Abstract
Findings: Analysis of the data from the training on diabetes revealed that at almost every visit: 96% worked with a person with diabetes, 92% counseled a patient on diabetes, 94% talked with a diabetic patient about taking their medications, 63% inspected a patient’s feet, 83% made a referral to a hospital/clinic, and 96% used the diabetes action plan. The knowledge retention and application scores were high for the hypertension content as well. On almost every visit, 100% worked with someone who had hypertension, 96% counseled a person on improving their diet, 96% talked with patients about refilling medications or taking BP meds, 75% referred a patient to hospital or clinic, and 96% used the hypertension action plan. However, only 30.4% measured BP on almost every visit. Interpretation: One year after completion of a training program the CHWS retained knowledge and applied it in the care of their patients with hypertension and diabetes. The 100% retention rate after 12 months affirms the commitment of the participants and increases the likelihood of project sustainability. Challenges: Lack of equipment to take blood pressures did not give the CHWS the chance to practice or gather important data for the medical team. Going Forward: Future research studies will be expanded to include home visits to observe the CHWS interacting with their clients as they apply knowledge from the training, funding for BP monitors, and the collection of patient level data to directly link education and training to outcomes for individuals and communities. Funding: No funding listed. Abstract #: 02NCD022
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