A preliminary report on an assessment of a community-based intervention for diabetes control in adults with type 2 diabetes.

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Abstract

OBJECTIVE: The aim of this study was to evaluate the effectiveness of lay diabetes facilitators (LDFs) to increase knowledge and improve control among persons with diabetes. Methodology. A prospective cohort study was conducted among persons with diabetes in 16 health care centres in Jamaica to evaluate the effect of LDFs on glycaemia [haemoglobin A1c (HbA1c)] and body mass index (BMI). One hundred and fifty-nine persons with diabetes were recruited for the intervention from eight clinical settings in which LDFs had been recruited and trained. A matched group of 159 were recruited as a comparison sample from eight clinical settings without LDFs. HbA1c and BMI were measured at baseline and 6 months. RESULTS: Mean HbA1c at baseline for the intervention and comparison groups were 7.9% and 8%, respectively. After 6 months, the intervention group showed a mean decrease of 0.6% while the comparison group showed an increase of 0.6%, significant after control for potential confounders (P < 0.05). There was no statistically significant change in BMI between groups. CONCLUSION: Patients educated by LDFs showed improved metabolic control over the first 6 months of observation.

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Less, L. A., Ragoobirsingh, D., Morrison, E. Y., Boyne, M., & Johnson, P. A. (2010). A preliminary report on an assessment of a community-based intervention for diabetes control in adults with type 2 diabetes. Family Practice, 27 Suppl 1. https://doi.org/10.1093/fampra/cmp085

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