title: Training Cambodian Village Health Support Guides in Diabetes Prevention: Effects on Guides' Knowledge and Teaching Activities Over 6 Months.
abstract: BACKGROUND
  Type 2 diabetes is a pressing public health concern in Cambodia, a country with limited human resource capacity due to genocide. Cambodian village health support guides (Guides) promote health at the local level.
  
  
  OBJECTIVE
  This paper reports preliminary results of training Guides in diabetes prevention.
  
  
  METHODS
  The curriculum, called Eat, Walk, Sleep was delivered to Guides in Siem Reap province once over 3 h. Participants completed a pretest and posttest on diabetes knowledge. Guides were offered continuing education through Eat, Walk, Sleep resources and were encouraged to teach Eat, Walk, Sleep in their villages. For each of 6 months following their training, Guides completed a checklist regarding their activities.
  
  
  RESULTS
  One hundred eighty-five Guides attended one of ten trainings. Knowledge scores increased significantly from pretest to posttest. During 6 months of follow-up, n = 159 Guides (85 %) completed at least one monthly checklist. Guides reported high rates of uptake and delivery of the Eat, Walk, Sleep curriculum and moderate rates of continuing education about diabetes.
  
  
  CONCLUSIONS
  Diabetes prevention in Cambodia is nascent. Guides show excellent uptake and dissemination of the curriculum. Future research should examine effect of support for Guide activities and the effect of the curriculum on villager health behaviors, and ultimately, on rates of type 2 diabetes.
authors.affiliation: University of Connecticut Health Center, MC3910, 263 Farmington Ave., Farmington, CT, 06030, USA. juwagner@uchc.edu.
authors.forename: Julie
authors.initials: J
authors.lastname: Wagner
authors.affiliation: Cambodian Diabetes Association, Siem Reap, Cambodia. keukyl@yahoo.fr.
authors.forename: Lim
authors.initials: L
authors.lastname: Keuky
authors.affiliation: Cambodian Diabetes Association, Siem Reap, Cambodia. lfraserking@hotmail.com.
authors.forename: Lorraine
authors.initials: L
authors.lastname: Fraser-King
authors.affiliation: Khmer Health Advocates, 1125 New Britain Ave Ste 202, West Hartford, CT, 06110, USA. theanvy@aol.com.
authors.forename: Theanvy
authors.initials: T
authors.lastname: Kuoch
authors.affiliation: Khmer Health Advocates, 1125 New Britain Ave Ste 202, West Hartford, CT, 06110, USA. mfs47@aol.com.
authors.forename: Mary
authors.initials: M
authors.lastname: Scully
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002160:Cambodia; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control*; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D011634:Public Health; D055815:Young Adult
keywords: Asia; Community health workers; Developing countries; Diabetes; Prevention