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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Assessing a Community Health Worker-Facilitated, Digitally Delivered, Family-Centered Diabetes Management Program:

Zenong Yin1, Vanessa L Errisuriz2, Heather Cuevas3

  • 1College of Health, Community and Policy, University of Texas at San Antonio, San Antonio, TX, United States.

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Summary

The ¡Salud, Salud! program showed promising results for improving diabetes self-management in low-income Latino adults. Further research is needed to enhance participant engagement and optimize the uptake of evidence-based practices.

Keywords:
academic-community partnershipcommunity health workersdiabetes educationdiabetes self-managementdiabetes supporthealth equity

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Area of Science:

  • Public Health
  • Health Disparities
  • Chronic Disease Management

Background:

  • Type 2 Diabetes (T2D) disproportionately affects low-income Latino populations, leading to significant health complications.
  • These populations face disparities in diabetes self-management (DSM), impacting adherence, physical activity, diet, and glycemic control.

Purpose of the Study:

  • To evaluate the effectiveness of the ¡Salud, Salud! program, an evidence-based, family-centered diabetes self-management education and support (DSMES) program.
  • To assess primary outcomes (glycemic control, quality of life) and secondary outcomes (social, psychological, behavioral factors) in low-income Latino adults with T2D or prediabetes.

Main Methods:

  • A 12-week, single-arm, quasi-experimental study involving 81 low-income Latino adults with T2D or prediabetes.
  • The ¡Salud, Salud! program integrated individual coaching by community health workers (CHWs), online family-centered DSMES, and YMCA membership, supported by digital technologies.
  • Outcomes included HbA1c, quality of life, anthropometrics, physical activity, diet, mindfulness, perceived stress, and diabetes-related knowledge, self-efficacy, and support.

Main Results:

  • A marginally significant reduction in HbA1c (-0.30%) and a significant increase in reporting good-to-excellent health (39.6% to 58.3%).
  • Significant reductions in body weight (-1.30 kg), body fat percentage (-1.26%), perceived stress (-0.28), added sugar intake (-2.15 tsp/day), and sedentary time (-70.27 min/week).
  • Significant increase in mindfulness (2.21) and high engagement in program support (88%), with moderate-to-low engagement in self-management training (66%), self-monitoring (56%), and family support (49%).

Conclusions:

  • The ¡Salud, Salud! program demonstrates promising preliminary effects on key diabetes-related outcomes.
  • Future research should focus on enhancing participant engagement strategies to optimize the adoption of evidence-based T2D self-management practices.