Community Health Workers Supporting Clinical Pharmacists in Diabetes Management: A Randomized Controlled Trial.

ABSTRACT:

Objectives

To evaluate the effectiveness of clinical pharmacists and community health workers (CHWs) in improving glycemic control within a low-income ethnic minority population.

Methods

In a two-arm 2-year crossover trial, 179 African-American and 65 Hispanic adult patients with uncontrolled diabetes mellitus (hemoglobin A_1c [HbA1C] of 8% or higher) were randomized to CHW support either during the first or second year of the study. All participants received clinical pharmacist support for both years of the study. The primary outcome was change in HbA1C over 1 and 2 years.

Results

Similar HbA1C declines were noted after receiving the 1 year of CHW support: -0.45% (95% confidence interval [CI] -0.96 to 0.05) with CHW versus -0.42% (95% CI -0.93 to 0.08) with

SUBMITTER: Sharp LK 

PROVIDER: S-EPMC5766435 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature