Work

Community Outreach for Navajo People Living with Diabetes: Who Benefits Most?

Year: 2020

Type: article

Abstract: What is already known on this topic?Programs that train and deploy community health representatives (CHRs), community health workers for tribal communities, can improve health outcomes for people with chronic disease.What is added by this report?Patient groups who benefitted most from a CHR program for people with diabetes in Navajo Nation were aged 64 or younger, did not have a primary care provider, and had a baseline HbA 1c >9%.Older patients, patients with a primary care provider, and patients with a baseline HbA 1c ≤9% also had significant improvements in glycemic levels.What are the implications for public health practice?Our findings can inform program delivery by identifying patients' groups to refer to community-based programs and highlight how to strengthen the CHR program to better meet the needs of less responsive groups.

Source: Preventing Chronic Disease

DOI: 10.5888/pcd17.200068