Background. Although not widely utilized, community health workers (CHWs) have been shown to enhance diabetes education and management efforts among racial/ethnic minority populations. Objective. To examine the effectiveness of CHWs on diabetes management among a population with primarily Native Hawaiian and Samoan ethnic minority participants with HbA1c greater than 10%. Design. Descriptive study comparing HbA1c readings of participants with diabetes with and without CHW intervention. Participants . Of 116 eligible participants, 74% were either Native Hawaiian or Samoan. Results. The mean baseline HbA1c for all eligible participants was 10.9 ± 0.8%. The 80 participants who completed CHW intervention had a 2.2 ± 1.8% (p.< 01, compared with baseline) mean reduction in HbA1c, compared with a 0.2 ± 1.5% reduction for those without CHW intervention. Conclusion. Community health workers had a positive impact on diabetes management defined in terms of improved HbA1c amongst this predominantly Native Hawaiian and Samoan population.


Additional Information

Print ISSN
pp. 416-427
Launched on MUSE
Open Access
Back To Top

This website uses cookies to ensure you get the best experience on our website. Without cookies your experience may not be seamless.