Location: Greenville, North Carolina
A randomized controlled trial among 200 African American female participants compared the effectiveness of using community health workers (CHWs) to deliver a tailored small behavioral changes intervention with ongoing diabetes self-management support (DSMS), to a mail-only control group receiving diabetes self-management education materials. Women in the intervention group who were not taking insulin experienced statistically significant changes in HbA1c, diastolic blood pressure, body mass index, and weight. Implementing a CHW-delivered, small changes intervention was most effective with patients in the early stages of diabetes progression.
- Goal setting
- Nutrition monitoring
- Physical activity
- Problem solving
- Support for accessing community resources
- Cognitive behavioral therapy
A control group received packets mailed to them that featured similar information.