Utilizing Community Health Advisors in Diabetes Care Management

Metzger, Nancy J.; Parker, Lawrence N.

doi:10.1007/0-387-23490-x_21

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…In developing countries, CHWs have been and continue to be used extensively to address diverse problems including infant mortality and causal factors (malnutrition, measles and other communicable diseases, diarrhea, respiratory infections), HIV, tuberculosis, and malaria (10, 15). Demonstration projects and small-scale programs in the U.S. and other developed countries have shown that CHWs are effective at improving diverse outcomes including infant feeding, immunizations, HIV prevention/self-management, diabetes self-management and breast cancer screening rates (10, 15, 16). However, the impact of peer nutrition educators has not been systematically reviewed.…”

Section: Introductionmentioning

confidence: 99%

Impact of Peer Nutrition Education on Dietary Behaviors and Health Outcomes among Latinos: A Systematic Literature Review

Pérez‐Escamilla

Hromi‐Fiedler

Vega‐López

et al. 2008

Journal of Nutrition Education and Behavior

146

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Objective-This systematic review assesses the impact of peer education/counseling on nutrition and health outcomes among Latinos, and identifies future research needs.Design-A systematic literature search was conducted by: a) searching internet databases, b) conducting backward searches from reference lists of articles of interest, c) manually reviewing the archives of the Center for Eliminating Health Disparities among Latinos (CEHDL), d) searching the Journal of Nutrition Education and Behavior, and e) directly contacting researchers in the field. We reviewed 22 articles derived from experimental or quasi-experimental studies.Outcomes-Type 2 diabetes behavioral and metabolic outcomes, breastfeeding, nutrition knowledge, attitudes and behaviors.Results-Peer nutrition education has a positive influence on diabetes self-management, breastfeeding outcomes, as well as on general nutrition knowledge and dietary intake behaviors among Latinos.Conclusions and implications-There is a need for longitudinal randomized trials testing the impact of peer nutrition education interventions grounded on goal setting and culturally appropriate behavioral change theories. Inclusion of reliable scales and the construct of acculturation is needed for further advancing the knowledge in this promising field. Operational research is also needed to identify the optimal peer educator characteristics, the type of training that they should receive, the client loads and dosage (i.e., frequency and amount of contact needed between needed peer educator and client), and the best educational approaches and delivery settings.

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Section: Introductionmentioning

confidence: 99%