Table 2.
CHW Roles in Addressing Diabetes Prevention Program Recruitment and Retention Barriers.
| Article | Barriers | CHW role/intervention to address the barriers |
|---|---|---|
| Ruggiero et al37 | Time | Providing participants with the option to meet in small CHW-facilitated groups with flexible scheduling |
| Katula et al,38 Lawlor et al,39 and Perez et al40 | Cost | Reducing direct cost of the program; for example, in some CHW models, the direct cost has been as low as one-third of the original DPP intervention ($850 vs $2631). |
| It may be due to using more-costly medical professionals to deliver lifestyle intervention or delivering group-based services in comparison with individual-based service. | ||
| Wagner et al41 | Lack of transportation | Providing transportation |
| Lorig et al,42 Van der Wees et al,43 and Islam et al44 | Self-monitoring | - Providing self-monitoring training. |
| - Lifestyle strategies for glycemic control including physical activity, prevention of diabetes complications, healthy food, and diabetes care. | ||
| - Glucose self-monitoring training | ||
| Kim et al45 | Autonomous motivation | Motivational counseling |
| Kim et al45 | Health literacy | Using a literacy-enhancing approach that addresses the strong need to enhance essential health literacy skills |
| Wagner et al,41 Islam et al,44 and Kim et al45 | Language | A CHW who speaks the native language, helps a non-English speaker to understand their culture and to overcome language barriers for them. |
Source: Study findings based on Literature Review (2010-March 2020).