CHWs are trained lay individuals who work to help improve self-management through provision of diabetes education, assistance with goal setting, problem solving, and social and emotional support their shared cultural identity and community ties provide a unique and crucial link between the community and health care system. Increasingly, the community health worker (CHW) model has been implemented in an effort to link community and clinical efforts to improve health outcomes in underserved populations. Synergy between clinic-based efforts and community-based strategies can facilitate a more comprehensive approach to diabetes management but is often hard to achieve in real world settings. African Americans face more problems with diabetes self-management than non-Hispanic whites for a variety of reasons, including disparities in access and delivery of care, communication and health literacy barriers, and mistrust and cultural beliefs regarding the medical system. 8 Self-management practices are often sub-optimal due to a combination of individual, environmental, and healthcare system-based factors 9 however, the barriers to self-management are more pronounced in underserved, minority communities. 3– 7ĭiabetes self-management education (DSME) is considered to be a “critical element of care for all people with diabetes” by The Task Force to Revise the National Standards for Diabetes Self-Management Education Programs and evidence has shown the effectiveness of DSME in type 2 diabetes, particularly in the short term. 1 They are nearly two times more likely to suffer diabetes-related blindness and undergo lower extremity amputations than non-Hispanic whites, as well as two to six times more likely to experience kidney disease. 2 African Americans are disproportionately affected by the diabetes epidemic, with 18% of individuals aged 20 years or older with diabetes. health care expenditures going to diabetes related care. 1 More than 7% of adults in the United States have been diagnosed with type 2 diabetes, with 11% of all U.S. Diabetes is a serious health issue impacting populations worldwide, including more than 25.8 million people in the United States.
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