Protocol for the Northern Manhattan Diabetes Community Outreach Project. A randomised trial of a community health worker intervention to improve diabetes care in Hispanic adults

Walter Palmas, Jeanne A. Teresi, Sally Findley, Miriam Mejia, Milagros Batista, Jian Kong, Stephanie Silver, Jose A. Luchsinger, Olveen Carrasquillo

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective: Hispanics in the USA are affected by the diabetes epidemic disproportionately, and they consistently have lower access to care, poorer control of the disease and higher risk of complications. This study evaluates whether a community health worker (CHW) intervention may improve clinically relevant markers of diabetes care in adult underserved Hispanics. Methods and analysis: The Northern Manhattan Diabetes Community Outreach Project (NOCHOP) is a two-armed randomised controlled trial to be performed as a community-based participatory research study performed in a Primary Care Setting in Northern Manhattan (New York City). 360 Hispanic adults with poorly controlled type 2 diabetes mellitus (haemoglobin A1c >8%), aged 35-70 years, will be randomised at a 1:1 ratio, within Primary Care Provider clusters. The two study arms are (1) a 12-month CHW intervention and (2) enhanced usual care (educational materials mailed at 4-month intervals, preceded by phone calls). The end points, assessed after 12 months, are primary = haemoglobin A1c and secondary = blood pressure and low-density lipoprotein-cholesterol levels. In addition, the study will describe the CHW intervention in terms of components and intensity and will assess its effects on (1) medication adherence, (2) medication intensification, (3) diet and (4) physical activity. Ethics and dissemination: All participants will provide informed consent; the study protocol has been approved by the Institutional Review Board of Columbia University Medical Center. CHW interventions hold great promise in improving the well-being of minority populations who suffer from diabetes mellitus. The NOCHOP study will provide valuable information about the efficacy of those interventions vis-à-vis clinically relevant end points and will inform policy makers through a detailed characterisation of the programme and its effects. Clinical trial registration number: NCT00787475 at clinicaltrials.gov.

Original languageEnglish
Article numbere001051
JournalBMJ Open
Volume2
Issue number2
DOIs
StatePublished - May 17 2012

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Community-Institutional Relations
Hispanic Americans
Primary Health Care
Hemoglobins
Community-Based Participatory Research
Medication Adherence
Research Ethics Committees
Administrative Personnel
Informed Consent
Ethics
LDL Cholesterol
Type 2 Diabetes Mellitus
Diabetes Mellitus
Randomized Controlled Trials
Clinical Trials
Exercise
Diet
Blood Pressure
Population

ASJC Scopus subject areas

  • Medicine(all)

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Protocol for the Northern Manhattan Diabetes Community Outreach Project. A randomised trial of a community health worker intervention to improve diabetes care in Hispanic adults. / Palmas, Walter; Teresi, Jeanne A.; Findley, Sally; Mejia, Miriam; Batista, Milagros; Kong, Jian; Silver, Stephanie; Luchsinger, Jose A.; Carrasquillo, Olveen.

In: BMJ Open, Vol. 2, No. 2, e001051, 17.05.2012.

Research output: Contribution to journalArticle

Palmas, Walter ; Teresi, Jeanne A. ; Findley, Sally ; Mejia, Miriam ; Batista, Milagros ; Kong, Jian ; Silver, Stephanie ; Luchsinger, Jose A. ; Carrasquillo, Olveen. / Protocol for the Northern Manhattan Diabetes Community Outreach Project. A randomised trial of a community health worker intervention to improve diabetes care in Hispanic adults. In: BMJ Open. 2012 ; Vol. 2, No. 2.
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