Evidence map›Paper›PMID 23749774›Full record

ArticleThe Diabetes educator

Evaluation of a community health worker pilot intervention to improve diabetes management in Bangladeshi immigrants with type 2 diabetes in New York City.

Nadia S Islam, Laura C Wyatt, Shilpa D Patel, Ephraim Shapiro, S Darius Tandon, B Runi Mukherji, Michael Tanner, Mariano J Rey, Chau Trinh-Shevrin

Registry-linked trialAbstract readEvaluation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The Diabetes educator. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02041598 (DREAM Project Community Health Worker Intervention), which is not on this map. Cited by 56 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02041598 nacompletednot on this map

DREAM Project Community Health Worker Intervention

TypeinterventionalSponsorNYU Langone HealthRan2009 to 2016Enrolled441ConditionsDiabetes Mellitus, Type 2ArmsCHW Intervention
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nadia S IslamCenter for the Study of Asian American Health, NYU School of Medicine, New York, New York (Dr Islam, Ms Wyatt, Ms Patel, Dr Shapiro, Dr Rey, Dr Trinh-Shevrin)
Laura C WyattCenter for the Study of Asian American Health, NYU School of Medicine, New York, New York (Dr Islam, Ms Wyatt, Ms Patel, Dr Shapiro, Dr Rey, Dr Trinh-Shevrin)
Shilpa D PatelCenter for the Study of Asian American Health, NYU School of Medicine, New York, New York (Dr Islam, Ms Wyatt, Ms Patel, Dr Shapiro, Dr Rey, Dr Trinh-Shevrin)
Ephraim ShapiroCenter for the Study of Asian American Health, NYU School of Medicine, New York, New York (Dr Islam, Ms Wyatt, Ms Patel, Dr Shapiro, Dr Rey, Dr Trinh-Shevrin)
S Darius TandonDepartment of Pediatrics, The Johns Hopkins Children’s Center, Baltimore, Maryland (Dr Tandon)
B Runi MukherjiSouth Asian Council for Social Services, New York, New York (Dr Mukherji-Ratnam)
Michael TannerDepartment of Medicine, Division of General Internal Medicine, NYU School of Medicine, New York, New York (Dr Islam, Dr Tanner, Dr Trinh-Shevrin)
Mariano J ReyCenter for the Study of Asian American Health, NYU School of Medicine, New York, New York (Dr Islam, Ms Wyatt, Ms Patel, Dr Shapiro, Dr Rey, Dr Trinh-Shevrin)
Chau Trinh-ShevrinCenter for the Study of Asian American Health, NYU School of Medicine, New York, New York (Dr Islam, Ms Wyatt, Ms Patel, Dr Shapiro, Dr Rey, Dr Trinh-Shevrin)

Funding

Research Training and Education CoreP60MD000538 · NIMHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI TRINH-SHEVRIN, CHAU · 2003 to 2017
$21.2M
Institutional Clinical and Translational Science AwardUL1TR000038 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CRONSTEIN, BRUCE NEIL · 2012 to 2014
$16.8M
Scaling Community-Clinical Linkage Models to Address Diabetes and Hypertension Disparities in the Southeastern U.S.U54MD000538 · NIMHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI TRINH-SHEVRIN, CHAU · 2017 to 2022
$11.3M
Project AsPIRE (Asian American Partnerships in Research)R24MD001786 · NIMHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI REY, MARIANO J · 2005 to 2012
$5.3M
NYU HEALTH PROMOTION AND PREVENTION RESEARCH CENTERU48DP001904 · DP · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MARIANO, REY · 2009 to 2013
$4.7M
NCATS NIH HHS UL1 TR000038NCCDPHP CDC HHS 1U48DP001904-01NCCDPHP CDC HHS U48 DP001904NIMHD NIH HHS P60 MD000538NIMHD NIH HHS P60MD000538NIMHD NIH HHS R24 MD001786NIMHD NIH HHS U54 MD000538PHS HHS R24001786
6 · The paper itself

Abstract

purposeThe purpose of this study is to explore the impact and feasibility of a pilot Community Health Worker (CHW) intervention to improve diabetes management among Bangladeshi-American individuals with type 2 diabetes living in New York City.

methodsParticipants were recruited at clinic- and community-based venues. The intervention consisted of 6 monthly, CHW-facilitated group sessions on topics related to management of diabetes. Surveys were collected at baseline and follow-up time points. Study outcomes included clinical, behavioral, and satisfaction measures for participants, as well as qualitative measures from CHWs.

resultsImprovements were seen in diabetes knowledge, exercise and diet to control diabetes, frequency of checking feet, medication compliance, and self-efficacy of health and physical activity from baseline to 12 months. Additionally, there were decreases in A1C, weight, and body mass index. Program evaluation revealed a high acceptability of the intervention, and qualitative findings indicated that CHWs helped overcome barriers and facilitated program outcomes through communal concordance, trust, and leadership.

conclusionsThe intervention demonstrated high acceptability and suggested efficacy in improving diabetes management outcomes among Bangladeshi immigrants in an urban setting. The US Bangladeshi population will continue to increase, and given the high rates of diabetes, as well as linguistic and economic barriers faced by this community, effective and culturally tailored health interventions are needed to overcome barriers and provide support for diabetes management.

Indexed as

Self CareWhite PeopleAdultAgedAged, 80 and overBangladeshCommunity Health WorkersDiabetes Mellitus, Type 2Drug MonitoringEmigrants and ImmigrantsEthnicityExerciseFeasibility StudiesFemaleHealth BehaviorHealth Knowledge, Attitudes, Practice

Identifiers

PMID23749774
PMCPMC3912744

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.