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- Lurline A Less, Dalip Ragoobirsingh, Errol Y Morrison, Michael Boyne, and Pauline Anderson Johnson.
- Department of Biochemistry, University of the West Indies, Mona, Jamaica. less@cwjamaica.com <less@cwjamaica.com>
- Fam Pract. 2010 Jun 1; 27 Suppl 1: i46i52i46-52.
ObjectiveThe aim of this study was to evaluate the effectiveness of lay diabetes facilitators (LDFs) to increase knowledge and improve control among persons with diabetes. Methodology. A prospective cohort study was conducted among persons with diabetes in 16 health care centres in Jamaica to evaluate the effect of LDFs on glycaemia [haemoglobin A1c (HbA1c)] and body mass index (BMI). One hundred and fifty-nine persons with diabetes were recruited for the intervention from eight clinical settings in which LDFs had been recruited and trained. A matched group of 159 were recruited as a comparison sample from eight clinical settings without LDFs. HbA1c and BMI were measured at baseline and 6 months.ResultsMean HbA1c at baseline for the intervention and comparison groups were 7.9% and 8%, respectively. After 6 months, the intervention group showed a mean decrease of 0.6% while the comparison group showed an increase of 0.6%, significant after control for potential confounders (P < 0.05). There was no statistically significant change in BMI between groups.ConclusionPatients educated by LDFs showed improved metabolic control over the first 6 months of observation.
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