It is likely that investments at the social context level will also help to decrease the development of barriers at the organisational context level , especially by increasing staff involvement and satisfaction .
Background Integrated care interventions for chronic conditions can lead to improved outcomes , but it is not clear when and why this is the case .
This study aims to answer the following two research questions : First , what are the context , mechanisms and outcomes of integrated care for people with type 2 diabetes ?
Second , what are the relationships between context , mechanisms and outcomes of integrated care for people with type 2 diabetes ?
Training Community Health Workers as Diabetes Educators for Urban African Americans: Value Added Using Participatory Methods
Background : With growing use of Community Health Workers ( CHWs ) to reach underserved population s , there is a need for more information on training methods to prepare CHWs , particularly in a health educator role . Objectives : To describe procedures used to recruit , train , and evaluate CHWs in Project Sugar 2 , a r and omized controlled trial of a nurse case manager and CHW team intervention design ed to improve diabetes care and control in a sample of 542 urban African Americans with type 2 diabetes . Methods : CHWs received a Core Training on guidelines and procedures , didactic diabetes self-management education , and research protocol training . However , barriers to CHW implementation of the intervention were encountered , including CHW attrition , job performance and satisfaction issues , low self-confidence in knowledge and skills as educators , difficulties with maintaining a large caseload , and inefficiencies experienced in conducting home visits . To address barriers , the initial training was modified and Results : The supplemental training result ed in CHW retention , satisfaction , confidence in skills , and feelings of ownership of the intervention . Participant satisfaction with care received from the CHWs and the Project Sugar 2 intervention was rated as high by 97 % and 93 % of responders , respectively . Conclusion : Core training in research intervention policies , procedures , and protocol s , combined with an extended participatory training , led to effective preparation of laypersons to serve as CHWs
It is likely that investments at the social context level will also help to decrease the development of barriers at the organisational context level , especially by increasing staff involvement and satisfaction .
Background Integrated care interventions for chronic conditions can lead to improved outcomes , but it is not clear when and why this is the case .
This study aims to answer the following two research questions : First , what are the context , mechanisms and outcomes of integrated care for people with type 2 diabetes ?
Second , what are the relationships between context , mechanisms and outcomes of integrated care for people with type 2 diabetes ?