Patient Reported Outcomes of 'Eat, Walk, Sleep': A Cardiometabolic Lifestyle Program for Cambodian Americans Delivered by Community Health Workers.
BACKGROUND
This study investigated a community health worker-delivered lifestyle intervention for prevention of cardiometabolic disease, called Eat, Walk, Sleep. It was designed for traumatized, low-literacy Cambodian American refugees.


METHODS
We used a single group, pre-post design to evaluate the effects of the program on self-reported health behaviors. As a control for threats to internal validity, we also measured a nonequivalent dependent variable, i.e., perceived discrimination by health care providers.


RESULTS
Of 140 participants enrolled, 114 completed one-year assessments. In intent-to-treat analysis with correction for multiple comparisons, compared with baseline, participants at one year scored higher on cardiometabolic prevention knowledge, self-rated health, physical activity, medication compliance, and preventive screenings, and they reported improved sleep, a modest shift from white to brown rice, and reduced barriers to care. As expected, perceptions of discrimination by health care providers did not change.


CONCLUSIONS
Self-reported behavioral risk factors improved. A randomized, controlled study with objective measures is warranted.
Julie
J
Wagner
Sengly
S
Kong
Theanvy
T
Kuoch
Mary F
MF
Scully
Heang Kim
HK
Tan
Angela
A
Bermudez-Millan
D001213:Asian / Q000706:statistics & numerical data; D002160:Cambodia / Q000208:ethnology; D003150:Community Health Workers / Q000458:organization & administration; D065187:Controlled Before-After Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006293:Health Promotion / Q000379:methods* / Q000458:organization & administration; D006801:Humans; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D040242:Risk Reduction Behavior