Effectiveness of community health workers in the care of persons with diabetes
Abstract
Aims The purpose of this systematic review was to examine the effectiveness of community health workers in supporting the care of persons with diabetes. Methods Computerized searches were conducted of multiple electronic bibliographic dababases until March 2004. We identified studies in any language and of any design that examined the effectiveness of diabetes‐related interventions involving community health workers and reported outcomes in persons with diabetes. Results were synthesized narratively. Results Eighteen studies were identified, including eight randomized controlled trials. Most studies focused on minority populations in the USA. The roles and duties of community health workers in diabetes care were varied, ranging from substantial involvement in patient care to providing instrumental assistance in education sessions taught by other health professionals. Participants were generally satisfied with their contacts with community health workers and participant knowledge increased. Improvements in physiological measures were noted for some interventions and positive changes in lifestyle and self‐care were noted in a number of studies. There were few data on economic outcomes, but several studies demonstrated a decrease in inappropriate health care utilization. Conclusions Diabetes programmes include community health workers as team members in a variety of roles. There are some preliminary data demonstrating improvements in participant knowledge and behaviour. Much additional research, however, is needed to understand the incremental benefit of community health workers in multicomponent interventions and to identify appropriate settings and optimal roles for community health workers in the care of persons with diabetes.
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There is evidence that health coaches alone can modestly improve HbA1c, increase short-term diabetes understanding, lower diabetes distress, and improve self-care.
“There is evidence that health coaches alone can modestly improve HbA1c,15 increase short-term diabetes understanding, lower diabetes distress, and improve self-care.16,17,18”
From Mobile Health Intervention in Patients With Type 2 Diabetes: A Randomized Clinical Trial (2023) · cites this paper as [17]
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- Authors
- Norris, S. L., Chowdhury, F. M., Van Le, K., Horsley, T., Brownstein, J. N., Zhang, X., Jack, L., & Satterfield, D. W.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Satterfield, D. W.
- Venue
- Diabetic Medicine
- Publisher
- Wiley
- Published
- 2006-04-20
- Volume
- 23
- Issue
- 5
- Pages
- 544-556
- ISSN
- 0742-3071 (ISSN-L)
- 1464-5491
- OpenAlex
- W2091959163
- Cited by
- 414
- References
- 4
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 16 · 2022: 17 · 2021: 23 · 2020: 14 · 2019: 26 · 2018: 26 · 2017: 32 · 2016: 24 · 2015: 23 · 2014: 32 · 2013: 32 · 2012: 27
- FWCI
- 2.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Health Sciences › Health Professions › General Health Professions › Nursing Roles and Practices
- Keywords
- community health workers, diabetes management, diabetes self-management, diabetes education, minority groups, health care utilization, lifestyle modification, patient knowledge, multicomponent intervention, economic outcomes
- MeSH terms
- Community Health Services, Diabetes Mellitus, Health Personnel, Humans, Health Knowledge, Attitudes, Practice, Life Style, Patient Acceptance of Health Care, Patient Education as Topic, Role, Self Care, Randomized Controlled Trials as Topic, Treatment Outcome, Patient Satisfaction
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