Evaluating a Culturally and Linguistically Competent Health Coach Intervention for Chinese-American Patients With Diabetes
- Susan L. Ivey, MD, MHSA⇑,
- Winston Tseng, PhD,
- Elaine Kurtovich, MPH, PT, Ben Lui, MD, MPH,
- Rosy Chang Weir, PhD,
- Jing Liu, MS, RD,
- Hui Song, MS, MPH,
- May Wang, DrPH and
- Alan Hubbard, PhD
- Address correspondence to Susan L. Ivey, MD, MHSA, University of California Berkeley, School of Public Health, Health Research for Action, 2140 Shattuck Avenue, 10th floor, Berkeley, CA 94704-1210.
Background. Type 2 diabetes is a growing concern among medically underserved Chinese Americans. However, very few interventions have been developed or adapted for Chinese Americans with diabetes.
Objective. To use a participatory research approach to evaluate the effectiveness of a culturally tailored, linguistically appropriate model for diabetes care employing health coaches to improve A1C levels among Chinese-American patients in a federally qualified health center setting.
Methods. We compared change in A1C between intervention participants (n = 46), who received a health coaching intervention, and control participants (n = 46), who received usual care over a period of ~ 6 months.
Results. Intervention participants showed a decrease in mean A1C at follow-up (−0.40%) compared to control subjects (+0.04%), although this difference was not statistically significant. At the 6-month follow-up, a significantly higher percentage of intervention participants (45.7%) had well-controlled A1C levels compared to control subjects (23.9%) (P = 0.048).
Conclusions. It is feasible to implement a culturally tailored, linguistically appropriate teamlet model of care for Chinese Americans with type 2 diabetes. Such a model may be helpful in reducing A1C levels. Given trends in A1C improvement during a 6-month pilot, future randomized trials with a larger sample capable of providing adequate statistical power to detect improvements are warranted.
- American Diabetes Association(R) Inc., 2012