Evidence map›Paper›PMID 32932865›Full record

ArticleJournal of personalized medicine2020

Evaluating the Impact of Telehealth-Based, Diabetes Medication Training for Community Health Workers on Glycemic Control.

Casey N Keegan, Craig A Johnston, Victor J Cardenas, Elizabeth M Vaughan

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05965869 (Creating Healthy Communities Through a Church-based, Community Health Worker-led Initiative), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% of its field
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.

NCT05965869 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Creating Healthy Communities Through a Church-based, Community Health Worker-led Initiative

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2023 to 2028Enrolled400ConditionsDiabetes Mellitus, Type 2, Diabetes Mellitus RiskArmsdiabetes program
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
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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

4 authors at 3 institutions in 1 country.

Casey N KeeganSchool of Health Professions, Baylor College of Medicine, Houston, TX 77030, USA.
Craig A JohnstonDepartment of Health and Human Performance, University of Houston, Houston, TX 77004, USA.
Victor J CardenasDepartment of Internal Medicine, University of Texas Medical Branch, Galveston, TX 77555, USA.
Elizabeth M VaughanDepartment of Medicine, Baylor College of Medicine, Houston, TX 77030, USA.ORCID 0000-0001-9565-0134
Baylor College of Medicine · USThe University of Texas Medical Branch at Galveston · USUniversity of Houston · US

Funding

Technology to improve the health of resource-poor Hispanics with diabetesK23DK110341 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI VAUGHAN, ELIZABETH M · 2017 to 2021
$857k
NIDDK NIH HHS DK11034NIDDK NIH HHS K23 DK110341
6 · The paper itself

Abstract

backgroundDiabetes is a major contributor to morbidity and mortality. Community Health Workers (CHWs) have been instrumental in improving patient outcomes. However, CHW training largely focuses on general diabetes concepts rather than medications. Providing accessible, diabetes medication training for CHWs has the potential to increase patient understanding, personalized care, and adherence, thereby improving outcomes.

objectiveTo evaluate the impact of a telehealth-based diabetes medication training for CHWs on patient outcomes as measured by HbA1c changes.

methodsWe provided a 12-month weekly, telehealth (videoconference) medication training for CHWs who led 6-month diabetes programs for low-income Latino(a)s in community clinics. We measured participant HbA1c (primary outcome), blood pressure, and body mass index (BMI) changes. We evaluated CHW knowledge via two pre/post-tests: medication adverse events/side effects (TEST-1, months 1-6) and dosing, titration, and emergencies (TEST-2, months 7-12). We assessed CHW training application by their ability to identify patient, provider, and healthcare system medication barriers.

resultsParticipants' (n = 55) HbA1c improved (9.0% (75 mmol/mol) to 7.8% (62 mmol/mol) (

conclusionsProviding a telehealth-based, diabetes medication training program for CHWs allowed a personalized approach to identify barriers to care at several levels, which was associated with significant participant HbA1c reductions and improved CHW knowledge. This is a promising cost-effective, culturally sensitive strategy to improve diabetes care. Larger longitudinal evaluations are needed to fully understand the impact of CHW medication training.

Indexed as

Community Health Workersdiabeteseducationgroup visitstelemedicine

Identifiers

PMID32932865
PMCPMC7564547
OpenAlexW3085368722

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.