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Preparing Community Health Workers to Empower Latino(a)s With Diabetes: A Real-World Implementation Study
Laura Porterfield1,2, Zuleica Santiago Delgado1, Premal G Patel3
1Department of Family Medicine, University of Texas Medical Branch (UTMB), Galveston, Texas.
The Science of Diabetes Self-Management and Care
|January 20, 2024
Summary
Community health workers (CHWs) successfully delivered bilingual diabetes self-management education (DSME) to Latino adults. The evidence-based curriculum led to high participant satisfaction and program attendance, demonstrating a scalable model.
Area of Science:
- Public Health
- Health Education
- Community Health
Background:
- Diabetes disproportionately affects Latino(a) adults.
- Effective diabetes self-management education (DSME) is crucial for managing type 2 diabetes.
- Community health workers (CHWs) can bridge healthcare gaps in underserved populations.
Purpose of the Study:
- To evaluate the delivery of a bilingual DSME program by CHWs to Latino(a) adults.
- To assess the feasibility and effectiveness of CHW-led diabetes education in community clinics.
Main Methods:
- Developed and implemented an evidence-based, Spanish/English diabetes curriculum.
- Trained 10 CHWs to deliver the curriculum in 6-month group visit programs.
- Evaluated training efficacy through participant acceptance, attendance, and satisfaction.
Main Results:
- 70 participants reported high satisfaction (3.8/4.0) and quality of life improvements (9.7/10).
- 87.1% of participants wanted to continue or extend the program.
- Participant attendance rate was 81.6%.
Conclusions:
- CHWs can successfully implement evidence-based DSME in real-world settings.
- The study provides a curricular framework for CHW-led health education.
- This model may be adaptable for other diseases and populations.
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