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COMPAR-EU RCTs Web
Long-Term Impact of a Community Health Worker Intervention on Diabetes Control in American Samoa
See more Setting of implementation: N/A Professionals delivering the intervention: N/A Targeted self-management behaviours: N/A
Components
Individual sessions
A single person receives the self-management support. Examples: self-guided actions (without the participation of any other person) during a clinical visit or within the context of a support or educational session
Face-to-face
Self-management support delivered in a face-to-face encounter between the providers and patients and/or caregivers.
See more Setting of implementation: Community-based care, Home-care Professionals delivering the intervention: Community health worker, Nurses Targeted self-management behaviours: Eating behaviours, Handling /managing emotions, Medication use and adherence, Physical activity /exercise, Self-monitoring
Components
Education (E)
Education (E)
Sharing information. This form of support consists in sharing of information about self-management topics like coping with symptoms, diet, exercise, medication, information about what other people are doing, and information about the disease itself, or about any other relevant aspects that could lead to improved self-management, and ultimately better health. This information can be told or distributed in printed materials like a folder or workbook, or via website or DVD.
Examples: Educational session on healthy eating for people with obesity, provision of a printed leaflet on the importance of foot care in diabetes, or a link to a website with information on chronic obstructive pulmonary disease care.
Action-based behavioural change techniques (AB)
In group
Two or more patients or caregivers receive a self-management intervention. Group interventions are normally organized for efficiency purposes or to facilitate learning and knowledge exchange among peers (people living with the same health condition). For example, peer-led education group to enhance physical activity in obese individuals.
Face-to-face
Self-management support delivered in a face-to-face encounter between the providers and patients and/or caregivers.
Outcomes measured in the study
Outcome | Measure | Tool |
---|---|---|
Adherence | Medication (or other treatment) adherence | N/A |
Blood-pressure | Systolic pressure | N/A |
Blood-pressure | Diastolic pressure | N/A |
HbA1C | Glycated hemoglobin (HbA1c) | N/A |
Patient activation | Patient activation level | Patient Activation Measure (PAM) |
Physical activity | Physical activity | N/A |
Scheduled care | Nurse visits | N/A |
Smoking cessation | Smoking cessation | N/A |
Unscheduled care | Unplanned visits to GP | N/A |
Weight (management) | BMI - Body Mass Index | N/A |
Weight (management) | Waist size | N/A |
Patient characteristics
Number of co-morbidities: N/A
Tool: N/A
Risk of Bias of this study
Outcome | Random sequence generation | Allocation concealment | Blinding performance | Blinding detection objective outcomes assessment | Attrition incomplete outcome | Incorrect statistical methods | Recruitment bias | Selective outcome reporting |
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Adherence - Medication (or other treatment) adherence | ||||||||
Blood-pressure - Systolic pressure | ||||||||
Blood-pressure - Diastolic pressure | ||||||||
HbA1C - Glycated hemoglobin (HbA1c) | ||||||||
Weight (management) - BMI - Body Mass Index |
Learn more about the intervention: Action-based behavioural techniques delivered in groups
Summary of findings | |
RCTs that also analysed this type of intervention | |
Related cost-effectiveness analysis |
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To learn more about the cost-effectiveness of self-management interventions check our section on the topic: Cost-effectiveness
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Related contextual analysis |
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To learn more about the contextual factors that can facilitate or hinder the implementation of a self-management intervention check our section on the topic: Contextual factors
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