Jillian Hill1, Nasheeta Peer1,2, Brian Oldenburg3, Andre Pascale Kengne1,2. 1. Non-Communicable Diseases Research Unit, South African Medical Research Council, Cape Town, South Africa. 2. Department of Medicine, University of Cape Town, Cape Town, South Africa. 3. Melbourne School of Public Health and Global Health, University of Melbourne, Melbourne, Australia.
Abstract
AIM: To examine the characteristics of community health workers (CHWs) involved in diabetes prevention programmes (DPPs) and their contributions to expected outcomes. METHODS: Electronic databases including PubMed-MEDLINE, EBSCOHost, and SCOPUS/EMBASE were searched for studies published between January 2000 and March 2016. All studies that used CHWs to implement DPP in ≥18-year-old participants without diabetes but at high risk for developing the condition, irrespective of the study design, setting or outcomes measured, were included. Results were synthesized narratively. RESULTS: Forty papers of 30 studies were identified. Studies were mainly community-based and conducted in minority populations in USA. Sample sizes ranged from 20 participants in a single community to 2369 participants in 46 communities. Although CHWs were generally from the local community, their qualifications, work experience and training received differed across studies. Overall the training was culturally sensitive and/or appropriate, covering topics such as the importance of good nutrition and the benefits of increased physical activity, communication and leadership. CHWs delivered a variety of interventions and also screened or recruited participants. The shared culture and language between CHWs and participants likely contributed to better programme implementation and successful outcomes. CONCLUSIONS: The complexity of DPPs and the diverse CHW roles preclude attributing specific outcomes to CHW involvement. Nevertheless, documenting potential CHW roles and the relevant training required may optimise CHW contributions and facilitate their involvement in DPPs in the future.
AIM: To examine the characteristics of community health workers (CHWs) involved in diabetes prevention programmes (DPPs) and their contributions to expected outcomes. METHODS: Electronic databases including PubMed-MEDLINE, EBSCOHost, and SCOPUS/EMBASE were searched for studies published between January 2000 and March 2016. All studies that used CHWs to implement DPP in ≥18-year-old participants without diabetes but at high risk for developing the condition, irrespective of the study design, setting or outcomes measured, were included. Results were synthesized narratively. RESULTS: Forty papers of 30 studies were identified. Studies were mainly community-based and conducted in minority populations in USA. Sample sizes ranged from 20 participants in a single community to 2369 participants in 46 communities. Although CHWs were generally from the local community, their qualifications, work experience and training received differed across studies. Overall the training was culturally sensitive and/or appropriate, covering topics such as the importance of good nutrition and the benefits of increased physical activity, communication and leadership. CHWs delivered a variety of interventions and also screened or recruited participants. The shared culture and language between CHWs and participants likely contributed to better programme implementation and successful outcomes. CONCLUSIONS: The complexity of DPPs and the diverse CHW roles preclude attributing specific outcomes to CHW involvement. Nevertheless, documenting potential CHW roles and the relevant training required may optimise CHW contributions and facilitate their involvement in DPPs in the future.
Authors: Ira S Ockene; Trinidad L Tellez; Milagros C Rosal; George W Reed; John Mordes; Philip A Merriam; Barbara C Olendzki; Garry Handelman; Robert Nicolosi; Yunsheng Ma Journal: Am J Public Health Date: 2011-12-15 Impact factor: 9.308
Authors: Matthew J O'Brien; Alberly Perez; Victor A Alos; Robert C Whitaker; Jody D Ciolino; David C Mohr; Ronald T Ackermann Journal: Diabetes Educ Date: 2015-05-28 Impact factor: 2.140
Authors: Rizwana Kousar; Vasso Apostolopoulos; Lily Stojanovska; Margaret Mayhew; Vicky Totikidis; Alex Skaria; Paul Lewandowaski Journal: Qual Health Res Date: 2015-03-23
Authors: M Kaye Kramer; Andrea M Kriska; Elizabeth M Venditti; Rachel G Miller; Maria M Brooks; Lora E Burke; Linda M Siminerio; Francis X Solano; Trevor J Orchard Journal: Am J Prev Med Date: 2009-12 Impact factor: 5.043
Authors: Ashish V Gupta; Ajay G Phatak; Meha U Patel; Neha Das; Nirav P Vaghela; Harihara Prakash; Shyamsudar J Raithatha Journal: J Family Med Prim Care Date: 2020-04-30
Authors: Nikki J Garner; Melanie Pascale; Kalman France; Clare Ferns; Allan Clark; Sara Auckland; Michael Sampson Journal: BMJ Open Diabetes Res Care Date: 2019-05-27
Authors: Jonathan McGavock; Bhupendrasinh F Chauhan; Rasheda Rabbani; Sofia Dias; Nika Klaprat; Sara Boissoneault; Justin Lys; Aleksandra K Wierzbowski; Mohammad Nazmus Sakib; Ryan Zarychanski; Ahmed M Abou-Setta Journal: JAMA Netw Open Date: 2020-07-01
Authors: Brian Godman; Debashis Basu; Yogan Pillay; Julius C Mwita; Godfrey Mutashambara Rwegerera; Bene D Anand Paramadhas; Celda Tiroyakgosi; Patrick Mbah Okwen; Loveline Lum Niba; Justice Nonvignon; Israel Sefah; Margaret Oluka; Anastasia N Guantai; Dan Kibuule; Francis Kalemeera; Mwangana Mubita; Joseph Fadare; Olayinka O Ogunleye; Larry A Distiller; Enos M Rampamba; Jeffrey Wing; Debjani Mueller; Abubakr Alfadl; Adefolarin A Amu; Zinhle Matsebula; Aubrey Kalungia; Trust Zaranyika; Nyasha Masuka; Janney Wale; Ruaraidh Hill; Amanj Kurdi; Angela Timoney; Stephen Campbell; Johanna C Meyer Journal: Front Pharmacol Date: 2020-03-20 Impact factor: 5.810