Using peer power to reduce health disparities: implementation of a diabetes support coach program in federally qualified health centers.
Open accessAbstract
Community health workers (CHWs) provide vital support to underserved communities in the promotion of health equity by addressing barriers related to the social determinants of health that often prevent people living with diabetes from achieving optimal health outcomes. Peer support programs in diabetes can also offer people living with diabetes invaluable support through a shared understanding of the disease and by offsetting diabetes-related stigma. As part of a Project Extension for Community Healthcare Outcomes (ECHO) Diabetes program, participating federally qualified healthcare centers were provided diabetes support coaches (DSCs) to facilitate patient engagement. DSCs hold invaluable expert knowledge, as they live with diabetes themselves and reside in areas they serve, thus combining the CHW role with peer support models. The use of DSCs and CHWs during the coronavirus disease 2019 pandemic and beyond is highly effective at reaching underserved communities with diabetes and promoting health equity.
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Cites
The Discovery of Grounded Theory: Strategies for Qualitative Research
Brodsky, C. (1968) · Psychosomatics · doi:10.1016/s0033-3182(68)71872-7 · Cited by 6,727 · see citing works
State of Type 1 Diabetes Management and Outcomes from the T1D Exchange in 2016–2018
Foster, N. C., Beck, R. W., Miller, K. M., Clements, M. A., Rickels, M. R., DiMeglio, L. A., Maahs, D. M., Tamborlane, W. V., Bergenstal, R., Smith, E., et al. (2019) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2018.0384 · Cited by 1,907 · see citing works
Self-citationEffectiveness of mentoring programs for youth: A meta-analytic review
DuBois, D. L., Holloway, B. E., Valentine, J. C., & Cooper, H. (2002) · American Journal of Community Psychology · doi:10.1023/a:1014628810714 · Cited by 1,544 · see citing works
Scott, K., Beckham, S. W., Gross, M., Pariyo, G., Rao, K. D., Cometto, G., & Perry, H. B. (2018) · Human Resources for Health · doi:10.1186/s12960-018-0304-x · Cited by 732 · see citing works
Racial-ethnic disparities in management and outcomes among children with type 1 diabetes
Willi, S. M., Miller, K. M., DiMeglio, L. A., Klingensmith, G. J., Simmons, J. H., Tamborlane, W. V., Nadeau, K. J., Kittelsrud, J. M., Huckfeldt, P., Beck, R. W., et al. (2015) · Pediatrics · doi:10.1542/peds.2014-1774 · Cited by 367 · see citing works
Addala, A., Auzanneau, M., Miller, K., Maier, W., Foster, N., Kapellen, T., Walker, A., Rosenbauer, J., Maahs, D. M., & Holl, R. W. (2021) · Diabetes Care · doi:10.2337/dc20-0257 · Cited by 283 · see citing works
Self-citationLong, J. A., Jahnle, E. C., Richardson, D. M., Loewenstein, G., & Volpp, K. G. (2012) · Annals of Internal Medicine · doi:10.7326/0003-4819-156-6-201203200-00004 · Cited by 278 · see citing works
Kangovi, S., Mitra, N., Grande, D., Long, J. A., & Asch, D. A. (2020) · Health Affairs · doi:10.1377/hlthaff.2019.00981 · Cited by 237 · see citing works
Peretz, P. J., Islam, N., & Matiz, L. A. (2020) · New England Journal of Medicine · doi:10.1056/nejmp2022641 · Cited by 221 · see citing works
Arora, S., Thornton, K., Jenkusky, S. M., Parish, B. S., & Scaletti, J. V. (2007) · Public Health Reports · doi:10.1177/00333549071220s214 · Cited by 211 · see citing works
Racial-Ethnic Inequity in Young Adults With Type 1 Diabetes
Agarwal, S., Kanapka, L. G., Raymond, J. K., Walker, A., Gerard-Gonzalez, A., Kruger, D., Redondo, M. J., Rickels, M. R., Shah, V. N., Butler, A., et al. (2020) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaa236 · Cited by 205 · see citing works
Self-citationRacial–Ethnic Disparities in Diabetes Technology use Among Young Adults with Type 1 Diabetes
Agarwal, S., Schechter, C., Gonzalez, J., & Long, J. A. (2021) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2020.0338 · Cited by 182 · see citing works
Pérez‐Escamilla, R., Damio, G., Chhabra, J., Fernández, M. L., Segura‐Pérez, S., Vega‐López, S., Kollannoor-Samuel, G., Calle, M. C., Shebl, F. M., & D'Agostino, D. C. (2014) · Diabetes Care · doi:10.2337/dc14-0327 · Cited by 147 · see citing works
Arora, S., Kalishman, S. G., Thornton, K., Komaromy, M. S., Katzman, J. G., Struminger, B. B., & Rayburn, W. F. (2017) · Journal of Continuing Education in the Health Professions · doi:10.1097/ceh.0000000000000172 · Cited by 145 · see citing works
Barriers to Technology Use and Endocrinology Care for Underserved Communities With Type 1 Diabetes
Walker, A. F., Hood, K. K., Gurka, M. J., Filipp, S. L., Anez-Zabala, C., Cuttriss, N., Haller, M. J., Roque, X., Naranjo, D., Aulisio, G., et al. (2021) · Diabetes Care · doi:10.2337/dc20-2753 · Cited by 121 · see citing works
Self-citationRole of community health workers in type 2 diabetes mellitus self-management: A scoping review
Egbujie, B. A., Delobelle, P., Levitt, N. S., Puoane, T. R., Sanders, D. M., & van Wyk, B. E. (2018) · PLoS ONE · doi:10.1371/journal.pone.0198424 · Cited by 83 · see citing works
Effects of Providing Peer Support on Diabetes Management in People With Type 2 Diabetes
Yin, J. J., Wong, R. Y. M., Au, S., Chung, H. G., Lau, M., Lin, L., Tsang, C., Lau, K., Ozaki, R., So, W. Y., et al. (2015) · The Annals of Family Medicine · doi:10.1370/afm.1853 · Cited by 82 · see citing works
Kahkoska, A., Shay, C., Crandell, J. L., Dabelea, D., Imperatore, G., Lawrence, J., Liese, A., Pihoker, C., Reboussin, B., Agarwal, S., et al. (2018) · JAMA Network Open · doi:10.1001/jamanetworkopen.2018.1851 · Cited by 81 · see citing works
Physician-community health worker partnering to support diabetes self-management in primary care.
Otero‐Sabogal, R., Arretz, D., Siebold, S., Hallen, E., Lee, R., Ketchel, A., Li, J., & Newman, J. (2010) · PubMed · Cited by 70 · see citing works
On behalf of the Australasian Peers for Progress Diabetes Project Investigators, Aziz, Z., Riddell, M. A., Absetz, P., Brand, M., & Oldenburg, B. F. (2018) · BMC Public Health · doi:10.1186/s12889-018-5148-8 · Cited by 69 · see citing works
Community Health Workers as Drivers of a Successful Community-Based Disease Management Initiative
Peretz, P. J., Matiz, L. A., Findley, S. E., Lizardo, M., Evans, D. J., & McCord, M. (2012) · American Journal of Public Health · doi:10.2105/ajph.2011.300585 · Cited by 66 · see citing works
Community Health Workers in Primary Care Practice
Collinsworth, A. W., Vulimiri, M., Snead, C. A., & Walton, J. W. (2014) · Health Promotion Practice · doi:10.1177/1524839914539961 · Cited by 65 · see citing works
Disparities in Diabetes Deaths Among Children and Adolescents — United States, 2000–2014
Saydah, S., Imperatore, G., Cheng, Y. J., Geiss, L. S., & Albright, A. L. (2017) · MMWR Morbidity and Mortality Weekly Report · doi:10.15585/mmwr.mm6619a4 · Cited by 60 · see citing works
Improving diabetes care and outcomes with community health workers
Kane, E., Collinsworth, A. W., Schmidt, K. L., Brown, R. M., Snead, C. A., Barnes, S. A., Fleming, N. S., & Walton, J. W. (2016) · Family Practice · doi:10.1093/fampra/cmw055 · Cited by 53 · see citing works
Secrest, A. M., Costacou, T., Gutelius, B. J., Miller, R. G., Songer, T. J., & Orchard, T. J. (2011) · Annals of Epidemiology · doi:10.1016/j.annepidem.2011.02.011 · Cited by 49 · see citing works
Health effectiveness of community health workers as a diabetes self-management intervention
Aponte, J., Jackson, T., Wyka, K., & Ikechi, C. (2017) · Diabetes and Vascular Disease Research · doi:10.1177/1479164117696229 · Cited by 45 · see citing works
Project ECHO: democratising knowledge for the elimination of viral hepatitis
Arora, S. (2019) · The Lancet. Gastroenterology & hepatology · doi:10.1016/s2468-1253(18)30390-x · Cited by 42 · see citing works
Community Health Workers—Practice and Promise
Landers, S., & Stover, G. N. (2011) · American Journal of Public Health · doi:10.2105/ajph.2011.300371 · Cited by 35 · see citing works
Walker, A. F., Cuttriss, N., Haller, M. J., Hood, K. K., Gurka, M. J., Filipp, S. L., ANEZ-ZABALA, C., Yabut, K., Roque, X., Wong, J. J., et al. (2021) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2021-002262 · Cited by 33 · see citing works
Self-citationAddressing health disparities in type 1 diabetes through peer mentorship
Walker, A. F., Haller, M. J., Gurka, M. J., Morris, H., Bruggeman, B., Miller, K. M., Foster, N. C., ANEZ-ZABALA, C., & Schatz, D. (2019) · Pediatric Diabetes · doi:10.1111/pedi.12935 · Cited by 32 · see citing works
Self-citationWalker, A. F., Hu, H. Z., Cuttriss, N., ANEZ-ZABALA, C., Yabut, K., Haller, M. J., & Maahs, D. M. (2020) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaa462 · Cited by 27 · see citing works
Self-citationTele-rounds and Case-Based Training
Cuttriss, N., Bouchonville, M. F., Maahs, D. M., & Walker, A. F. (2020) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2020.04.017 · Cited by 20 · see citing works
Self-citationLong, J. A., Ganetsky, V. S., Canamucio, A., Dicks, T. N., Heisler, M., & Marcus, S. C. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.16369 · Cited by 16 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Kangovi S, Mitra N, Grande D, Long JA, Asch DA. Evidence- based community health worker program addresses unmet social needs and generates positive return on investment. Health Aff (Millwood) 2020;39:207-213
Cited by
Sorted by citations
Interventions to address global inequity in diabetes: international progress
Walker, A. F., Graham, S., Maple-Brown, L. J., Egede, L. E., Campbell, J. A., Walker, R. J., Wade, A. N., Mbanya, J. C., Long, J. A., Yajnik, C. S., et al. (2023) · The Lancet · doi:10.1016/s0140-6736(23)00914-5 · Cited by 79 · see citing works
Self-citationAgarwala, A., Patel, J., Stephens, J. D., Roberson, S. L., Scott, J., Beckie, T. M., & Jackson, E. A. (2023) · Circulation · doi:10.1161/cir.0000000000001171 · Cited by 74 · see citing works
Ebekozien, O., Fantasia, K., Farrokhi, F., Sabharwal, A., & Kerr, D. (2024) · Diabetes, Obesity and Metabolism · doi:10.1111/dom.15470 · Cited by 70 · see citing works
Mobile Health Intervention in Patients With Type 2 Diabetes: A Randomized Clinical Trial
Gerber, B. S., Biggers, A., Tilton, J. J., Smith Marsh, D. E., Lane, R., Mihailescu, D., Lee, J., & Sharp, L. K. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.33629 · Cited by 61 · see citing works
Addala, A., Filipp, S. L., Figg, L. E., ANEZ-ZABALA, C., Lal, R., Gurka, M. J., Haller, M. J., Maahs, D. M., & Walker, A. F. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.1066521 · Cited by 19 · see citing works
Self-citationHaregu, T., Delobelle, P., Shrestha, A., Jeemon, P., Thankappan, K. R., Ganeshkumar, P., Schouw, D. D., Ramalingam, A., Issaka, A., Cao, Y., et al. (2024) · Health Policy and Planning · doi:10.1093/heapol/czae049 · Cited by 16 · see citing works
Addala, A., Hechavarria, M., Figg, L. E., Roque, X., Filipp, S. L., ANEZ-ZABALA, C., Lal, R., Gurka, M. J., Haller, M. J., Maahs, D. M., et al. (2023) · BMJ Open · doi:10.1136/bmjopen-2023-072546 · Cited by 14 · see citing works
Self-citationPeer Support in Chronic Conditions from the Peer Supporters’ Perspective: A Systematic Review
Braun, A., Löwe, B., & Uhlenbusch, N. (2025) · Psychosocial Intervention · doi:10.5093/pi2025a14 · Cited by 10 · see citing works
Dlugatch, R., Rankin, D., Evans, M., Oliver, N. S., Ng, M., & Lawton, J. (2024) · Diabetic Medicine · doi:10.1111/dme.15486 · Cited by 9 · see citing works
Jack, G. A., Avenatti, E., Kashyap, S. R., & Sadhu, A. R. (2025) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaf301 · Cited by 9 · see citing works
Hispanic Diabetes Peer Facilitator Training Needs and Connections to Hispanics With Type 2 Diabetes
Allen, N. A., Litchman, M. L., Greenwood, D. A., Ng, A., & Sanchez-Birkhead, A. (2023) · Hispanic Health Care International · doi:10.1177/15404153231175998 · Cited by 6 · see citing works
Project ECHO Diabetes Trial Improves Outcomes for Medically Underserved People
Walker, A. F., Haller, M. J., Addala, A., Filipp, S. L., Lal, R., Gurka, M. J., Figg, L. E., Hechavarria, M., Zaharieva, D. P., Malden, K. G., et al. (2024) · Diabetes Care · doi:10.2337/dc24-2100 · Cited by 9 · see citing works
Self-citationMaizel, J. L., Haller, M. J., Maahs, D. M., Addala, A., Filipp, S. L., Lal, R., Gurka, M. J., Figg, L. E., Hechavarria, M., Zaharieva, D. P., et al. (2025) · Journal of Diabetes Research · doi:10.1155/jdr/1970247 · Cited by 5 · see citing works
Self-citationMultisite Quality Improvement Program Within the Project ECHO Diabetes Remote Network
Wang, C.-H. J., Lewit, E. M., Clark, C. L., Lee, F.-S. W., Maahs, D. M., Haller, M. J., Addala, A., Lal, R., Cuttriss, N., BAER, L. G., et al. (2023) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/j.jcjq.2023.08.001 · Cited by 5 · see citing works
Self-citationMarch, C. A., Naame, E., Libman, I. M., Proulx, C. N., Siminerio, L. M., Miller, E. P., & Lyon, A. R. (2025) · JMIR Diabetes · doi:10.2196/64096 · Cited by 3 · see citing works
Goldschmidt, C. D., Lamore, K., Jakab, Z., de Goyet, M. D. V., Heinrich, S., Bathilde, L., Berger, C., Beek, L. R., Beauchesne, M., Cserhati, E. B., et al. (2025) · Cancers · doi:10.3390/cancers17081310 · Cited by 3 · see citing works
Joachim-Célestin, M., Distelberg, B. J., Habimana, S., Rivas, E. L., & Montgomery, S. (2025) · BMC Public Health · doi:10.1186/s12889-025-24825-3 · Cited by 2 · see citing works
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Butcher, S. M., Steinway, C. M., Sivakumar, B., Wu, K., Oluwole, T., Williford, D. N., Jan, S., Trachtenberg, S. W., Smith‐Whitley, K., & Belton, T. D. (2024) · Health Care Transitions · doi:10.1016/j.hctj.2024.100091 · Cited by 1 · see citing works
Lewit, E. M., Figg, L. E., Addala, A., Filipp, S. L., Lal, R., Gurka, M. J., Herndon, J. B., Haller, M. J., Maahs, D. M., Walker, A. F., et al. (2023) · Diabetes Therapy · doi:10.1007/s13300-022-01364-3 · Cited by 1 · see citing works
Self-citationBruggeman, B., Walker, A. F., Peters, A. L., DʼAvolio, L., & Haller, M. J. (2023) · Journal of Diabetes Science and Technology · doi:10.1177/19322968221149008
Self-citationFigg, L. E., Addala, A., Jain, I., ANEZ-ZABALA, C., Midney, P., DeChirico, C., Symanski, C., Fitzgerald, B., Colbert, K., Raymer, T. W., et al. (2023) · JMIR Diabetes · doi:10.2196/46050
Self-citation
- Authors
- Walker, A. F., Addala, A., Sheehan, E., Lal, R., Haller, M., Cuttriss, N., Filipp, S., Baer, L., Gurka, M., Bernier, A., Figg, L., Westen, S., Hood, K., Anez-Zabala, C., Frank, E., Roque, X., Maizel, J., & Maahs, D.
- Affiliations
- University of Florida Health (US)
- Stanford University (US)
- 6ECHO Diabetes Action Network, Chevy Chase, MD
- Corresponding author
- Walker, Ashby F.
- ORCID
- Venue
- Diabetes Spectrum
- Publisher
- American Diabetes Association
- Published
- 2022-08-01
- Volume
- 35
- Issue
- 3
- Pages
- 295-303
- ISSN
- 1040-9165 (ISSN-L)
- 1944-7353
- PMC
- PMC9396730
- OpenAlex
- W4291972357
- Cited by
- 21
- References
- 33
- Citations by year
- 2025: 6 · 2024: 5 · 2023: 9 · 2022: 1
- FWCI
- 3.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Spectrum (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Leona M. and Harry B. Helmsley Charitable Trust
- University of Florida
- National Institute of Diabetes and Digestive and Kidney Diseases (K23DK122017, K23DK131342)
- 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 › Health Literacy and Information Accessibility
- Keywords
- community health workers, peer support, health disparities, health equity, federally qualified health centers, social determinants of health, diabetes stigma, patient engagement, ECHO program, underserved populations, COVID-19 pandemic
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