Journal articles (published elsewhere)

Community health workers improve diabetes care in remote Australian Indigenous communities: results of a pragmatic cluster randomized controlled trial

Posted on: 25 February, 2015
Issue: Vol 15 No 1, January 2015 – March 2015
Related to Chronic conditions Diabetes Remote Rural Aboriginal and Torres Strait Islander Health Workers

McDermott RA, Schmidt B, Preece C, Owens V, Taylor S, Li M, Esterman A (2015)
Community health workers improve diabetes care in remote Australian Indigenous communities: results of a pragmatic cluster randomized controlled trial
BMC Health Services Research; 15: 68
Retrieved 19 February 2015 from http://dx.doi.org/10.1186/s12913-015-0695-5

This study aimed to evaluate the effectiveness of a community-based health worker led case management approach to the care of Aboriginal and Torres Strait Islanders with poorly controlled diabetes and significant comorbidities in remote areas of northern Australia.

Two hundred and thirteen adults were randomly assigned to receive care from a health worker supported by a clinical outreach team or assigned to a waitlist control group which received usual care.

Results showed that a culturally safe, community level health worker led model of diabetes care for high risk patients can be effective in improving diabetes control in remote Aboriginal and Torres Strait Islander communities, where there is poor access to mainstream services.

Australian Indigenous HealthInfoNet abstract

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