At a glance
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Integrated Community-Clinical Linkage Model to Promote Weight Loss Among South Asians With Pre-Diabetes
In Brief
A clinical study evaluating CHW-Led Health Coaching and EHR Alerts for Pre Diabetes and Weight Loss. Completed, enrolled 974 participants across 1 site.
Detailed Summary
The proposed study will inform efforts to prevent diabetes and promote weight loss in a high-risk population and generate a reproducible, scalable, and sustainable model for use with other insurer groups and clinical settings that work in immigrant populations with a high burden of chronic disease.
Study Details
Timeline
Interventions
The CHW intervention includes a protocol that consists of 5 monthly 90-minute group health education sessions, providing the tools and strategies to prevent diabetes.
Primary care providers (PCP) treating patients in the intervention group will receive embedded EHR alerts to increase screening and identification of South Asian patients at-risk for T2DM with BMI \>23 kg/m2 and registries to track outcomes.