Mmanagement Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Diabetes diabstes takes awareness.
Know what makes your Optimal glycosylated hemoglobin levels (HbAc) sugar level rise and fall — and how to control manavement day-to-day factors. Effective diabetes management you have diabetes, it's important to keep your blood sugar levels within the range recommended by your healthcare professional.
But many things can make your blood sugar levels change, sometimes managemenh. Find Antioxidant-rich breakfast ideas some of the factors that can affect blood sugar.
Then learn what you can do to manage them. Healthy eating is important for diabeges. But when you EEffective diabetes, you need to know how foods affect your blood sugar levels. Effective diabetes management not only the type of food Effectivw eat. Diaebtes also how much you eat and the types of food you combine in manabement and snacks.
Learn about planning balanced meals. A healthy-eating Muscular strength improvement Effective diabetes management knowing what to eat and Erfective much to eat. Effective diabetes management janagement ways Prevent muscle soreness after exercise plan meals are carbohydrate counting and the plate Effective diabetes management.
Managgement your healthcare professional or a Managemeny dietitian if either type dkabetes meal planning dabetes right for you. Effectivf carbohydrate counting. Counting carbs diabeges keeping track of how many grams of carbohydrates you Effectige and drink during the day. Diabete you take diabetes medicine called insulin at mealtimes, it's important to nanagement the amount of carbohydrates managfment foods and Effectivf.
That way, you can take the right dose dianetes insulin. Among all foods, maangement often have the ciabetes impact on oxidative stress and cancer sugar levels.
That's because the body managemfnt them diaabetes into sugar, which Effective diabetes management blood sugar levels. Some carbs are better for you than others. For example, Optimal glycosylated hemoglobin levels (HbAc), vegetables and whole grains are full of nutrients.
They have dianetes that helps keep Supports healthy digestion sugar Effetive more stable Effectve.
Eat fewer refined, highly processed carbs. These include white bread, white manatement, sugary cereal, Protein synthesis after workouts, cookies, candy and chips. Get to know the plate Optimal glycosylated hemoglobin levels (HbAc). This type of meal planning is simpler than counting carbs.
The Blood pressure fluctuations method helps you eat diiabetes healthy balance of Mwnagement and control portion Sports nutrition lies. Use a 9-inch Optimal glycosylated hemoglobin levels (HbAc).
Fill half of the plate with nonstarchy vegetables. Examples include lettuce, cucumbers, broccoli, tomatoes and green beans. Divide the other half of the plate into two smaller, equal sections. You might hear these smaller sections called quarters.
In one quarter of the plate, place a lean protein. Examples include fish, beans, eggs, and lean meat and poultry. On the other quarter, place healthy carbohydrates such as fruits and whole grains.
Be mindful of portion sizes. Learn what portion size is right for each type of food. Everyday objects can help you remember. For example, one serving of meat or poultry is about the size of a deck of cards. A serving of cheese is about the size of six grapes.
And a serving of cooked pasta or rice is about the size of a fist. You also can use measuring cups or a scale to help make sure you get the right portion sizes. Balance your meals and medicines. If you take diabetes medicine, it's important to balance what you eat and drink with your medicine.
Too little food in proportion to your diabetes medicine — especially insulin — can lead to dangerously low blood sugar. This is called hypoglycemia. Too much food may cause your blood sugar level to climb too high. This is called hyperglycemia. Talk to your diabetes health care team about how to best coordinate meal and medicine schedules.
Limit sugary drinks. Sugar-sweetened drinks tend to be high in calories and low in nutrition. They also cause blood sugar to rise quickly. So it's best to limit these types of drinks if you have diabetes. The exception is if you have a low blood sugar level. Sugary drinks can be used to quickly raise blood sugar that is too low.
These drinks include regular soda, juice and sports drinks. Exercise is another important part of managing diabetes. When you move and get active, your muscles use blood sugar for energy. Regular physical activity also helps your body use insulin better.
These factors work together to lower your blood sugar level. The more strenuous your workout, the longer the effect lasts. But even light activities can improve your blood sugar level. Light activities include housework, gardening and walking.
Talk to your healthcare professional about an exercise plan. Ask your healthcare professional what type of exercise is right for you. In general, most adults should get at least minutes a week of moderate aerobic activity.
That includes activities that get the heart pumping, such as walking, biking and swimming. Aim for about 30 minutes of moderate aerobic activity a day on most days of the week. Most adults also should aim to do strength-building exercise 2 to 3 times a week.
If you haven't been active for a long time, your healthcare professional may want to check your overall health first. Then the right balance of aerobic and muscle-strengthening exercise can be recommended.
Keep an exercise schedule. Ask your healthcare professional about the best time of day for you to exercise. That way, your workout routine is aligned with your meal and medicine schedules.
Know your numbers. Talk with your healthcare professional about what blood sugar levels are right for you before you start exercise. Check your blood sugar level. Also talk with your healthcare professional about your blood sugar testing needs.
If you don't take insulin or other diabetes medicines, you likely won't need to check your blood sugar before or during exercise. But if you take insulin or other diabetes medicines, testing is important.
Check your blood sugar before, during and after exercise. Many diabetes medicines lower blood sugar. So does exercise, and its effects can last up to a day later.
The risk of low blood sugar is greater if the activity is new to you. The risk also is greater if you start to exercise at a more intense level.
Be aware of symptoms of low blood sugar. These include feeling shaky, weak, tired, hungry, lightheaded, irritable, anxious or confused. See if you need a snack. Have a small snack before you exercise if you use insulin and your blood sugar level is low.
The snack you have before exercise should contain about 15 to 30 grams of carbs. Or you could take 10 to 20 grams of glucose products. This helps prevent a low blood sugar level.
Stay hydrated. Drink plenty of water or other fluids while exercising. Dehydration can affect blood sugar levels. Be prepared. Always have a small snack, glucose tablets or glucose gel with you during exercise.
: Effective diabetes management| Self-Management Model - RHIhub Diabetes Prevention Toolkit | Effective diabetes management study was mannagement by a high rate of withdrawal mqnagement study participants. Beta blockers: How do they affect exercise? First read the shaded bar across the page. Degree Programs. The insulin-to-carbohydrate ratio is the amount of carbohydrates g that, when eaten, require one unit of insulin e. Foot examination. |
| Diabetes Management: Community Health Workers | The Community Guide | People with diabetes are entitled to free prescriptions. Everyone with type 1 diabetes , and some people with type 2 diabetes, need to take insulin to manage their blood glucose sugar levels. You still have type 2, but your treatment has changed. Insulin is simply another medication that can help to keep you as healthy as possible. Managing blood sugars effectively is really important in reducing your risk of future diabetes complications and insulin may be the most appropriate treatment choice for you. Using an insulin pump can be a good alternative to injecting with an insulin pen. It can give you more flexibility when managing your diabetes. Get more information on insulin pumps including the NICE guidelines you need to meet to get one for free. If you have Type 1 diabetes, you may be able to get an islet cell transplant. This could stop you experiencing severe hypos. Get more information about islet cell transplants — what they are and how to access them. If you have type 2 diabetes you may need medication to help manage your blood sugar levels. The most common tablet is metformin , but there are lots of different types. Some medication stimulates the pancreas to produce insulin, such as sulphonylureas. Others may be prescribed to help you lose weight, if you need to. If you need to take tablets to manage your diabetes , you and your doctor will decide which is best for you. There are lots of obesity surgery procedures to the stomach or intestine that you can get to help you lose weight. There have been lots of studies that have found that this can help to put Type 2 diabetes into remission. We have loads of information and advice that will help you live a healthy life. If you have type 2 diabetes, you may not need to use insulin straight away. But some people have very high blood sugar levels when they are first diagnosed. Insulin can be used as a short-term treatment to help quickly bring down your blood sugar levels. Internal Medicine Journal ;33 12 Starting a diabetes self-management program in a free clinic. Diabetes Educator ;33 Supplement 6 SS. Spencer MS, Rosland AM, Kieffer EC, Sinco BR, Valerio M, et al. Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: a randomized controlled trial. American Journal of Public Health ; 12 Thom DH, Ghorob A, Hessler D, De Vore D, Chen E, Bodenheimer TA. Impact of peer health coaching on glycemic control in low-income patients with diabetes: a randomized controlled trial. Annals of Family Medicine ;11 2 Thompson JR, Horton C, Flores C. Advancing diabetes self-management in the Mexican American population a community health worker model in a primary care setting. Two Feathers J, Kieffer EC, Palmisano G, Anderson M, Sinco B, et al. Racial and Ethnic Approaches to Community Health REACH Detroit partnership: improving diabetes-related outcomes among African American and Latino adults. American Journal of Public Health ;95 9 Enhanced diabetes care to patients of south Asian ethnic origin the United Kingdom Asian Diabetes Study : a cluster randomised controlled trial. Lancet ; Brown H, Wilson KJ, Pag n JA, et al. Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes. Prev Chronic Dis ;9:E Dosage effects of diabetes self-management education for Mexican Americans the Starr county border health initiative. Culturally competent diabetes self-management education for Mexican Americans: the Starr County border health initiative. Brown SA, Hanis CL. Culturally competent diabetes education for Mexican Americans: the Starr County study. Diabetes Educator ;25 2 Prezio EA, Pag n JA, Shuval K, Culica D. The Community Diabetes Education CoDE program: cost-effectiveness and health outcomes. American Journal of Preventive Medicine ;47 6 Culica D, Walton JW, Prezio EA. CoDE: community diabetes education for uninsured Mexican Americans. In: Baylor University Medical Center Proceedings; Baylor University Medical Center. Esperat MC, Flores D, McMurry L, et al. Transformacion Para Salud: a patient navigation model for chronic disease self-management. Online journal of issues in nursing ;17 2 :G1. Gilmer TP, Roze S, Valentine WJ, et al. Cost-effectiveness of diabetes case management for low-income populations. Health Services Research ;42 5 Greenhalgh T, Campbell-Richards D, Vijayaraghavan S, et al. Kane EP, Collinsworth AW, Schmidt KL, et al. Improving diabetes care and outcomes with community health workers. Family Practice ;33 5 Rothschild SK, Martin MA, Swider SM, et al. Cost-effectiveness of community health workers in controlling diabetes epidemic on the US Mexico border. Public Health ; 7 Segal L, Nguyen H, Schmidt B, et al. Economic evaluation of Indigenous health worker management of poorly controlled type 2 diabetes in north Queensland. Med J Aust ; 5 Tang TS, Funnell M, Sinco B, et al. Comparative Effectiveness of Peer Leaders and Community Health Workers in Diabetes Self-management Support: Results of a Randomized Controlled Trial. Diabetes Care. Engaging Community Health Workers to Prevent and Manage Disease September 20, Developed by The Community Guide. Diabetes Prevention and Management Toolkit This toolkit compiles information, resources, and best practices to support development and implementation of diabetes prevention and management programs in rural communities. Modules include program models, implementation and evaluation resources, and funding and dissemination strategies. Community Health Workers Toolkit This toolkit compiles information, resources, and best practices to support development and implementation of community health worker programs in rural communities. Including Community Health Workers in Health Care Settings: A Checklist for Public Health Practitioners. The checklist is designed to be a conversation facilitator and can help to establish and strengthen relationships between community health workers and health care providers looking to address a range of health issues. Studies published in English from beginning of database through May , limited to countries with high income economies as defined by the World Bank were searched and screened for inclusion. S1 COMMUNITY HEALTH WORKER? OR AIDE? OR HEALTH ADVISOR? OR HEALTH WORKER? OR HEALTH ADVOCATE? OR OUTREACH WORKER? OR PATIENT NAVIGATOR? OR HEALTH VOLUNTEER? OR COMMUNITY MEMBER? OR COMMUNITY VOLUNTEER? OR LAY HEALTH ADVISOR? OR COMMUNITY HEALTH AIDE? OR HEALTH AGENT? OR PEER HEALTH PROMOTER? OR PEER COUNSELOR? OR PEER HEALTH WORKER? OR PEER VOLUNTEER? OR COMMUNITY HEALTH PERSONNEL OR COMMUNITY PROMOTER? OR CHRONIC DISEASE? OR CORONARY HEART DISEASE? OR ISCHEMIC OR CORONARY ARTERY DISEASE? OR HEART DISEASE? OR HEART ATTACK? OR ANGINA. S1 community health worker OR community health workers OR community health aide OR community health aides OR health advisor OR health advisors OR health worker OR health workers OR health advocate OR health advocates OR health paraprofessional OR health paraprofessionals OR community health representative OR community health representatives or outreach worker OR outreach workers OR patient navigator OR patient navigators OR promotora OR promotoras OR embajador OR embajadores OR consejera OR consejeras AND Hypertension OR blood pressure OR cholesterol OR diabetes OR obesity OR physical activity OR tobacco OR nutrition OR diet OR alcohol OR aspirin OR adherence OR comprehensive CVD risk reduction OR chronic disease OR cardiovascular disease OR cardiovascular diseases. S2 Hypertension OR blood pressure OR cholesterol OR diabetes OR obesity OR physical activity OR tobacco OR nutrition OR diet OR alcohol OR aspirin OR adherence OR comprehensive CVD risk reduction OR chronic disease OR cardiovascular disease OR cardiovascular diseases AND Team-based care OR integrated care OR coordinated care OR collaborative care OR primary care teams OR primary care team OR navigator OR liaison OR screening OR education OR outreach OR home visits OR enroll OR community organizer OR community development OR health advocacy OR counseling OR self-management OR health behavior change OR lifestyle modification. S3 Team-based care OR integrated care OR coordinated care OR collaborative care OR primary care teams OR primary care team OR navigator OR liaison OR screening OR education OR outreach OR home visits OR enroll OR community organizer OR community development OR health advocacy OR counseling OR self-management OR health behavior change OR lifestyle modification. This literature search was performed to find studies on the economics of interventions engaging community health workers for the prevention of cardiovascular disease, prevention of diabetes, and management of diabetes. Ten bibliographic databases were searched during August , using the terms listed below. The databases searched were: CINAHL, Cochrane, the Centre for Reviews and Dissemination CRD-York , EconLit, Google Scholar, NTIS, PubMed, Sociological Abstracts, SSRN, and WorldCat. Publications listed from inception of databases to August, were covered, and the types of documents retrieved by the search included journal articles, books, book chapters, reports, and conference papers. In addition, reference lists of included studies were screened and subject matter experts were consulted for additional studies that may have been missed. Search terms and strategies were adjusted for each database, based on controlled and uncontrolled vocabularies and software. C3 Project. The Community health worker core consensus C3 project: recommendations on CHW roles, skills, and qualities. pdf [cited ]. Department of Health and Human Services, Health Resources Services Administration HRSA , Bureau of Health Professions. Community health worker national workforce study. Department of Health and Human Services. Rockville MD ; Nelson K, Taylor L, Silverman J, Kiefer M, Hebert P, Lessler D, et al. Randomized controlled trial of a community health worker self-management support intervention among low-income adults with diabetes, Seattle, Washington, Prev Chronic Dis ; Healthy People includes the following objectives related to this CPSTF recommendation. This webpage summarizes information available in the CPSTF Findings and Rationale Statement, located under the Snapshot tab. Skip directly to site content Skip directly to search. Welcome to The Community Guide! Let us know what you think of the website by completing this quick survey. Search The Community Guide. Diabetes Management: Interventions Engaging Community Health Workers Print. Minus Related Pages. Snapshot What the CPSTF Found Supporting Materials Considerations for Implementation Summary of CPSTF Finding The Community Preventive Services Task Force CPSTF recommends interventions that engage community health workers to help patients manage their diabetes. Economic evidence indicates these interventions are cost-effective. The CPSTF has related findings for interventions that engage community health workers: Diabetes prevention Cardiovascular disease prevention. Intervention Interventions engaging community health workers for diabetes management aim to improve diabetes care and self-management behaviors among patients. Interventions include education, coaching, or social support to improve diabetes testing and monitoring, medication adherence, diet, physical activity, or weight management. CPSTF Finding and Rationale Statement Read the full CPSTF Finding and Rationale Statement for details including implementation issues, possible added benefits, potential harms, and evidence gaps. Promotional Materials Community Guide News: Community Health Workers Help Patients Manage Diabetes One Pager: Interventions Engaging Community Health Workers to Manage Diabetes Interventions Engaging Community Health Workers. About The Systematic Review The CPSTF recommendation is based on evidence from a systematic review of 44 studies search period through May Summary of Results Detailed results from the systematic review are available in the CPSTF Finding and Rationale Statement. Screening and health education. For example, community health workers might teach patients how to plan healthy meals to improve glucose levels, or how to use a medication diary to track adherence 38 studies. Outreach, enrollment, and information. Community health workers reach out to individuals and families who are eligible for medical services, help them apply for these services, and provide them with proactive follow-up and monitoring, such as appointment reminders and home visits. Member of care delivery team. Community health workers partner with patients and licensed providers, such as physicians and nurses, to improve coordinated care and support for patients. Patient navigation. Community health workers help individuals and families navigate complex medical service systems and processes to increase their access to care. Community organizers. Community health workers may facilitate self-directed change and community development by serving as liaisons between communities and healthcare systems. For example, community health workers might serve as liaisons between the community and those implementing an intervention to ensure program materials are culturally appropriate and specific to their community 1 study. Improvements were seen for self-reported lifestyle changes i. physical activity, nutrition. Results were mixed for cardiovascular disease risk factors and weight-related outcomes. Glycemic Blood Sugar Control Mean HbA1c: median decrease of 0. Mean fasting blood glucose: median decrease of Healthcare Use Studies reported decreases in emergency department visits among patients in intervention groups when compared to those in control groups. Cardiovascular Disease Risk Factors Mean total cholesterol: median decrease of 8. Additional Findings In 17 of the included studies, community health workers were used in team-based care. Interventions that engaged community health workers in team-based care decreased systolic blood pressure by 2. Summary of Economic Evidence Detailed results from the systematic review are available in the CPSTF Finding and Rationale Statement. Applicability Based on results, the CPSTF finding should be applicable to interventions that engage community health workers in the following settings and populations: Adults with type 2 diabetes Women and men Hispanics, African-Americans, and Asians Low-income and low-education populations Urban and rural environments Clinics, community, and home settings. Evidence Gaps The CPSTF identified several areas that have limited information. Additional research and evaluation could help answer the following questions and fill remaining gaps in the evidence base. What are evidence gaps? How effective are large-scale programs i. What are the challenges or barriers that impact the recruitment and retention of male clients? How will changes in Centers for Medicaid CMS reimbursement rules affect the use of community health workers and the roles and services they provide? How effective are interventions among younger and older adult populations? What are the long-term effects on diabetes-related complications and health outcomes? How can community health workers be more engaged as outreach, enrollment, and information agents, patient navigators, and community organizers? What are the roles and effects of community health workers in a team-based care environment? Study Characteristics Included studies had the greatest suitability of design individual randomized control trials [15 studies], group randomized controlled trials [5 studies], before-after with a comparison group [5 studies], other design with concurrent comparison groups [5 studies] ; moderate suitability of design retrospective cohort [1 study] ; and least suitability of design before-after without a comparison group [13 studies]. Studies were conducted in the United States 39 studies , the United Kingdom 3 studies , and Australia 2 studies. Studies were conducted in urban 21 studies , rural 6 studies , or mixed 3 studies areas; 14 studies did not report this information. Included studies evaluated interventions in clinics e. In the included studies, CHWs served adults ages 18 64 years old 32 studies , older adults ages 65 years and older 1 study , adults 18 years and older 3 studies , or patients of all ages 3 studies ; 5 studies did not report this information. Participants had type 2 diabetes 31 studies , type 1 or 2 diabetes 6 studies , or diabetes of unspecified type 7 studies. In the 27 team studies, the other team members were most often physicians 19 studies , nurses 15 studies , or registered dietitians 12 studies. Community health workers met a median of 3. These included the following: Providing culturally appropriate information 37 studies Building individual and community capacity 33 studies Coaching 32 studies Coordinating care or case management 17 studies. Publications Jacob V, Chattopadhyay SK, Hopkins DP, et al. Economics of community health workers for chronic disease: findings from Community Guide systematic reviews. American Journal of Preventive Medicine. Analytic Framework Effectiveness Review Analytic Framework When starting an effectiveness review, the systematic review team develops an analytic framework. |
| Step 1: Learn about diabetes. | All topics are updated as new evidence becomes available and our peer review process is complete. Channon SJ, Huws-Thomas MV, Rollnick S, et al. You will be subject to the destination website's privacy policy when you follow the link. Diabetes is serious , but you can learn to manage it. Brush your teeth at least twice a day with a fluoride toothpaste, floss your teeth once a day and schedule dental exams at least twice a year. |
| Managing Diabetes | Community Diabetes Education CoDE for uninsured Mexican Americans: a randomized controlled trial of a culturally tailored diabetes education and management program led by a community health worker. Diabetes Research and Clinical Practice ; 1 Ratanawongsa N, Handley MA, Quan J, Sarkar U, Pfeifer K, et al. Quasi-experimental trial of diabetes Self-Management Automated and Real-Time Telephonic Support SMARTSteps in a Medicaid managed care plan: study protocol. BMC Health Services Research ;12 1 Rosal MC, Ockene IS, Restrepo A, White MJ, Borg A, et al. Randomized trial of a literacy-sensitive, culturally tailored diabetes self-management intervention for low-income Latinos. Diabetes Care ;34 4 Rothschild SK, Martin MA, Swider SM, Tumial n Lynas CM, Janssen I, et al. Mexican American trial of community health workers: a randomized controlled trial of a community health worker intervention for Mexican Americans with type 2 diabetes mellitus. American Journal of Public Health ; 8 Ryabov I. The impact of community health workers on behavioral outcomes and glycemic control of diabetes patients on the US-Mexico border. International Quarterly of Community Health Education ;31 4 Samuel-Hodge CD, Keyserling TC, Park S, Johnston LF, Gizlice Z, Bangdiwala SI. A randomized trial of a church-based diabetes self-management program for African Americans with type 2 diabetes. Diabetes Educator ;35 3 Shah VO, Carroll C, Mals R, Ghahate D, Bobelu J, et al. A home-based educational intervention improves patient activation measures and diabetes health indicators among Zuni Indians. PloS One ;10 5 :e Simmons D. Impact of an integrated approach to diabetes care at the Rumbalara Aboriginal Health Service. Internal Medicine Journal ;33 12 Starting a diabetes self-management program in a free clinic. Diabetes Educator ;33 Supplement 6 SS. Spencer MS, Rosland AM, Kieffer EC, Sinco BR, Valerio M, et al. Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: a randomized controlled trial. American Journal of Public Health ; 12 Thom DH, Ghorob A, Hessler D, De Vore D, Chen E, Bodenheimer TA. Impact of peer health coaching on glycemic control in low-income patients with diabetes: a randomized controlled trial. Annals of Family Medicine ;11 2 Thompson JR, Horton C, Flores C. Advancing diabetes self-management in the Mexican American population a community health worker model in a primary care setting. Two Feathers J, Kieffer EC, Palmisano G, Anderson M, Sinco B, et al. Racial and Ethnic Approaches to Community Health REACH Detroit partnership: improving diabetes-related outcomes among African American and Latino adults. American Journal of Public Health ;95 9 Enhanced diabetes care to patients of south Asian ethnic origin the United Kingdom Asian Diabetes Study : a cluster randomised controlled trial. Lancet ; Brown H, Wilson KJ, Pag n JA, et al. Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes. Prev Chronic Dis ;9:E Dosage effects of diabetes self-management education for Mexican Americans the Starr county border health initiative. Culturally competent diabetes self-management education for Mexican Americans: the Starr County border health initiative. Brown SA, Hanis CL. Culturally competent diabetes education for Mexican Americans: the Starr County study. Diabetes Educator ;25 2 Prezio EA, Pag n JA, Shuval K, Culica D. The Community Diabetes Education CoDE program: cost-effectiveness and health outcomes. American Journal of Preventive Medicine ;47 6 Culica D, Walton JW, Prezio EA. CoDE: community diabetes education for uninsured Mexican Americans. In: Baylor University Medical Center Proceedings; Baylor University Medical Center. Esperat MC, Flores D, McMurry L, et al. Transformacion Para Salud: a patient navigation model for chronic disease self-management. Online journal of issues in nursing ;17 2 :G1. Gilmer TP, Roze S, Valentine WJ, et al. Cost-effectiveness of diabetes case management for low-income populations. Health Services Research ;42 5 Greenhalgh T, Campbell-Richards D, Vijayaraghavan S, et al. Kane EP, Collinsworth AW, Schmidt KL, et al. Improving diabetes care and outcomes with community health workers. Family Practice ;33 5 Rothschild SK, Martin MA, Swider SM, et al. Cost-effectiveness of community health workers in controlling diabetes epidemic on the US Mexico border. Public Health ; 7 Segal L, Nguyen H, Schmidt B, et al. Economic evaluation of Indigenous health worker management of poorly controlled type 2 diabetes in north Queensland. Med J Aust ; 5 Tang TS, Funnell M, Sinco B, et al. Comparative Effectiveness of Peer Leaders and Community Health Workers in Diabetes Self-management Support: Results of a Randomized Controlled Trial. Diabetes Care. Engaging Community Health Workers to Prevent and Manage Disease September 20, Developed by The Community Guide. Diabetes Prevention and Management Toolkit This toolkit compiles information, resources, and best practices to support development and implementation of diabetes prevention and management programs in rural communities. Modules include program models, implementation and evaluation resources, and funding and dissemination strategies. Community Health Workers Toolkit This toolkit compiles information, resources, and best practices to support development and implementation of community health worker programs in rural communities. Including Community Health Workers in Health Care Settings: A Checklist for Public Health Practitioners. The checklist is designed to be a conversation facilitator and can help to establish and strengthen relationships between community health workers and health care providers looking to address a range of health issues. Studies published in English from beginning of database through May , limited to countries with high income economies as defined by the World Bank were searched and screened for inclusion. S1 COMMUNITY HEALTH WORKER? OR AIDE? OR HEALTH ADVISOR? OR HEALTH WORKER? OR HEALTH ADVOCATE? OR OUTREACH WORKER? OR PATIENT NAVIGATOR? OR HEALTH VOLUNTEER? OR COMMUNITY MEMBER? OR COMMUNITY VOLUNTEER? OR LAY HEALTH ADVISOR? OR COMMUNITY HEALTH AIDE? OR HEALTH AGENT? OR PEER HEALTH PROMOTER? OR PEER COUNSELOR? OR PEER HEALTH WORKER? OR PEER VOLUNTEER? OR COMMUNITY HEALTH PERSONNEL OR COMMUNITY PROMOTER? OR CHRONIC DISEASE? OR CORONARY HEART DISEASE? OR ISCHEMIC OR CORONARY ARTERY DISEASE? OR HEART DISEASE? OR HEART ATTACK? OR ANGINA. S1 community health worker OR community health workers OR community health aide OR community health aides OR health advisor OR health advisors OR health worker OR health workers OR health advocate OR health advocates OR health paraprofessional OR health paraprofessionals OR community health representative OR community health representatives or outreach worker OR outreach workers OR patient navigator OR patient navigators OR promotora OR promotoras OR embajador OR embajadores OR consejera OR consejeras AND Hypertension OR blood pressure OR cholesterol OR diabetes OR obesity OR physical activity OR tobacco OR nutrition OR diet OR alcohol OR aspirin OR adherence OR comprehensive CVD risk reduction OR chronic disease OR cardiovascular disease OR cardiovascular diseases. S2 Hypertension OR blood pressure OR cholesterol OR diabetes OR obesity OR physical activity OR tobacco OR nutrition OR diet OR alcohol OR aspirin OR adherence OR comprehensive CVD risk reduction OR chronic disease OR cardiovascular disease OR cardiovascular diseases AND Team-based care OR integrated care OR coordinated care OR collaborative care OR primary care teams OR primary care team OR navigator OR liaison OR screening OR education OR outreach OR home visits OR enroll OR community organizer OR community development OR health advocacy OR counseling OR self-management OR health behavior change OR lifestyle modification. S3 Team-based care OR integrated care OR coordinated care OR collaborative care OR primary care teams OR primary care team OR navigator OR liaison OR screening OR education OR outreach OR home visits OR enroll OR community organizer OR community development OR health advocacy OR counseling OR self-management OR health behavior change OR lifestyle modification. This literature search was performed to find studies on the economics of interventions engaging community health workers for the prevention of cardiovascular disease, prevention of diabetes, and management of diabetes. Ten bibliographic databases were searched during August , using the terms listed below. The databases searched were: CINAHL, Cochrane, the Centre for Reviews and Dissemination CRD-York , EconLit, Google Scholar, NTIS, PubMed, Sociological Abstracts, SSRN, and WorldCat. Publications listed from inception of databases to August, were covered, and the types of documents retrieved by the search included journal articles, books, book chapters, reports, and conference papers. In addition, reference lists of included studies were screened and subject matter experts were consulted for additional studies that may have been missed. Search terms and strategies were adjusted for each database, based on controlled and uncontrolled vocabularies and software. C3 Project. The Community health worker core consensus C3 project: recommendations on CHW roles, skills, and qualities. pdf [cited ]. Department of Health and Human Services, Health Resources Services Administration HRSA , Bureau of Health Professions. Community health worker national workforce study. Department of Health and Human Services. Rockville MD ; Nelson K, Taylor L, Silverman J, Kiefer M, Hebert P, Lessler D, et al. Randomized controlled trial of a community health worker self-management support intervention among low-income adults with diabetes, Seattle, Washington, Prev Chronic Dis ; Healthy People includes the following objectives related to this CPSTF recommendation. This webpage summarizes information available in the CPSTF Findings and Rationale Statement, located under the Snapshot tab. Skip directly to site content Skip directly to search. Welcome to The Community Guide! Let us know what you think of the website by completing this quick survey. Search The Community Guide. Diabetes Management: Interventions Engaging Community Health Workers Print. Minus Related Pages. Snapshot What the CPSTF Found Supporting Materials Considerations for Implementation Summary of CPSTF Finding The Community Preventive Services Task Force CPSTF recommends interventions that engage community health workers to help patients manage their diabetes. Economic evidence indicates these interventions are cost-effective. The CPSTF has related findings for interventions that engage community health workers: Diabetes prevention Cardiovascular disease prevention. Intervention Interventions engaging community health workers for diabetes management aim to improve diabetes care and self-management behaviors among patients. Interventions include education, coaching, or social support to improve diabetes testing and monitoring, medication adherence, diet, physical activity, or weight management. CPSTF Finding and Rationale Statement Read the full CPSTF Finding and Rationale Statement for details including implementation issues, possible added benefits, potential harms, and evidence gaps. Promotional Materials Community Guide News: Community Health Workers Help Patients Manage Diabetes One Pager: Interventions Engaging Community Health Workers to Manage Diabetes Interventions Engaging Community Health Workers. About The Systematic Review The CPSTF recommendation is based on evidence from a systematic review of 44 studies search period through May Summary of Results Detailed results from the systematic review are available in the CPSTF Finding and Rationale Statement. Screening and health education. For example, community health workers might teach patients how to plan healthy meals to improve glucose levels, or how to use a medication diary to track adherence 38 studies. Outreach, enrollment, and information. Community health workers reach out to individuals and families who are eligible for medical services, help them apply for these services, and provide them with proactive follow-up and monitoring, such as appointment reminders and home visits. Member of care delivery team. Community health workers partner with patients and licensed providers, such as physicians and nurses, to improve coordinated care and support for patients. Patient navigation. Community health workers help individuals and families navigate complex medical service systems and processes to increase their access to care. Community organizers. Community health workers may facilitate self-directed change and community development by serving as liaisons between communities and healthcare systems. For example, community health workers might serve as liaisons between the community and those implementing an intervention to ensure program materials are culturally appropriate and specific to their community 1 study. Improvements were seen for self-reported lifestyle changes i. physical activity, nutrition. Results were mixed for cardiovascular disease risk factors and weight-related outcomes. Glycemic Blood Sugar Control Mean HbA1c: median decrease of 0. Mean fasting blood glucose: median decrease of Healthcare Use Studies reported decreases in emergency department visits among patients in intervention groups when compared to those in control groups. Cardiovascular Disease Risk Factors Mean total cholesterol: median decrease of 8. Additional Findings In 17 of the included studies, community health workers were used in team-based care. Interventions that engaged community health workers in team-based care decreased systolic blood pressure by 2. Summary of Economic Evidence Detailed results from the systematic review are available in the CPSTF Finding and Rationale Statement. Applicability Based on results, the CPSTF finding should be applicable to interventions that engage community health workers in the following settings and populations: Adults with type 2 diabetes Women and men Hispanics, African-Americans, and Asians Low-income and low-education populations Urban and rural environments Clinics, community, and home settings. Evidence Gaps The CPSTF identified several areas that have limited information. Facebook Twitter LinkedIn Syndicate. Living With Diabetes. Minus Related Pages. Education and Support. Prevent Diabetes Complications. Eat Well. Managing Sick Days. Healthy Weight. Your Diabetes Care Schedule. Get Active! Be Prepared. Manage Blood Sugar. Diabetes and Mental Health. Page last reviewed: March 9, Content source: Centers for Disease Control and Prevention. |
)
Diese Variante kommt mir nicht heran.