Trial reportJournal of general internal medicine2024
A Culturally Adapted, Telehealth, Community Health Worker Intervention on Blood Pressure Control among South Asian Immigrants with Type II Diabetes: Results from the DREAM Atlanta Intervention.
Trial report in Journal of general internal medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04263311 (Scaling Community-Clinical Linkage Models to Address Diabetes and Hypertension Disparities in the Southeast United States), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
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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.
Scaling Community-Clinical Linkage Models to Address Diabetes and Hypertension Disparities in the Southeast United States
Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.
- Assessing Community-Based interventions effectiveness on hypertension prevention and control: A systematic review and Meta-Analysis.BMC public health · 2025Pooled it
- Peer-led lifestyle interventions for the primary prevention of cardiovascular disease in community: a systematic review of randomised controlled trials.BMC public health · 2024Pooled it
- Social Partner Effects on Type 2 Diabetes Prevention, Management, and Spillover Health Outcomes: Single-Arm Pre-Post Pilot Intervention.JMIR formative research · 2026Article
- Shared Decision-Making in Children's Healthcare by Parents' Immigrant Status: Findings from the 2021-2022 U.S. National Survey of Children's Health.Journal of immigrant and minority health · 2026Article
- Article
- Mobile health interventions tailored to immigrant populations with diabetes: an integrative review.BMC public health · 2025Review
- Health Care Models for Persons with Multiple Chronic Conditions from Populations that Experience Health Disparities: A Scoping Review.Journal of general internal medicine · 2025Article
- Management of Atherosclerotic Cardiovascular Disease and Chronic Kidney Disease Risk in People With Type 2 Diabetes: Collaborative Care Plans for Primary Care Physicians Using Effective Communication Styles.Clinical diabetes : a publication of the American Diabetes Association · 2025Article
- The effectiveness of a community-based online low-glycaemic index diet and lifestyle recommendations intervention for people with type 2 diabetes: a randomized controlled trial.Archives of public health = Archives belges de sante publique · 2025Article
- The community health worker model for cardiovascular kidney metabolic syndrome: A new paradigm for high value care.American journal of preventive cardiology · 2025Article
- Bridging communities, prevention, and heart health: U.S. strategies for CHW cardiovascular training and integration.Frontiers in epidemiology · 2025Review
- Community health worker roles in intervention delivery: a scoping review of heart disease and stroke prevention trials in the United States.Frontiers in stroke · 2025Review
- Article
- Culturally Tailored Strategies to Enhance Type 2 Diabetes Care for South Asians in the United States.Journal of general internal medicine · 2024Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundSouth Asians face a high prevalence of type II diabetes (DMII) and comorbid hypertension (HTN). Community health worker (CHW) interventions have the potential to improve chronic disease outcomes, yet few have been tailored to South Asian populations in the United States.
objectiveTo test the effectiveness of an evidence-based CHW-led and culturally-tailored HTN and DMII management program for South Asian adults with diabetes and comorbid uncontrolled HTN (systolic blood pressure (SBP) > 130 mmHg or diastolic blood pressure (DBP) > 80 mmHg).
designRandomized-controlled Trial.
participantsSouth Asian adults with DMII and comorbid HTN.
interventionThe Diabetes Research, Education, and Action for Minorities (DREAM) Atlanta intervention was a CHW telehealth intervention designed to improve blood pressure (BP). The treatment group received five virtual group-based health education sessions, an action plan, and follow-up calls to assess goal setting activities. The control group received only the first session. Main Measures included: feasibility, improvement in BP control, and decreases in SBP, DBP, weight, and hemoglobin A1c (HbA1c). KEY
resultsA total of 190 South Asian adults were randomized (97 to the treatment group and 93 to the control group); 94% of treatment group participants completed all 5 telehealth sessions. At endpoint, BP control increased 33.7% (95% CI: 22.5, 44.9, p < 0.001) in the treatment group and 16.5% (95%: 6.2, 26.8, p = 0.003) in the control group; the adjusted intervention effect was 1.8 (95% CI: 1.0, 3.2, p = 0.055). Mean weight decreased by 4.8 pounds (95% CI: -8.2, -1.4, p = 0.006) in the treatment group, and the adjusted intervention effect was -5.2 (95% CI: -9.0, -1.4, p = 0.007. The intervention had an overall retention of 95%.
conclusionsA culturally-tailored, CHW-led telehealth intervention is feasible and can improve BP control among South Asian Americans with DMII. CLINICALTRIALS: GOV REGISTRATION: NCT04263311.
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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.