Trial reportThe Diabetes educator
Implementation of a culturally tailored diabetes intervention with community health workers in American Samoa.
Trial report 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 2 registered trials, which are not on this map. Cited by 24 papers, 5 of them syntheses that pooled 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.
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.
Diabetes Care in American Samoa
Family-Based Meal Timing for Cancer Prevention Among Native Hawaiian and Other Pacific Islanders: FAMTIME
Who cites it
24 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Diabetes self-care intervention strategies and their effectiveness in Sub-Saharan Africa: A systematic review.PloS one · 2024Pooled it
- Task-sharing interventions for improving control of diabetes in low-income and middle-income countries: a systematic review and meta-analysis.The Lancet. Global health · 2021Pooled it
- Task sharing with non-physician health-care workers for management of blood pressure in low-income and middle-income countries: a systematic review and meta-analysis.The Lancet. Global health · 2019Pooled it
- Quality improvement strategies at primary care level to reduce inequalities in diabetes care: an equity-oriented systematic review.BMC endocrine disorders · 2018Pooled it
- Community health workers for non-communicable diseases prevention and control in developing countries: Evidence and implications.PloS one · 2017Pooled it
- Cost-effectiveness analysis of a cluster-randomized, culturally tailored, community health worker home-visiting diabetes intervention versus standard care in American Samoa.Human resources for health · 2019Trial
- Impact of a diabetes control and management intervention on health care utilization in American Samoa.Chronic illness · 2014Trial
- Feasibility of a Church-Based, CHW-Delivered Diabetes and SDOH Intervention in a Hispanic Community: A Quasi-Experimental Study.Journal of general internal medicine · 2026Article
- A Qualitative Review of Community Health Workers' Training, Supervision, and Service Delivery Needs.Administration and policy in mental health · 2025Article
- Psychosocial correlates of HbA1c among adult Samoans without diabetes.PLOS mental health · 2025Article
- Effects of lifestyle interventions on weight amongst Pasifika communities: A systematic review and meta-analysis.The Lancet regional health. Western Pacific · 2022Article
- Interventions and policies aimed at improving nutrition in Small Island Developing States: a rapid review.Revista panamericana de salud publica = Pan American journal of public health · 2022Review
- Factors Influencing the Implementation of Remote Delivery Strategies for Non-Communicable Disease Care in Low- and Middle-Income Countries: A Narrative Review.Public health reviews · 2022Review
- Cultural adaptation of health interventions including a nutrition component in Indigenous peoples: a systematic scoping review.International journal for equity in health · 2021Article
- Educational content and challenges encountered when training service user representatives as peer researchers in a mixed study on patient experience of hospital safety.Research involvement and engagement · 2020Article
- Best Practices for Community-Engaged Research with Pacific Islander Communities in the US and USAPI: A Scoping Review.Journal of health care for the poor and underserved · 2019Article
- Fidelity of HIV programme implementation by community health workers in rural Mopani district, South Africa: a community survey.BMC public health · 2018Article
- Role of community health workers in type 2 diabetes mellitus self-management: A scoping review.PloS one · 2018Article
- Screening for Diabetic Eye Disease among Samoan Adults: A Pilot Study.Ophthalmology and therapy · 2017Article
- Evidence based review of type 2 diabetes prevention and management in low and middle income countries.World journal of diabetes · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
purposeThe purpose of this article is to answer key implementation questions from our translation research with a primary care-based, nurse-community health worker (CHW) team intervention to support type 2 diabetes self-management.
methodsDescriptive data are given on intervention delivery, CHW visit content, patient safety, and intervention costs, along with statistical analyses to examine participant characteristics of higher attendance at visits.
resultsIn the intervention sample (n = 104), 74% (SD = 16%) of planned intervention visits occurred, guided by an algorithm-based protocol. Higher risk participants had a significantly lower dose of their weekly assigned visits (66%) than those at moderate (74%) and lower risk (90%). Twenty-eight percent of participants moved to a lower risk group over the year. Estimated intervention cost was $656 per person. Participants with less education were more likely to attend optimal percentage of visits.
conclusionsA nurse-CHW team can deliver a culturally adapted diabetes self-management support intervention with excellent fidelity to the algorithm-based protocols. The team accommodated participants' needs by meeting them whenever and wherever they could. This study provides an example of adaptation of an evidence-based model to the Samoan cultural context and its resource-poor setting.
Indexed as
Identifiers
What OpenQuestion holds
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.