Effectiveness of a Community Health Worker as Sole Diabetes Educator: Comparison of CoDE with Similar Culturally Appropriate Interventions

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Article discussing the effectiveness of a community health worker as sole diabetes educator.

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21 p.: ill.

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Culica, Dan; Walton, James W.; Harker, Karen & Prezio, Elizabeth A. November 4, 2008.

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Article discussing the effectiveness of a community health worker as sole diabetes educator.

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21 p.: ill.

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Copyright © 2011 Johns Hopkins University Press. This article first appeared in the Journal of Health Care for the Poor and Underserved 19:4 (2011), 1076-1095. Reprinted with permission by The Johns Hopkins University Press.

Abstract: The feasibility of a newly designated Community Diabetes Education (CoDE) intervention was evaluated in preparation for the development of a pilot study of this program. A comparison between CoDE and similar culturally appropriate diabetes management programs developed specifically for Hispanic Americans demonstrates its unique features. Patient insurance status, duration of the intervention, delivery in individual and/or group settings, the characteristics of the diabetes educator(s), the other professional resources involved in these interventions, the associated costs, and the reported health outcomes were used in the comparison. The significant improvement in hemoglobin A1c observed in patients who completed one year of CoDE suggests that a community health worker can serve as the primary patient educator in the absence of more highly educated personnel required by American Diabetes Association-certified diabetes education programs. This low-cost model can be reproduced de novo in community health centers or inserted into existing diabetes management interventions.

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  • Journal of Health Care for the Poor and Underserved, 2008, Baltimore: Johns Hopkins University. Press, pp. 1076-1095

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  • Publication Title: Journal of Health Care for the Poor and Underserved
  • Volume: 19
  • Issue: 4
  • Page Start: 1076
  • Page End: 1095
  • Peer Reviewed: Yes

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  • November 4, 2008

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  • Sept. 6, 2013, 3:22 p.m.

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  • June 24, 2014, 4:28 p.m.

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Culica, Dan; Walton, James W.; Harker, Karen & Prezio, Elizabeth A. Effectiveness of a Community Health Worker as Sole Diabetes Educator: Comparison of CoDE with Similar Culturally Appropriate Interventions, article, November 4, 2008; [Baltimore, Maryland]. (digital.library.unt.edu/ark:/67531/metadc180951/: accessed September 24, 2017), University of North Texas Libraries, Digital Library, digital.library.unt.edu; .