NYU Langone Health
The purpose of this study is to test the effectiveness and implementation process of a culturally and contextually tailored telehealth-based community health worker (CHW) led coaching intervention for hypertension control among South Asian patients with co-morbid Diabetes Mellitus type II (DMII) and hypertension. The primary aims are to test the effectiveness of a CHW-led telehealth intervention compared to usual care, and using Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) and Consolidated Framework for Implementation Research (CFIR), examine the reach, adoption, fidelity, and maintenance of the intervention within clinical and community settings.
Inclusion Criteria: * identified as of South Asian ethnicity * at least 21 years of age * a diagnosis of diabetes * a diagnosis of hypertension * an uncontrolled BP reading (\>130/80mmHg) in the last 6 months Exclusion Criteria: * Under the age of 21 * Women who are pregnant at the time of screening * Type 1 diabetes or diabetes secondary to other conditions (e.g., steroid-induced, pancreatic insufficiency, or chemotherapy-induced) * Inability to perform unsupervised physical activity * Malignancy or life-threatening illness with life expectancy of \<5 years * Diagnosed cognitive deficits o…
Participants will undergo all 5 group-based health education sessions on hypertension and diabetes management and provide culturally and linguistically tailored health information and resources. There will be two one-on-one virtual meetings, up to 9 follow-up phone calls to engage in goal-setting activities regarding changes to health behaviors, medication adherence, or other issues related to diabetes prevention as identified jointly by patient and CHW. Participants will develop with the CHW and receive a copy of their long-term and short-term Participant Action Plan. Referrals to other services available in the community (i.e. exercise classes, social services, mental health, tobacco cessation, etc.
Participants will attend only the first group-based health education session on hypertension and diabetes management.
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