Table 2.
CMa (n=84) | CM+CHWb
(n=82) |
UCc (n=41) | p values | |||
---|---|---|---|---|---|---|
|
||||||
Change in Outcome Measures |
Mean (95% CI) | Mean (95% CI) | Mean (95% CI) | CM vs. UC |
CM+ CHW vs.UC |
CM+ CHW vs. CM |
Weight (kg) | ||||||
6 months | −1.6 (−2.4, −0.7) | −2.1 (−2.8, −1.3) | −0.9 (−1.9, 0.1) | 0.28 | 0.05 | 0.65 |
12 months | −1.4 (−2.4, −0.3) | −1.9 (−2.9, −0.9) | −0.7 (−2.2, 0.8) | 0.49 | 0.21 | 0.76 |
24 months | −1.0 (−2.4, 1.0) | −1.0 (−2.4, 0.4) | −0.6 (−2.8, 1.5) | 0.78 | 0.76 | 0.98 |
BMI | ||||||
6 months | −0.6 (−1.0, −0.3) | −0.8 (−1.1, −0.5) | −0.4 (−0.7, 0.0) | 0.27 | 0.07 | 0.49 |
12 months | −0.6 (−1.0, −0.1) | −0.7 (−1.1, −0.3) | −0.3 (−0.8, 0.3) | 0.39 | 0.20 | 0.60 |
24 months | −0.4 (−1.0, 0.2) | −0.4 (−0.9, 0.2) | −0.2 (−1.1, 0.7) | 0.67 | 0.72 | 0.93 |
Percentage Weight Change (%) | ||||||
6 months | −0.02 (−0.02, −0.01) | −0.02 (−0.03, −0.01) | −0.01 (−0.02, 0) | 0.50 | 0.24 | 0.54 |
12 months | −0.01 (−0.03, 0) | −0.02 (−0.04, −0.01) | −0.01 (−0.03, 0.01) | 0.96 | 0.92 | 0.95 |
24 months | −0.01 (−0.02, 0.01) | −0.02 (−0.03, 0) | 0 (−0.03, 0.02) | 0.92 | 0.72 | 0.76 |
Waist circumference | ||||||
6 months | −0.7 (−1.3, −0.2) | −0.6 (−1, −0.2) | 0.0 (−0.7, 0.7) | 0.11 | 0.14 | 0.89 |
12 months | −1.5 (−2.2, −0.8) | −0.6 (−1.4, 0.2) | −1.3 (−2.2, −0.4) | 0.76 | 0.26 | 0.36 |
24 months | −1.4 (−2.1, −0.7) | −0.8 (−1.5, −0.1) | −0.7 (−1.7, 0.2) | 0.24 | 0.95 | 0.52 |
Systolic BP | ||||||
6 months | −0.1 (−2.9, 2.7) | −1.8 (−4.2, 0.6) | −2.2 (−6.4, 2) | 0.41 | 0.87 | 0.71 |
12 months | −2.2 (−5.1, 0.6) | −1.3 (−4.3, 1.6) | −3.0 (−7.8, 1.7) | 0.77 | 0.57 | 0.86 |
24 months | 0.6 (−2.3, 3.5) | 0.5 (−2.9, 3.8) | −0.2 (−4.3, 3.8) | 0.74 | 0.79 | 0.98 |
Diastolic BP | ||||||
6 months | −0.1 (−1.5, 1.3) | −0.2 (−1.6, 1.2) | 0.3 (−1.9, 2.6) | 0.73 | 0.72 | 0.98 |
12 months | −0.6 (−2.3, 1.1) | 0.3 (−1.7, 2.2) | −1.3 (−4.1, 1.5) | 0.62 | 0.40 | 0.78 |
24 months | 1.2 (−0.5, 2.9) | 0.9 (−0.9, 2.7) | −0.2 (−2.2, 1.8) | 0.33 | 0.46 | 0.90 |
Total Cholesterol | ||||||
6 months | 1.7 (−4.6, 7.9) | −0.6 (−10.2, 9.1) | 2.8 (−7.6, 13.2) | 0.86 | 0.64 | 0.85 |
12 months | 1.8 (−5.2, 8.8) | 8.7 (1.2, 16.2) | 1.5 (−9.3, 12.3) | 0.96 | 0.30 | 0.55 |
24 months | 7.0 (−1.8, 15.8) | 10.8 (0.7, 20.8) | 5.6 (−4.5, 15.6) | 0.82 | 0.48 | 0.76 |
Fasting Blood Glucose | ||||||
6 months | 0.7 (−5.9, 7.2) | 0.4 (−5.4, 6.2) | 4.0 (−3.7, 11.7) | 0.52 | 0.47 | 0.98 |
12 months | −1.6 (−9.8, 6.7) | −2.9 (−8.8, 3.0) | 6.3 (−1.5, 14.1) | 0.18 | 0.07 | 0.88 |
24 months | 2.7 (−8.5, 13.9) | −1.9 (−11.9, 8.2) | 4.6 (−6.3, 15.5) | 0.81 | 0.34 | 0.72 |
Hemoglobin A1C | ||||||
6 months | 0.0 (−0.1, 0.2) | −0.2 (−0.4, 0.0) | −0.1 (−0.3, 0.1) | 0.30 | 0.50 | 0.33 |
12 months | 0.0 (−0.2, 0.2) | −0.2 (−0.5, 0.0) | −0.1 (−0.5, 0.3) | 0.57 | 0.73 | 0.61 |
24 months | −0.1 (−0.3, 0.2) | −0.3 (−0.6, −0.1) | −0.3 (−0.5, 0.0) | 0.19 | 0.75 | 0.33 |
HDL Cholesterol | ||||||
6 months | −1.4 (−3.3, 0.5) | −0.4 (−1.8, 1.1) | 0.0 (−1.6, 1.6) | 0.29 | 0.76 | 0.61 |
12 months | 0.6 (−1.9, 3.1) | 1.6 (−0.8, 4.0) | 1.7 (−1.2, 4.5) | 0.59 | 0.98 | 0.75 |
24 months | −0.2 (−3.7, 3.3) | 0.3 (−3.2, 3.8) | 1.4 (−1.4, 4.3) | 0.46 | 0.62 | 0.89 |
LDL Cholesterol | ||||||
6 months | 16.3 (−6.4, 39) | 5.5 (−5.6, 16.6) | 12.9 (0.6, 25.3) | 0.79 | 0.39 | 0.54 |
12 months | 2.9 (−2.9, 8.7) | 4.0 (−2.6, 10.7) | 1.9 (−7.3, 11.1) | 0.86 | 0.72 | 0.91 |
24 months | 5.8 (−1.3, 12.8) | 4.8 (−3.8, 13.4) | 4.0 (−6.5, 14.4) | 0.77 | 0.91 | 0.93 |
Trigylcerides | ||||||
6 months | −7.4 (−30.5, 15.7) | −3.2 (−19.4, 13.0) | −17.2 (−38.1, 3.7) | 0.53 | 0.29 | 0.87 |
12 months | −12.3 (−37.2, 12.6) | 1.5 (−14.0, 17.0) | −19.0 (−40.8, 2.8) | 0.69 | 0.13 | 0.58 |
24 months | 5.0 (−25.5, 35.5) | 15.1 (−14.4, 44.6) | −1.3 (−36.8, 34.2) | 0.79 | 0.48 | 0.80 |
C-Reactive Protein (not measured at 6 months) | ||||||
At 12 months | 0.1 (0.0, 0.2) | 0.0 (−0.2, 0.2) | 0.2 (−0.1, 0.5) | 0.51 | 0.35 | 0.54 |
At 24 months | 0.1 (0.0, 0.3) | 0.0 (−0.2, 0.1) | 0.3 (0.0, 0.7) | 0.32 | 0.07 | 0.12 |
* Significance at p < 0.05,
** Significance at p < 0.01,
*** Significance at p < 0.001
CM = Case Management arm
CM+CHW = Case Management plus Community Health Worker arm
UC = Usual Care Control arm