Patient Reported Outcomes of Eat, Walk, Sleep : A Cardiometabolic Lifestyle Program for Cambodian Americans Delivered by Community Health Workers

Wagner, Julie; Kong, Sengly; Kuoch, Theanvy; Scully, Mary; Tan, Heang Kim; Bermúdez‐Millán, Angela

doi:10.1353/hpu.2015.0029

Cited by 12 publications

(33 citation statements)

References 30 publications

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“…Eat, Walk, Sleep (EWS) is a cardiometabolic lifestyle curriculum that was created by and for Khmer (ethnic Cambodian) people and was designed to be delivered by lay health workers [ 34 , 35 ]. “Diabetes Risk Reduction through Eat, Walk, Sleep and Medication Therapy Management” (DREAM) is a randomized, controlled trial that aims to compare the efficacy of Eat, Walk, Sleep (EWS) vs. EWS plus medication therapy management (EWS + MTM) vs. social services (SS, control condition) ( clinicaltrials.gov identifier NCT02502929 ).…”

Section: Methodsmentioning

confidence: 99%

“…Staff include Khmer and American providers. With funding from the Centers for Disease Control and Prevention (CDC), Khmer Health Advocates used community based, participatory methods to develop EWS [ 34 , 35 , 43 , 44 ]. Five Cambodian American community organizations across the U.S. collaborated with Khmer Health Advocates to gather input from community members and develop the EWS curriculum.…”

Section: Methodsmentioning

confidence: 99%

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A randomized trial to decrease risk for diabetes among Cambodian Americans with depression: Intervention development, baseline characteristics and process outcomes

Wagner¹,

Bermúdez‐Millán²,

Buckley³

et al. 2021

Contemporary Clinical Trials

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Background: Depression and antidepressant medications are associated with increased risk for type 2 diabetes. It is not known if diabetes can be prevented in the setting of depression. Cambodian Americans have high rates of both depression and diabetes. This paper reports intervention development, experimental design, baseline characteristics, and process outcomes of diabetes prevention interventions for Cambodian Americans with depression, “Diabetes Risk Reduction through Eat, Walk, Sleep and Medication Therapy Management” (DREAM). Methods: Participants were aged 35–75, Khmer speaking, at high risk for developing diabetes, and met criteria for likely depression by either a) antidepressant medication and/or b) elevated depressive symptoms at two time-points during a study eligibility period. Treatment arms were: 1) community health educator (CHE) delivered lifestyle intervention called Eat, Walk, Sleep (EWS), 2) EWS plus pharmacist/CHE-delivered medication therapy management (EWS + MTM), and, 3) social services (SS; control). Results: 188 participants were randomized. Treatment fidelity was high (98% checklist adherence) and on a scale from 0 to 3, participants reported high EWS treatment satisfaction (M = 2.9, SD = 0.2), group cohesion (M = 2.9, SD = 0.3), and therapeutic alliance to CHEs (M = 2.9, SD = 0.2) and to pharmacists (2.9, SD = 0.3). Attendance was challenging but highly successful; in EWS, 99% attended ≥ one session and 86% completed ≥ 24 sessions, M = 27.3 (SD = 3.7) sessions. Of those randomized to EWS + MTM, 98% attended at least one MTM session and 77%) completed ≥ 4 sessions. Retention was high, 95% at 12-month and 96% at 15-month assessments. Conclusions: The interventions were successfully implemented. Lessons learned and suggestions for future trials are offered. ClinicalTrials.gov identifier: NCT02502929

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

A randomized trial to decrease risk for diabetes among Cambodian Americans with depression: Intervention development, baseline characteristics and process outcomes

Wagner¹,

Bermúdez‐Millán²,

Buckley³

et al. 2021

Contemporary Clinical Trials

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“…A previously validated test of basic diabetes knowledge was administered to each participant before and after the training [24]. The test was written in Khmer and, given the expected low educational attainment of most Guides, it was also designed for low literacy respondents using true/false/I don't know response options.…”

Section: Methodsmentioning

confidence: 99%

“…The curriculum includes three modules that cover, respectively, traditional Buddhist healing concepts (a balanced lifestyle), an introduction to diabetes and cardiometabolic conditions, and prevention of them by putting EWS strategies into action. We previously reported the effect of EWS on individuals' intentions to improve health behaviors [23] and self-reported health behaviors after 1 year [24].…”

Section: Eat Walk Sleepmentioning

confidence: 99%

Training Cambodian Village Health Support Guides in Diabetes Prevention: Effects on Guides’ Knowledge and Teaching Activities Over 6 Months

et al. 2015

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“…Increasing social capital through community health workshops is helpful with the Bhutanese community (Im and Rosenberg, 2016). Efforts were made to encourage health promotion among specific cultural groups like the Cambodians (Berkson et al , 2014; Wagner et al , 2015) using culturally relevant approaches. Efforts were made to better understand enhancements to physical activity among Somali men living in the USA (Mohammed et al , 2014).…”

Section: Discussionmentioning

confidence: 99%

BeWell: quality assurance health promotion pilot

Piwowarczyk

Ona

2019

International J Health Care QA

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Purpose The purpose of this paper is to determine the experience participating in a health promotion program for refugee and asylum seekers and torture survivors in a safety net clinical setting. Design/methodology/approach Refugee and asylum seeker torture survivors participated in a seven-week health promotion program at a safety-net clinic. Participants interviewed before, during and after the program was designed to improve and maintain health promotion program quality. Findings Six major themes emerged: social networks; tools/techniques/skills; wellness planning; spiritualism; health maintenance; and social/group interaction. Preliminary results suggest that this multi-pronged approach is feasible and acceptable to foreign-born torture survivors. Research limitations/implications Torture impacts many facets of one’s life. A program which addresses health from a multidisciplinary perspective has promise to facilitate healing. Practical implications The impact of torture and human rights violations significantly affects many facets of peoples’ lives including emotional, social, physical and spiritual dimensions. Therefore a program which utilizes a multidisciplinary integrated bio-psychosocial and spiritual approach has the potential to simultaneously address many domains facilitating healing. Originality/value BeWell, a bio-psychosocio-spiritual health promotion strategy aimed at improving health service quality and increasing patient satisfaction to support positive health outcomes by implementing in-classroom/person modules for patients, to the authors’ knowledge is unique in its efforts to encompass multiple domains simultaneously and fully integrate an approach to wellbeing.

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Patient Reported Outcomes of Eat, Walk, Sleep : A Cardiometabolic Lifestyle Program for Cambodian Americans Delivered by Community Health Workers

Abstract: Self-reported behavioral risk factors improved. A randomized, controlled study with objective measures is warranted.

Cited by 12 publications

References 30 publications

A randomized trial to decrease risk for diabetes among Cambodian Americans with depression: Intervention development, baseline characteristics and process outcomes

A randomized trial to decrease risk for diabetes among Cambodian Americans with depression: Intervention development, baseline characteristics and process outcomes

Training Cambodian Village Health Support Guides in Diabetes Prevention: Effects on Guides’ Knowledge and Teaching Activities Over 6 Months

BeWell: quality assurance health promotion pilot

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