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Roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: A systematic review

AIM: To examine the characteristics of community health workers (CHWs) involved in diabetes prevention programmes (DPPs) and their contributions to expected outcomes. METHODS: Electronic databases including PubMed-MEDLINE, EBSCOHost, and SCOPUS/EMBASE were searched for studies published between Janu...

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Autores principales: Hill, Jillian, Peer, Nasheeta, Oldenburg, Brian, Kengne, Andre Pascale
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5720739/
https://www.ncbi.nlm.nih.gov/pubmed/29216263
http://dx.doi.org/10.1371/journal.pone.0189069
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author Hill, Jillian
Peer, Nasheeta
Oldenburg, Brian
Kengne, Andre Pascale
author_facet Hill, Jillian
Peer, Nasheeta
Oldenburg, Brian
Kengne, Andre Pascale
author_sort Hill, Jillian
collection PubMed
description AIM: To examine the characteristics of community health workers (CHWs) involved in diabetes prevention programmes (DPPs) and their contributions to expected outcomes. METHODS: Electronic databases including PubMed-MEDLINE, EBSCOHost, and SCOPUS/EMBASE were searched for studies published between January 2000 and March 2016. All studies that used CHWs to implement DPP in ≥18-year-old participants without diabetes but at high risk for developing the condition, irrespective of the study design, setting or outcomes measured, were included. Results were synthesized narratively. RESULTS: Forty papers of 30 studies were identified. Studies were mainly community-based and conducted in minority populations in USA. Sample sizes ranged from 20 participants in a single community to 2369 participants in 46 communities. Although CHWs were generally from the local community, their qualifications, work experience and training received differed across studies. Overall the training was culturally sensitive and/or appropriate, covering topics such as the importance of good nutrition and the benefits of increased physical activity, communication and leadership. CHWs delivered a variety of interventions and also screened or recruited participants. The shared culture and language between CHWs and participants likely contributed to better programme implementation and successful outcomes. CONCLUSIONS: The complexity of DPPs and the diverse CHW roles preclude attributing specific outcomes to CHW involvement. Nevertheless, documenting potential CHW roles and the relevant training required may optimise CHW contributions and facilitate their involvement in DPPs in the future.
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spelling pubmed-57207392017-12-15 Roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: A systematic review Hill, Jillian Peer, Nasheeta Oldenburg, Brian Kengne, Andre Pascale PLoS One Research Article AIM: To examine the characteristics of community health workers (CHWs) involved in diabetes prevention programmes (DPPs) and their contributions to expected outcomes. METHODS: Electronic databases including PubMed-MEDLINE, EBSCOHost, and SCOPUS/EMBASE were searched for studies published between January 2000 and March 2016. All studies that used CHWs to implement DPP in ≥18-year-old participants without diabetes but at high risk for developing the condition, irrespective of the study design, setting or outcomes measured, were included. Results were synthesized narratively. RESULTS: Forty papers of 30 studies were identified. Studies were mainly community-based and conducted in minority populations in USA. Sample sizes ranged from 20 participants in a single community to 2369 participants in 46 communities. Although CHWs were generally from the local community, their qualifications, work experience and training received differed across studies. Overall the training was culturally sensitive and/or appropriate, covering topics such as the importance of good nutrition and the benefits of increased physical activity, communication and leadership. CHWs delivered a variety of interventions and also screened or recruited participants. The shared culture and language between CHWs and participants likely contributed to better programme implementation and successful outcomes. CONCLUSIONS: The complexity of DPPs and the diverse CHW roles preclude attributing specific outcomes to CHW involvement. Nevertheless, documenting potential CHW roles and the relevant training required may optimise CHW contributions and facilitate their involvement in DPPs in the future. Public Library of Science 2017-12-07 /pmc/articles/PMC5720739/ /pubmed/29216263 http://dx.doi.org/10.1371/journal.pone.0189069 Text en © 2017 Hill et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Hill, Jillian
Peer, Nasheeta
Oldenburg, Brian
Kengne, Andre Pascale
Roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: A systematic review
title Roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: A systematic review
title_full Roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: A systematic review
title_fullStr Roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: A systematic review
title_full_unstemmed Roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: A systematic review
title_short Roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: A systematic review
title_sort roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: a systematic review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5720739/
https://www.ncbi.nlm.nih.gov/pubmed/29216263
http://dx.doi.org/10.1371/journal.pone.0189069
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