Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Associação Fundo de Incentivo à Pesquisa | OTHER |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The aim of this study is to evaluate the effect of a diabetes education program delivered to CHW in improving the metabolic control of patients with type 2 DM.
The study is a randomized controlled trial conducted in a primary care unit. Eight CHW, providing care for 118 patients, are randomized in two groups to receive a one-month diabetes education program (intervention group, patients n= 62) or an education course in other health issues (control group, patients n= 56).
Background: In Brazil, community health workers (CHW) are members of the community hired by the government to provide education and care for patients for a broad range of health issues, including diabetes mellitus (DM). However, few CHW are trained for diabetes education and little is known about the effectiveness of their interventions. The aim of this study is to evaluate the effect of a diabetes education program delivered to CHW in improving the metabolic control of patients with type 2 DM.
Materials and methods: the study is a randomized controlled trial conducted in a primary care unit. Eight CHW, providing care for 118 patients, are randomized in two groups to receive a one-month diabetes education program (intervention group, patients n= 62) or an education course in other health issues (control group, patients n= 56). Each CHW is responsible for transmitting the acquired knowledge to patients from their respective working areas. The primary outcome is change in HbA1C three months after intervention.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| diabetes education | Experimental | Four community health workers receive a one-month diabetes education program (intervention group, patients n= 62) |
|
| education in other areas | Active Comparator | Four community health workers receive an education course in other health issues (control group, patients n= 56). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| diabetes education | Behavioral | Diabetes education program includes: 4 theoretical sessions, 60 minutes long, taught once a week for 4 weeks, developed in the form of group classes, and given by one of the authors. The educational program content comprises (1) definition of diabetes, and identification of modifiable risk factors for type 2 diabetes, (2) non-pharmacological treatment, with emphasis on diet and exercise, (3) pharmacological therapy, including mechanism of action and side effects of anti-diabetic medications provided by the Brazilian public health system and (4) an overview of chronic diabetes complications. |
| Measure | Description | Time Frame |
|---|---|---|
| HbA1c | comparison baseline and three months after intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Diabetes literacy | measured by a 22 questions questionnaire testing diabetes knowledge | comparison baseline and three months after intervention. |
| Diastolic Blood pressure | unit: mmHg |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Cristiane Bauermann Leitão, PhD | HCPA/UFRGS | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital de ClÃnicas de Porto Alegre | Porto Alegre | Rio Grande do Sul | 90035-903 | Brazil | ||
| UBS São Pedro |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D004522 | Educational Status |
| ID | Term |
|---|---|
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| education in other areas | Behavioral | Four theoretical sessions related to education in other health areas, not related to diabetes, administered during 4 weeks |
|
| comparison baseline and three months after intervention. |
| Systolic Blood Pressure | unit: mmHg | comparison baseline and three months after intervention. |
| Total cholesterol | unit: mg/dL | comparison baseline and three months after intervention. |
| HDL-Cholesterol | unit: mg/dL | comparison baseline and three months after intervention. |
| Triglycerides | unit: mg/dL | comparison baseline and three months after intervention. |
| Height | unit: centimeters; this outcome will be used to calculate Body Mass Index (BMI) | baseline measure only |
| Weight | unit: kilograms; this outcome will be used to calculate Body Mass Index (BMI) | comparison baseline and three months after intervention. |
| Porto Alegre |
| Rio Grande do Sul |
| 91570-000 |
| Brazil |