title: Evaluation of a community health worker pilot intervention to improve diabetes management in Bangladeshi immigrants with type 2 diabetes in New York City.
abstract: The purpose of this study is to explore the impact and feasibility of a pilot Community Health Worker (CHW) intervention to improve diabetes management among Bangladeshi-American individuals with type 2 diabetes living in New York City.
  
  
  
  Participants were recruited at clinic- and community-based venues. The intervention consisted of 6 monthly, CHW-facilitated group sessions on topics related to management of diabetes. Surveys were collected at baseline and follow-up time points. Study outcomes included clinical, behavioral, and satisfaction measures for participants, as well as qualitative measures from CHWs.
  
  
  
  Improvements were seen in diabetes knowledge, exercise and diet to control diabetes, frequency of checking feet, medication compliance, and self-efficacy of health and physical activity from baseline to 12 months. Additionally, there were decreases in A1C, weight, and body mass index. Program evaluation revealed a high acceptability of the intervention, and qualitative findings indicated that CHWs helped overcome barriers and facilitated program outcomes through communal concordance, trust, and leadership.
  
  
  
  The intervention demonstrated high acceptability and suggested efficacy in improving diabetes management outcomes among Bangladeshi immigrants in an urban setting. The US Bangladeshi population will continue to increase, and given the high rates of diabetes, as well as linguistic and economic barriers faced by this community, effective and culturally tailored health interventions are needed to overcome barriers and provide support for diabetes management.
authors.affiliation: Center for the Study of Asian American Health, NYU School of Medicine, New York, New York (Dr Islam, Ms Wyatt, Ms Patel, Dr Shapiro, Dr Rey, Dr Trinh-Shevrin)|Department of Medicine, Division of General Internal Medicine, NYU School of Medicine, New York, New York (Dr Islam, Dr Tanner,
  Dr Trinh-Shevrin)
authors.forename: Nadia S
authors.initials: NS
authors.lastname: Islam
authors.affiliation: Center for the Study of Asian American Health, NYU School of Medicine, New York, New York (Dr Islam, Ms Wyatt, Ms Patel, Dr Shapiro, Dr Rey, Dr Trinh-Shevrin)
authors.forename: Laura C
authors.initials: LC
authors.lastname: Wyatt
authors.affiliation: Center for the Study of Asian American Health, NYU School of Medicine, New York, New York (Dr Islam, Ms Wyatt, Ms Patel, Dr Shapiro, Dr Rey, Dr Trinh-Shevrin)
authors.forename: Shilpa D
authors.initials: SD
authors.lastname: Patel
authors.affiliation: Center for the Study of Asian American Health, NYU School of Medicine, New York, New York (Dr Islam, Ms Wyatt, Ms Patel, Dr Shapiro, Dr Rey, Dr Trinh-Shevrin)
authors.forename: Ephraim
authors.initials: E
authors.lastname: Shapiro
authors.affiliation: Department of Pediatrics, The Johns Hopkins Children’s Center, Baltimore, Maryland (Dr Tandon)
authors.forename: S Darius
authors.initials: SD
authors.lastname: Tandon
authors.affiliation: South Asian Council for Social Services, New York, New York (Dr Mukherji-Ratnam)|Department of Psychology SUNY College at Old Westbury, Old Westbury, New York (Dr Mukherji-Ratnam)
authors.forename: B Runi
authors.initials: BR
authors.lastname: Mukherji
authors.affiliation: Department of Medicine, Division of General Internal Medicine, NYU School of Medicine, New York, New York (Dr Islam, Dr Tanner,
  Dr Trinh-Shevrin)
authors.forename: Michael
authors.initials: M
authors.lastname: Tanner
authors.affiliation: Center for the Study of Asian American Health, NYU School of Medicine, New York, New York (Dr Islam, Ms Wyatt, Ms Patel, Dr Shapiro, Dr Rey, Dr Trinh-Shevrin)|Community Health Affairs, NYU School of Medicine, New York, New York (Dr Rey)
authors.forename: Mariano J
authors.initials: MJ
authors.lastname: Rey
authors.affiliation: Center for the Study of Asian American Health, NYU School of Medicine, New York, New York (Dr Islam, Ms Wyatt, Ms Patel, Dr Shapiro, Dr Rey, Dr Trinh-Shevrin)|Department of Medicine, Division of General Internal Medicine, NYU School of Medicine, New York, New York (Dr Islam, Dr Tanner,
  Dr Trinh-Shevrin)
authors.forename: Chau
authors.initials: C
authors.lastname: Trinh-Shevrin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001459:Bangladesh / Q000208:ethnology; D003150:Community Health Workers / Q000706:statistics & numerical data*; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy / Q000208:ethnology* / Q000523:psychology / Q000628:therapy*; D054242:Emigrants and Immigrants / Q000523:psychology*; D005006:Ethnicity; D015444:Exercise / Q000523:psychology; D005240:Feasibility Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000208:ethnology / Q000523:psychology*; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data; D010353:Patient Education as Topic; D010865:Pilot Projects; D012307:Risk Factors; D012648:Self Care / Q000523:psychology; D016896:Treatment Outcome; D044465:White People / Q000523:psychology; D016903:Drug Monitoring