Evidence map›Paper›PMID 36316145›Full record

ArticleGlobal health, science and practice2022

Community Health Worker Program Outcomes for Diabetes and Hypertension Control in West Bank Refugee Camps: A Retrospective Matched Cohort Study.

Asmaa Rimawi, Adarsh Shah, Henry Louis, David Scales, Jawad Abu Kheiran, Nashat Jawabreh, Sofia Yunez, Masako Horino, Akihiro Seita, Bram Wispelwey

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Global health, science and practice, 2022. 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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
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

10 authors at 7 institutions in 3 countries.

Asmaa RimawiHarvard T.H. Chan School of Public Health; Harvard Medical School, Boston, MA, USA.
Adarsh ShahHarvard Kennedy School, Harvard University, Cambridge, MA, USA.
Henry LouisUniversity of Massachusetts Chan Medical School, Worcester, MA, USA.
David ScalesNew York-Presbyterian Hospital, Weill Cornell Medicine, New York, NY, USA.
Jawad Abu KheiranUnited Nations Relief and Works Agency, Arroub refugee camp, occupied Palestinian territory.
Nashat JawabrehMakassad Hospital, East Jerusalem, occupied Palestinian territory.
Sofia YunezUniversity of Illinois College of Medicine, Chicago, IL, USA.
Masako HorinoUnited Nations Relief and Works Agency, Amman, Jordan.
Akihiro SeitaUnited Nations Relief and Works Agency, Amman, Jordan.
Bram WispelweyBrigham and Women's Hospital, Harvard Medical School; Harvard T.H. Chan School of Public Health, Boston, MA, USA. bwispelwey@bwh.harvard.edu.
United Nations Relief and Works Agency for Palestine Refugees in the Near East · JOHarvard University · USCornell University · USHarvard University Press · USMakassed General Hospital · LBUniversity of Illinois Chicago · USUniversity of Massachusetts Chan Medical School · US

Funding

UJMT – ORWH – Gazzetta, Issa-BoubeD43TW009340 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI William Checkley, Benjamin H. Chi · 2017 to 2026
$14.8M
FIC NIH HHS D43 TW009340
6 · The paper itself

Abstract

introductionCommunity health worker (CHW) programs have proven effective in improving diabetes control in many locations and settings, but data on feasibility and efficacy are lacking in the Middle East and settings of chronic violence. A Palestinian CHW program, Health for Palestine (H4P), addresses chronic diseases in West Bank refugee camps. Our study assesses the feasibility and effectiveness of the program's diabetes and hypertension interventions.

methodsData on home visits, patient retention, and blood pressure were extracted from the CHW records and analyzed. To assess diabetic patient progress, we conducted a retrospective matched cohort study using data obtained from a United Nations (UN) clinical database to analyze the trajectory of hemoglobin A1c (A1c) values. Thirty of the 47 diabetic patients in the H4P CHW program met study inclusion criteria and were each matched with 3 patients from the Bethlehem UN clinic (n=120). We tested for significance using multivariable linear regression with robust standard errors.

resultsThe average number of home visits per patient per month was 7.3 (standard deviation=4.1), and the patient retention rate was 100% over an average of 11.2 months. For hypertension patients in the CHW program (n=33), mean systolic blood pressure decreased by 7.3 mmHg (95% confidence interval [CI]=1.93, 12.25; DISCUSSION: The results suggest that CHW accompaniment may be an effective model for improving diabetes and hypertension control in refugee camps experiencing direct violence and extreme adversity. A low exclusion cut-off for A1c (≤6.4%) may underestimate the program's impact.

Indexed as

Diabetes MellitusHypertensionCohort StudiesCommunity Health WorkersGlycated HemoglobinHumansRefugee CampsRetrospective StudiesGlycated Hemoglobin

Identifiers

PMID36316145
PMCPMC9622278
OpenAlexW4304191605

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.