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

<h4>Aim</h4>To examine the characteristics of community health workers (CHWs) involved in diabetes prevention programmes (DPPs) and their contributions to expected outcomes.<h4>Methods</h4>Electronic databases including PubMed-MEDLINE, EBSCOHost, and SCOPUS/EMBASE were search...

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Main Authors: Jillian Hill, Nasheeta Peer, Brian Oldenburg, Andre Pascale Kengne
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0189069
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author Jillian Hill
Nasheeta Peer
Brian Oldenburg
Andre Pascale Kengne
author_facet Jillian Hill
Nasheeta Peer
Brian Oldenburg
Andre Pascale Kengne
author_sort Jillian Hill
collection DOAJ
description <h4>Aim</h4>To examine the characteristics of community health workers (CHWs) involved in diabetes prevention programmes (DPPs) and their contributions to expected outcomes.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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 doaj-art-5c170826c4a34a4db9e1c7f6a8d03d322025-08-20T03:32:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-011212e018906910.1371/journal.pone.0189069Roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: A systematic review.Jillian HillNasheeta PeerBrian OldenburgAndre Pascale Kengne<h4>Aim</h4>To examine the characteristics of community health workers (CHWs) involved in diabetes prevention programmes (DPPs) and their contributions to expected outcomes.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.https://doi.org/10.1371/journal.pone.0189069
spellingShingle Jillian Hill
Nasheeta Peer
Brian Oldenburg
Andre Pascale Kengne
Roles, responsibilities and characteristics of lay community health workers involved in diabetes prevention programmes: A systematic review.
PLoS ONE
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
url https://doi.org/10.1371/journal.pone.0189069
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