A Pilot Study of a Community Health Agent-led Diabetes Self-Management Program

University of Michigan

Status: Completed

Conditions: Type2 Diabetes

Treatments: Behavioral: Pilot Study

Study type: Interventional

Funder types: Other

Identifiers

NCT02994095

HUM00073693

Details and patient eligibility

About

This was a pilot study to assess the feasibility and acceptability of training Community Health Agents in Motivational Interviewing in real-life primary care centers.

Full description

Rates of noncommunicable diseases (NCDs) such as type 2 diabetes are escalating in low and middle-income countries such as Brazil. Scalable primary care-based interventions are needed to improve self-management and clinical outcomes of adults with diabetes. This pilot study examines the feasibility, acceptability, and outcomes of training community health agents (CHAs) in Motivational Interviewing (MI)-based counseling for patients with poorly controlled diabetes in a primary care center in São Paulo, Brazil.

Nineteen salaried CHAs participated in 32 hours of training in MI and behavioral action planning. With support from booster training sessions, they used these skills in their regular monthly home visits over a 6 month period with 57 diabetes patients with baseline HbA1cs > 7.0%. The primary outcome was patients' reports of the quality of diabetes care as measured by the Portuguese version of the Patient Assessment of Chronic Illness Care (PACIC) scale. Secondary outcomes included changes in patients' reported diabetes self-management behaviors and in A1c, blood pressure, cholesterol and triglycerides. CHAs' fidelity to and experiences with the intervention were also assessed.

Enrollment: 57 patients

Sex: All

Ages: 21 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult patients with T2 diabetes who received care at the primary care center
• A1c>7.0% in prior six months

Exclusion criteria

• Age> 75
• being pregnant
• having terminal health condition or other conditions that would impede participation such as dementia and mental illness

Trial design

Primary purpose: Supportive Care

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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57 participants in 1 patient group

Single intervention arm

Experimental group

Description:

Trained CHAs in Motivational Interviewing in pilot study

Treatment:

Behavioral: Pilot Study