COMMUNITY OUTREACH HOW TO

We found no significant differences based on sex, preferred language, or having a mental health condition.įindings suggest that the COPE intervention was robust and equitable, benefiting all groups living with diabetes in Navajo Nation, but conferring the greatest benefit on the most vulnerable.Īmerican Indian and Alaska Native populations in the United States have a disproportionate burden of type 2 diabetes (1). COPE patients with a baseline HbA 1c >9% had a net decrease of 0.70%, while those with a baseline HbA 1c ≤9% had a net decrease of 0.34% ( P =. COPE participation was associated with a steeper decrease in HbA 1c among patients without a primary care physician (net decrease, 0.99%) than among patients with a primary care provider (net decrease, 0.57%) ( P =. Among patients aged 64 or younger, COPE participation was associated with a net decrease in HbA 1c of 0.77% among patients aged 65 or older, the net decrease was 0.49% ( P =. We used linear mixed models to assess whether the intervention was modified by age, sex, preferred language, having a primary care provider, baseline HbA 1c, or having a mental health condition.Īge, having a primary care provider, and baseline HbA 1c significantly modified HbA 1c levels.

We analyzed de-identified data extracted from routine health records dated from December 1, 2010, through August 31, 2014, to compare net change in HbA 1c among COPE patients and non-COPE patients. The aim of this study was to identify groups for whom the intervention had the greatest effect on glycated hemoglobin A 1c (HbA 1c). The Community Outreach and Patient Empowerment (COPE) intervention provides integrated outreach through community health representatives (CHRs) to people living with diabetes in Navajo Nation.

COMMUNITY OUTREACH HOW TO

Our findings can inform program delivery by identifying patients’ groups to refer to community-based programs and highlight how to strengthen the CHR program to better meet the needs of less responsive groups. What are the implications for public health practice? Older patients, patients with a primary care provider, and patients with a baseline HbA 1c ≤9% also had significant improvements in glycemic levels.

Patient groups who benefitted most from a CHR program for people with diabetes in Navajo Nation were aged 64 or younger, did not have a primary care provider, and had a baseline HbA 1c >9%.

Programs that train and deploy community health representatives (CHRs), community health workers for tribal communities, can improve health outcomes for people with chronic disease.

Community outreach