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Remote Peer Learning Between US and Cambodian Lay Health Workers to Improve Outcomes for Cambodians with Type 2 Diabetes: a Pilot Study.
- Source :
-
International Journal of Behavioral Medicine . Oct2020, Vol. 27 Issue 5, p609-614. 6p. 2 Charts. - Publication Year :
- 2020
-
Abstract
- Background: This paper reports a single-group, pre-post pilot of a peer-learning intervention between community health workers (CHWs) in the USA and Village Health Support Guides (Guides) in Cambodia to improve outcomes for Cambodians with type 2 diabetes (T2D). Method: Two US-based CHWs were trained in a culturally derived cardiometabolic education curriculum called Eat, Walk, Sleep (EWS) and they were also trained in principles of peer learning. They in turn trained five Cambodia-based Guides remotely through videoconference with a phablet in EWS. Finally, Cambodia-based Guides met with 58 patients with diabetes, face-to-face in their villages, monthly for 6 months to deliver EWS. US-based CHWs and Cambodia-based Guides responded to surveys at baseline and post-treatment. Patients responded to surveys and provided blood pressure and blood samples at baseline and post-treatment. Results: For US-based CHWs, scores on all surveys of diabetes knowledge, self-evaluation, job satisfaction, and information technology improved, though no statistical tests were run due to sample size. For Cambodia-based Guides, all scores on these same measures improved except for job satisfaction. For patients, n = 60 consented, 2 withdrew, and 7 were lost to follow-up leaving n = 51 for analysis. In paired t tests, patients showed significantly decreased A1c, decreased systolic and diastolic blood pressures, improved attitudes toward medicines, and a trend for switching from all-white to part-brown rice. No changes were detected in self-reported physical activity, medication adherence, sleep quality, or frequency or amount of rice consumed. Conclusion: If proven effective in a controlled trial, cross-country peer learning could eventually help other diaspora communities. [ABSTRACT FROM AUTHOR]
- Subjects :
- *BLOOD pressure
*DRUGS
*CURRICULUM
*FOOD preferences
*GLYCOSYLATED hemoglobin
*INFORMATION technology
*INGESTION
*JOB satisfaction
*LEARNING strategies
*TYPE 2 diabetes
*PATIENT compliance
*PROFESSIONS
*RICE
*SELF-evaluation
*SLEEP
*T-test (Statistics)
*VIDEOCONFERENCING
*PILOT projects
*AFFINITY groups
*TREATMENT effectiveness
*PRE-tests & post-tests
*PHYSICAL activity
*PATIENTS' attitudes
Subjects
Details
- Language :
- English
- ISSN :
- 10705503
- Volume :
- 27
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- International Journal of Behavioral Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 145733120
- Full Text :
- https://doi.org/10.1007/s12529-020-09896-3