Community Health Worker Interventions in Type 2 Diabetes Mellitus Patients: Assessing the Feasibility and Effectiveness in Rural Central India

Vishakha Jain; Rajnish Joshi; Jyothi Idiculla; Denis Xavier

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Community Health Worker Interventions in Type 2 Diabetes Mellitus Patients: Assessing the Feasibility and Effectiveness in Rural Central India

机译：2型糖尿病患者的社区卫生工作者干预措施：评估印度中部农村地区的可行性和有效性

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Background: Globally, across high as well as low-income countries, there is a sub-optimal glycemic control amongst Type 2 diabetes mellitus patients. Community- based programmes with the help of community health workers (CHWs) have been tried to offer culturally appropriate care leading to positive impact on glycemic control. Methods: We planned this open-label randomised controlled trial to assess the possibility of CHWs interventions in a rural community in central India. We designed this study to compare glycaemic control, lipid profile, blood pressure and anthropometric measurements between patients in the CHW intervention group and those in the standard therapy group. The intervention group was offered CHW interventions in the form of home visits, health education, patient diary, telephonic reminders etc as compared to standard care group that received usual care. Results: We included a total of 299 patients in our study (standard care group n= 146 and intervention group n= 153) and followed them for a period of 6 months (96.98% follow up data) and recorded outcome variables (fasting blood sugar, post-prandial blood sugar, glycosylated haemoglobin, lipid profile, blood pressure) at the start and end of the study. Both the standard care group and intervention group showed improved in their glycemic indices at the end of the study. We established no statistical difference between the intervention and the standard care group at the end of the study. The mean reduction of HbA1c and fasting blood sugar was more in the intervention group as compared to the standard care group. Conclusion: Our study demonstrated a trend towards improvement in glycemic indices in the intervention group as compared to the standard care group.

机译：背景：在全球范围内，无论高收入国家还是低收入国家，2型糖尿病患者的血糖控制都不理想。已尝试在社区卫生工作者（CHW）的帮助下开展基于社区的计划，以提供文化上适当的护理，从而对血糖控制产生积极影响。方法：我们计划进行这项开放标签的随机对照试验，以评估印度中部农村社区中的CHW干预措施的可能性。我们设计了这项研究，以比较CHW干预组和标准治疗组患者之间的血糖控制，血脂状况，血压和人体测量结果。与接受常规护理的标准护理组相比，该干预组以家庭访问，健康教育，患者日记，电话提醒等形式提供了CHW干预。结果：我们的研究共纳入299名患者（标准护理组146名，干预组153名），随访了6个月（随访数据为96.98％），并记录了结果变量（空腹血糖），餐后血糖，糖基化血红蛋白，脂质分布，血压）在研究的开始和结束时进行。在研究结束时，标准护理组和干预组的血糖指数均得到改善。在研究结束时，我们没有发现干预措施与标准护理组之间的统计学差异。与标准治疗组相比，干预组HbA1c和空腹血糖的平均降低幅度更大。结论：我们的研究表明，与标准护理组相比，干预组的血糖指数有改善的趋势。

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《Journal of Cardiovascular Disease Research》 |2018年第3期|共7页
作者
Vishakha Jain; Rajnish Joshi; Jyothi Idiculla; Denis Xavier;
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中图分类心脏、血管（循环系）疾病;
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Community health worker interventionsCommunity-based programmesManagementType 2 diabetes mellitus;

机译：社区卫生工作者干预基于社区的计划管理2型糖尿病;

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2. 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 [J] . Steven K. Rothschild, Molly A. Martin, Susan M. Swider, American journal of public health . 2014,第8期

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Community Health Worker Interventions in Type 2 Diabetes Mellitus Patients: Assessing the Feasibility and Effectiveness in Rural Central India

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