title: Community health workers improving diabetes outcomes in a rural Appalachian population.
abstract: Community health workers (CHWs) play a key role in the emerging health infrastructure. They are successful in identifying individual or family needs and matching resources to help overcome the social determinants of health, and the lack of trust in the health care system. This study captures the CHW experience as research assistants and evaluates the effectiveness of CHWs' health coaching and support in improving diabetes health outcomes. By being immersed in the culture and values of the population, CHWs offer research support to assure more representative client samples, increased adherence to study protocols, and in reducing attrition rates.
authors.affiliation: a University of Kentucky Center of Excellence in Rural Health, University of Kentucky College of Medicine , Hazard , Kentucky , USA.
authors.forename: Frances
authors.initials: F
authors.lastname: Feltner
authors.affiliation: a University of Kentucky Center of Excellence in Rural Health, University of Kentucky College of Medicine , Hazard , Kentucky , USA.
authors.forename: Sydney
authors.initials: S
authors.lastname: Thompson
authors.affiliation: a University of Kentucky Center of Excellence in Rural Health, University of Kentucky College of Medicine , Hazard , Kentucky , USA.
authors.forename: William
authors.initials: W
authors.lastname: Baker
authors.affiliation: a University of Kentucky Center of Excellence in Rural Health, University of Kentucky College of Medicine , Hazard , Kentucky , USA.
authors.forename: Melissa
authors.initials: M
authors.lastname: Slone
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001061:Appalachian Region; D001291:Attitude of Health Personnel; D003150:Community Health Workers / Q000523:psychology*; D003920:Diabetes Mellitus / Q000628:therapy*; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D011320:Primary Health Care / Q000706:statistics & numerical data*; D036301:Qualitative Research; D012424:Rural Population / Q000706:statistics & numerical data*; D012648:Self Care / Q000379:methods*
keywords: Appalachia; community health workers; diabetes self-management education; medically underserved; research; vulnerable population