Effectiveness of Community Health Worker-led Diabetes Self-Management Education on Type 2 diabetes patients: A Systematic Review and Meta-Analysis

Amagyei, Albert; Meal, Andrew; Shaw, Ian; Adams, Gary G.

Abstract

Objective: Community Health Workers are important in building individual and community capacity through outreach, community education, informal counselling, social support and advocacy programs, which enhance health knowledge and self-sufficiency. Our aim was to examine the effectiveness of a Community Health Worker-led Diabetes Self-Management Education in improving clinical and psychosocial outcomes.

Methods: A thorough systematic literature search was undertaken in Medline, Pubmed, Ovid, PsyINFO, EMBASE and JBI databases (searched from December 2018 to 31st January 2019). Once selected articles were retrieved, all titles and abstracts were screened, and eligible articles identified for full text inclusion. These retrieved full texts articles were screened for eligibility and selected according to established inclusion criteria. Of the 182 studies retrieved, 20 were included for examination.

Results: HbA1c outcomes were statistically significant for short and long terms with effect sizes of –0.21 (95%CI -0.31, - 0.10) and -0.26 (95% CI -0.36, -0.15) respectively and favored the CHW group. Values for secondary outcomes measured except diabetes knowledge yielded statistical significance for the CHW group.

Conclusion: The CHW-intervention is an effective model that has significant impact on glycemic control, diabetes knowledge, self-care behaviors and emotional distress and well-being.

Citation

Amagyei, A., Meal, A., Shaw, I., & Adams, G. G. (2020). Effectiveness of Community Health Worker-led Diabetes Self-Management Education on Type 2 diabetes patients: A Systematic Review and Meta-Analysis. International Journal of Diabetes, 1(2), 40-50

• Journal Article Type: Article
• Acceptance Date: Jun 18, 2020
• Online Publication Date: Jul 25, 2020
• Publication Date: Jul 25, 2020
• Deposit Date: Aug 5, 2020
• Publicly Available Date: Aug 5, 2020
• Journal: International Journal of Diabetes
• Electronic ISSN: 2644-3031
• Publisher: SciTech Central
• Peer Reviewed: Peer Reviewed
• Volume: 1
• Issue: 2
• Pages: 40-50
• Public URL: https://nottingham-repository.worktribe.com/output/4812045
• Publisher URL: https://www.scitcentral.com/article/23/1576/Effectiveness-of-Community-Health-Worker-led-Diabetes-Self-Management-Education-on-Type-2-diabetes-patients:-A-Systematic-Review-and-Meta-Analysis#tabs2