T. Diabetes management: utilizing community health workers in a Hawaiian/Samoan population. Cost-effectiveness of community health workers in controlling diabetes epidemic on the US–Mexico border. Family Practice 2016;33(5):523-8. Gilmer TP, Philis-Tsimikas A, Walker C. Outcomes of Project Dulce: a culturally specific diabetes management program. Screening and health education. OR PEER()HEALTH()PROMOTER? S1 COMMUNITY()HEALTH()WORKER? ? American Journal of Preventive Medicine. Mean fasting blood glucose: median decrease of 29.5 mg/dL (6 studies; median duration: 12 months). ? Ratanawongsa N, Handley MA, Quan J, Sarkar U, Pfeifer K, et al. OR AIDE? 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. Palmas W, Findley SE, Mejia M, Batista M, Teresi J, et al. The Community health worker core consensus (C3) project: 2016 recommendations on CHW roles, skills, and qualities. Patient navigation. ? History & Development of Healthy People 2020, U.S. Department of Health and Human Services. community health worker* or community health aide* or health advisor* or health worker* or health advocate* or health paraprofessional* or community health representative* or outreach worker* or lay health worker* or patient navigator* or promotora* or embajador* or consejer*, Any Field Evidence and lessons from these interventions can be useful for Low- and Middle … Diabetes and Vascular Disease Research 2014;11(4):294-7. Archives of Internal Medicine 2009;169(19):1788-94. Heisler M, Choi H, Palmisano G, Mase R, Richardson C, et al. Community organizers. 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. ? Ryabov I. Philis-Tsimikas A, Walker C, Rivard L, Talavera G, Reimann JO, et al. COMMUNITY()CARE()COORDINATOR? Included studies had the greatest suitability of design (individual randomized control trials [15 studies], group randomized controlled trials [5 studies], before-after with a comparison group [5 studies], other design with concurrent comparison groups [5 studies]); moderate suitability of design (retrospective cohort [1 study]); and least suitability of design (before-after without a comparison group [13 studies]). U.S. Department of Health and Human Services. No content is available for this section. A health department (i.e., central organization) may provide greater efficiency and coordination when working with smaller systems and clinics (Nelson et al., 2017). diabetes) and improve health … Many states, however, are establishing laws, regulations, and statutes to guide these processes (Mason et al., 2016). In the included studies, CHWs served adults ages 18–64 years old (32 studies), older adults ages 65 years and older (1 study), adults 18 years and older (3 studies), or patients of all ages (3 studies); 5 studies did not report this information. ? Diabetes Care 2002;25(2):259-68. Diabetes Care 2011;34(4):838-44. Quality in Primary Care 2010;18(6):363-72. 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. Diabetes Educator 2007;33(Supplement 6):166S-71S. Diabetes Care 2002;25(9):1576-83. COVID-19 is a rapidly evolving situation. Page accessed: December 8, 2020. EMBAJADOR OR EMBAJADORES OR CONSEJERA OR CONSEJERAS OR VOLUNTEER? One study reported a mean decrease of 1.85% in A1c among participants whose baseline A1c was 9% or higher (p<0.001). Diabetes Educator 2009;35(3):439-54. OR COMMUNITY()VOLUNTEER? ? Patients’ glycemic control was the same when community health workers implemented interventions alone or were engaged in team-based care (-0.6% A1c for both), Greater changes in blood pressure were seen among patients when community health workers were used in, Interventions that engaged community health workers in team-based care decreased systolic blood pressure by 2.6 mmHg and diastolic blood pressure by 3.0 mmHg (10 studies), Interventions that used community health workers alone increased systolic blood pressure by 2.2 mmHg and diastolic blood pressure by 1.4 mmHg (12 studies). ? ? ? Community health workers reach out to individuals and families who are eligible for medical services, help them apply for these services, and provide them with proactive follow-up and monitoring, such as appointment reminders and home visits. ? 2019;56(3):e95-e106. Intervention: Hi, your search found this article for you on Trip: Diabetes Prevention: Interventions Engaging Community Health Workers. OR PEER()HEALTH()WORKER? How effective are interventions among younger and older adult populations? ? Economic evaluation of Indigenous health worker management of poorly controlled type 2 diabetes in north Queensland. Diabetes Educator 2010;36(4):586-94. In: Baylor University Medical Center Proceedings; 2007: Baylor University Medical Center. ? Health Services Research 2007;42(5):1943-59. Population-based approaches, such as involvement of lay health workers offering culturally appropriate diabetes health promotion, may be the blueprint for the management of type 2 diabetes. Type 2 diabetes is one of the fastest emerging chronic diseases in low- and middle-income countries. Search Strategy: ("Hypertension"[Mesh] OR "Blood Pressure"[Mesh] OR "Hypercholesterolemia"[Mesh] OR "Cholesterol"[Mesh] OR "Diabetes Mellitus"[Mesh] OR "Diabetes Complications"[Mesh] OR "Obesity"[Mesh] OR "Tobacco Use Cessation Products"[Mesh] OR "Tobacco"[Mesh] OR "Tobacco Products"[Mesh] OR "Tobacco Use Cessation"[Mesh] OR "Tobacco, Smokeless"[Mesh] OR "Tobacco Use Disorder"[Mesh] OR "Tobacco Smoke Pollution"[Mesh] OR "Smoking"[Mesh] OR "Nutrition Policy"[Mesh] OR "Nutrition Therapy"[Mesh] OR "Nutritional Status"[Mesh] OR "Nutritional Sciences"[Mesh] OR "Elder Nutritional Physiological Phenomena"[Mesh] OR "Diet"[Mesh] OR "Alcohol Drinking"[Mesh] OR "Alcoholic Beverages"[Mesh] OR "Alcoholism"[Mesh] OR "Ethanol"[Mesh] OR "Aspirin"[Mesh] OR "Guideline Adherence"[Mesh] OR "Medication Adherence"[Mesh] OR "Patient Compliance"[Mesh] OR "Chronic Disease"[Mesh] OR "hypertension"[Title/Abstract] OR "blood pressure"[Title/Abstract] OR "cholesterol"[Title/Abstract] OR "hypercholesterol"[Title/Abstract] OR "hypercholesterolemia"[Title/Abstract] OR "diabetes"[Title/Abstract] OR diabetic[Title/Abstract] OR "diabetics"[Title/Abstract] OR "obese"[Title/Abstract] OR "obesity"[Title/Abstract] OR "physical activity" OR "tobacco" OR "nutrition"[Title/Abstract] OR "diet"[Title/Abstract] OR "diets"[Title/Abstract] OR "dieting"[Title/Abstract] OR "alcohol"[Title/Abstract] OR "aspirin"[Title/Abstract] OR adherence[Title/Abstract] OR "cardiovascular disease"[Title/Abstract] OR "cardiovascular diseases"[Title/Abstract] OR "comprehensive CVD risk reduction"[Title/Abstract] OR "comprehensive cardiovascular disease risk reduction"[Title/Abstract] OR "chronic disease"[Title/Abstract] OR "chronic diseases"[Title/Abstract] OR "coronary heart disease"[Title/Abstract] OR "coronary heart diseases"[Title/Abstract] OR "ischemic"[Title/Abstract] OR "coronary artery disease"[Title/Abstract] OR "coronary artery diseases"[Title/Abstract] OR "heart disease"[Title/Abstract] OR "heart diseases"[Title/Abstract] OR "heart attack"[Title/Abstract] OR "heart attacks"[Title/Abstract] OR "myocardial infarction"[Title/Abstract] OR "myocardial infarctions"[Title/Abstract] OR "stroke"[Title/Abstract] OR "strokes"[Title/Abstract] OR "heart failure"[Title/Abstract] OR "cerebrovascular disease"[Title/Abstract] OR "cerebrovascular diseases"[Title/Abstract] OR "cerebrovascular event"[Title/Abstract] OR "cerebrovascular events"[Title/Abstract] OR "angina"[Title/Abstract] OR "Coronary Artery Disease"[Mesh] OR "Coronary Disease"[Mesh] OR "Ischemia"[Mesh] OR "Ischemic Preconditioning, Myocardial"[Mesh] OR "Ischemic Attack, Transient"[Mesh] OR "Hypoxia-Ischemia, Brain"[Mesh] OR "Myocardial Ischemia"[Mesh] OR "Heart Diseases"[Mesh] OR "Myocardial Infarction"[Mesh] OR "Stroke"[Mesh] OR "Cerebrovascular Disorders"[Mesh] OR "Basal Ganglia Cerebrovascular Disease"[Mesh] OR "Angina Pectoris"[Mesh] OR "Hypercholesterolemia"[Mesh]), ("Community Health Workers"[Mesh] OR "community health worker"[Title/Abstract] OR "community health workers"[Title/Abstract] OR "health advisor"[Title/Abstract] OR "health advisors"[Title/Abstract] OR "health worker"[Title/Abstract] OR "health workers"[Title/Abstract] OR "health advocate"[Title/Abstract] OR "health advocates"[Title/Abstract] OR "health paraprofessional"[Title/Abstract] OR "health paraprofessionals"[Title/Abstract] OR "community health representative"[Title/Abstract] OR "community health representatives"[Title/Abstract] OR "outreach worker"[Title/Abstract] OR "outreach workers"[Title/Abstract] OR "lay health worker"[Title/Abstract] OR "lay health workers"[Title/Abstract] OR "patient navigator"[Title/Abstract] OR "patient navigators"[Title/Abstract] OR "promotora"[Title/Abstract] OR "promotoras"[Title/Abstract] OR "embajadores"[Title/Abstract] OR "embajadora"[Title/Abstract] OR "embajadoras"[Title/Abstract] OR "embajador"[Title/Abstract] OR "consejera"[Title/Abstract] OR "consejeras"[Title/Abstract])) OR ("lady health workers"[Title/Abstract] OR "lady health worker"[Title/Abstract] OR "peer health promoter"[Title/Abstract] OR "peer health promoters"[Title/Abstract] OR "community care coordinator"[Title/Abstract] OR "community care coordinators"[Title/Abstract] OR "community health personnel"[Title/Abstract] OR "community promoter"[Title/Abstract] OR "community promoters"[Title/Abstract] OR "community member"[Title/Abstract] OR "community members"[Title/Abstract] OR "health volunteer"[Title/Abstract] OR "health volunteers"[Title/Abstract] OR "health volunteering"[Title/Abstract] OR "community volunteer"[Title/Abstract] OR "community volunteers"[Title/Abstract] OR "health auxiliaries"[Title/Abstract] OR "lay health advisor"[Title/Abstract] OR "lay health advisors"[Title/Abstract])) OR ("community health aide"[Title/Abstract] OR "community health aides"[Title/Abstract] OR "health agent"[Title/Abstract] OR "health agents"[Title/Abstract] OR "peer health promoter"[Title/Abstract] OR "peer health promoters"[Title/Abstract] OR "peer counselor"[Title/Abstract] OR "peer counselors"[Title/Abstract] OR "peer health"[Title/Abstract] OR "peer health worker"[Title/Abstract] OR "peer health workers"[Title/Abstract] OR "peer volunteer"[Title/Abstract] OR "peer volunteers"[Title/Abstract] OR "barefoot doctor"[Title/Abstract] OR "barefoot doctors"[Title/Abstract] OR "Voluntary Workers"[Mesh] OR (((("care team"[title/abstract] OR "community health service"[title/abstract] or "community health services"[title/abstract] OR "adherence support"[title/abstract] OR "compliance support"[title/abstract] OR "community capacity"[title/abstract] OR "community development"[title/abstract] OR "community organizer"[title/abstract] OR "community organizers"[title/abstract] OR "cultural mediation"[title/abstract] OR "culturally appropriate information"[title/abstract] OR "supporting compliance"[title/abstract]) OR "culturally appropriate"[title/abstract]) OR ("culturally sensitive"[title/abstract] or "cultural sensitivity"[title/abstract]), S1 (community health worker OR community health workers OR community health aide OR community health aides OR health advisor OR health advisors OR health worker OR 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 patient navigator OR patient navigators OR promotora OR promotoras OR embajador OR embajadores OR consejera OR consejeras) AND (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 OR chronic disease OR cardiovascular disease OR cardiovascular diseases), 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 OR chronic disease OR cardiovascular disease OR cardiovascular diseases) AND (Team-based care OR integrated care OR coordinated care OR collaborative care OR primary care teams OR primary care team OR navigator OR liaison OR screening OR education OR outreach OR home visits OR enroll OR community organizer OR community development OR health advocacy OR counseling OR self-management OR health behavior change OR lifestyle modification), S3 (Team-based care OR integrated care OR coordinated care OR collaborative care OR primary care teams OR primary care team OR navigator OR liaison OR screening OR education OR outreach OR home visits OR enroll OR community organizer OR community development OR health advocacy OR counseling OR self-management OR health behavior change OR lifestyle modification), S4 (Outcome Assessment* OR Treatment Outcome* OR Process Assessment* OR Fatal Outcome* OR effectiv* OR evaluat*), "Community Health Workers" "cardiovascular disease". 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