Format

Send to

Choose Destination
See comment in PubMed Commons below
Diabetes Res Clin Pract. 2016 Oct;120:162-70. doi: 10.1016/j.diabres.2016.07.022. Epub 2016 Aug 4.

A randomized, controlled trial of a stress management intervention for Latinos with type 2 diabetes delivered by community health workers: Outcomes for psychological wellbeing, glycemic control, and cortisol.

Author information

1
UConn Health, Farmington, CT, USA. Electronic address: juwagner@uchc.edu.
2
UConn Health, Farmington, CT, USA.
3
Hispanic Health Council, Hartford, CT, USA.
4
Hartford Hospital, Hartford, CT, USA.
5
Quinnipiac University School of Medicine, Hamden, CT, USA.
6
Yale School of Public Health, New Haven, CT, USA.

Abstract

AIMS:

To test the efficacy of a community health worker (CHW) delivered stress management (SM) intervention on psychosocial, glycemic, and cortisol outcomes among U.S. Latinos with type 2 diabetes.

METHODS:

A randomized, controlled trial compared CHW-delivered diabetes education (DE; one group session) to DE plus CHW-delivered SM (DE+SM; 8 group sessions). Psychosocial variables and urinary cortisol were measured at baseline and posttreatment. HbA1c was measured at baseline, posttreatment, and 3-month follow-up.

RESULTS:

In intent to treat analysis, compared to DE (n=46), DE+SM (n=61) showed significantly improved symptoms of depression, anxiety, and self-reported health status. There were no significant group effects for HbA1c, diabetes distress, or urinary cortisol. However, there was a dose response effect for HbA1c and diabetes distress; increasing attendance at SM sessions was associated with greater improvements in HbA1c and diabetes distress.

CONCLUSIONS:

This is the first randomized, controlled trial demonstrating that CHWs can improve psychological symptoms and self-reported health among Latinos with type 2 diabetes. Efforts to increase intervention attendance may improve HbA1c and diabetes distress.

KEYWORDS:

Anxiety; Community health workers; Depression; Diabetes; Latinos

PMID:
27568646
PMCID:
PMC5037043
DOI:
10.1016/j.diabres.2016.07.022
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science Icon for PubMed Central
    Loading ...
    Support Center